Farmacias
The Department of Financial Services (DFS) assists pharmacies with concerns related to Pharmacy Benefit Managers (PBMs) for violations of part VII of Capítulo 626, Estatutos de la Florida.
Pharmacies may send complaints to PBMPharmacyComplaints@MyFloridaCFO.com.
The following are additional types of violations the Department will review effective July 1, 2023:
- Proper authorization of a Pharmacy Benefit Manager, 626.8805, Estatutos de la Florida.
- Failure of Pharmacy Benefit Manager to disclose an affiliation with a Pharmacy, 626.8814, Estatutos de la Florida.
- Step Therapy Protocol, 627.42393 y 641.31, Estatutos de la Florida.
- Prohibited practices, 626.8827, Estatutos de la Florida.
The following violations are only applicable to contracts issued or renewed after July 1, 2023, for pharmacy benefits covered on or after January 1, 2024.
- Pharmacy Benefit Manger contracts with Pharmacy Benefit Plans or programs, 626.8825(2), Estatutos de la Florida.
- Pharmacy Benefit Manger contracts with Pharmacies, 626.8825(3), Estatutos de la Florida.
When filing a complaint, please provide the following:
- Full name of PBM;
- Consumer Name;
- Consumer Address;
- Consumer Phone number and/or email;
- Type of insurance coverage (Florida regulated individual or group; HMO individual or group; Medicare; Medicaid; Florida State Employee Group; Federal Employee Group; TriCare; self-insured employer plan; out of state individual or group; or other);
- Full name of insurance company or HMO, if health insurance;
- Policy or ID number;
- Name of Medication;
- Date of Service or Prescription Request submitted;
- The appropriate statutory references regarding the alleged violation; and
- A description of the alleged violation.
NOTE: Multiple complaints against the same PBM may be included in a single submission.