Pharmacy Benefit Managers (PBMs)

Initial Application- (Choose one method)

Electronic Submission 

1. The electronic application may be completed on NIPR.com.
2. *The PBM States Specific Requirements- Initial License Application, in addition to the NIPR Uniform Application, can be found on NIPR State Specific Requirements page.
3. All supporting documentation and $1000 application fee can be uploaded and submitted via the NIPR Attachment Warehouse.
4. Follow this step-by-step guide to complete electronic application via NIPR.

* The PBM States Specific Requirements- Initial License Application MUST be submitted in addition to the NIPR application or your application may be delayed.

Paper Submission

1. Complete PBM Paper Application for Initial License.
2. Email completed application and all supporting documents to PBMDept@doi.sc.gov 
3. The application fee of $1000 can be made by check to the S.C. Department of Insurance and mailed to :    

Attn: Office of PBM Oversight
South Carolina Department of Insurance
1201 Main Street, Suite 1000
Columbia, SC 29201 

License Renewal- (Choose one method)

* The renewal period is December 1, 2021  through March 1, 2022 and repeats annually

Electronic Submission: 

1. Complete the NIPR Renewal Application and submit fee payment of $500 on NIPR.com
2. In addition to the NIPR Renewal Application, you must complete the PBM State Specific Requirements- License Renewal Application
3. Submit all supporting documentation and PBM State Specific Requirements- License Renewal Application via NIPR's Attachment Warehouse or email directly to the Office of PBM Oversight at PBMDept@doi.sc.gov 

Paper Submission:

1. Complete PBM Paper Application for License Renewal 
2. Email or mail completed application and all supporting documents to PBMDept@doi.sc.gov
3. The application fee of $500 can be made by check to the S.C. Department of Insurance and mailed to:

Attn: Office of PBM Oversight
South Carolina Department of Insurance
1201 Main Street, Suite 1000
Columbia, SC 29201

Additional Forms

• PBM Application Requirements Checklist
• PBM Electronic Application Guide
• PBM License Surrender Form
• PBM Change of Information Form

PBM Complaint Process

South Carolina law requires pharmacies to make all reasonable efforts to exhaust a PBM's internal appeal's process or work through their Pharmacy Services Administration Organization (PSAO) prior to submitting unresolved complaints to the South Carolina Department of Insurance (SCDOI). If all efforts have been made to resolve a potential violation, you may follow the steps below to file a complaint with the SCDOI.

To complete the PBM Complaint Form follow the steps below:

Submit via SCDOI Website:

1. Click PBM Compliant Form
2. Complete online form
3. Upload supporting documents directly to online form
4. Click "Submit" when complete

Submit via email:

1. Save PBM Complaint Form as a digital PDF document.
2. Complete fillable complaint form that was saved as digital PDF document. 
3. Email completed PBM Complaint Form and any supporting documents to the Office of PBM Oversight at PBMDept@doi.sc.gov..

Submit via fax:

1. Complete fillable PBM Complaint Form.
2. Print completed PBM Complaint Form.
3. Fax completed form and any supporting documents to the Office of PBM Oversight at (803) 737-1605.

Submit via mail:

1. Complete fillable PBM Complaint Form.
2. Print completed PBM Complaint Form.
3. Mail completed form and any supporting documents to 

Attn: Office of PBM Oversight
South Carolina Department of Insurance
1201 Main Street, Suite 1000
Columbia, SC 29201