Effective January 1, 2025, South Carolina requires the director or his designee to examine the conduct and business practices of pharmacy benefits managers (PBMs) and pharmacy services administrative organizations (PSAOs). 

As often as the director deems appropriate, but not less than once every five years, the director may examine or audit the books and records of a PBM / PSAO providing claims processing services or other prescription drug or device services for a health benefit plan in compliance with this act. Please see the attachment for more information.

Our compliance experts are constantly searching for and analyzing industry updates. Their findings are then recorded in the Regulatory Updates section of the Compliance Library to explain how the update impacts the insurance industry. If a change impacts an AgentSync product, this will be highlighted to inform you that the product is being updated to ensure you remain in compliance.