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Administrative Hearings

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About small pharmacy reimbursement appeals

If you disagree with a pharmacy benefit manager's (PBM) decision about reimbursing a drug's cost, you can submit an appeal to us.

Filing a small pharmacy reimbursement appeal

Small pharmacies in Washington state can send us appeals about reimbursements.

Request a hearing or review for a small pharmacy reimbursement appeal

Use this form if you are contesting a decision, action, or order from the insurance commissioner; or if you are requesting a review of an initial order issued in a small pharmacy reimbursement appeal.

Reviewing decisions about small pharmacy reimbursement appeals

If small pharmacies or pharmacy benefit managers (PBMs) disagree with an initial decision about an appeal, they can ask us to review it.