Ohio Single Pharmacy Benefit Manager (SPBM)
We appreciate everyone’s feedback as we work with the Ohio Department of Medicaid and Gainwell on the implementation Ohio’s Single PBM. OPA will be participating in regular calls with ODM each week to discuss member issues and we are working with ODM daily on urgent member issues, so please utilize the helpline tool to submit feedback. We would also encourage you to provide feedback at the end of the day, so we can continue to share all your feedback using the SPBM Issues Help Line.
- REMINDER: July 1 Medicaid pharmacy fee for service transition to Gainwell Technologies
- Outstanding Claims Not Paid 6/23/23
- ODM Director Visits Independent Pharmacy to Learn about SPBM Implementation
- SPBM: Pediatric Vaccine Claims Processing,November 3, 2022 Update
- SPBM: October 26, 2022 Update
- SPBM: October 14, 2022 Update
- SPBM: October 13, 2022 Update in Ohio Pharmacy Newsline, 10/14/22 edition
- SPBM: October 6, 2022 Update
- SPBM Implementation: October 5, 2022 Update
- Important: SPBM Issues Survey - Share feedback with ODM September 30, 2022
- News from the Ohio Department of Medicaid September 22, 2022
- August Legislative Update: SPBM tiers, rates, and more August 1, 2022
- New Single Pharmacy Benefits Manager (SPBM) Resources June 6, 2022
- Ohio Department of Medicaid Announces Single PBM Begins in October April 28, 2022
More Info:
ODM: https://managedcare.medicaid.ohio.gov/managed-care/single-pharmacy-benefit-manager
Gainwell: https://spbm.medicaid.ohio.gov
Myers and Stauffer: https://myersandstauffer.com/client-portal/ohio/