AR SB593

Creates new registration requirement for pharmacy services administrative organizations (PSAOs) to operate in Arkansas, with $250 initial registration fee and applications processed through the State Insurance Department

Requires PSAOs to file annual reports beginning March 1, 2026, disclosing the number of contracted pharmacies in the state and identifying which pharmacy benefits managers they have agreements with

Mandates PSAOs annually disclose ownership or control by parent companies involved in prescription drug manufacturing, wholesale distribution, or retail pharmacy sales

Requires pharmacy benefits managers to offer Arkansas-specific contract amendments that comply with state law by January 1, 2026, for any existing PSAO agreements

Establishes document access requirements where PSAOs must provide contract copies within 30 days for new agreements or 5 business days for existing contracts upon pharmacy request