OSI Events Calendar View our calendar of events Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.This form is ONLY for pharmacies submitting a complaint against a Pharmacy Benefits Manager (PBM). If you are an individual covered by a commercial health plan, please submit a complaint with the OSI Managed Health Bureau here: MHCB Complaint Form. For Medicaid complaints, submit a complaint via the Grievance Intake Form. For Medicare complaints, submit a complaint via the Medicare Complaint Form. For governmental or group self-insured members, please contact your employer for more information. Thank you.Complainant:Name of Pharmacy submitting Complaint *Pharmacy Contact Name *FirstLastPharmacy Address *Address Line 1Address Line 2City— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePharmacy Phone *Pharmacy Email *EmailConfirm EmailPBM:PBM Name *PBM Contact Name *FirstLastPBM Address *Address Line 1Address Line 2City— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip Code PBM Email Address PBM Phone *PBM EmailType of Issue Please describe the issue in detail. Please include reference to the statute or rule the PBM allegedly violated. For reference, the Pharmacy Benefit Manager Regulation Act is at Section 59A-61-1, et seq., NMSA 1978 and the corresponding rule is 13.10.30 NMAC. Complaints shall be based on a rule or statute enforced by the New Mexico Office of the Superintendent of Insurance.Type of Issue *Attachments Drag & Drop Files, Choose Files to Upload You can upload up to 10 files. Please attach any documents relevant to your complaint:The information contained within is confidential and shall not be disclosed or other provided to anyone not a party to the complaint except the Office of Superintendent of Insurance.Submit
August 11, 2026 Announcements ORDER ESTABLISHING PARAMETERS FOR DEFRAYAL UNDER 13.10.41 NMAC, COVERAGE FOR SPECIFICED SEX TRAIT MODIFICATION PROCEDURE Pursuant to NMSA, Section 59A-2-8 General powers and duties of superintendent, this order provides an initial interpretation of what specified sex trait modification procedures and prescriptions are eligible for defrayal starting Plan Year 2027 for health plans sold on the New Mexico BeWell Exchange. Office of Superintendent of Insurance (OSI) staff may revisit this interpretation […] Read More
June 22, 2026 Bulletins MEDICAL MALPRACTICE PREMIUM REDUCTION BULLETIN 2026-010: The New Mexico State Legislature appropriated $5 million to the New Mexico Office of Superintendent of Insurance (OSI) to address medical malpractice insurance costs for individual providers. The appropriation was part of a supplemental appropriation package passed in 2025. This one-time appropriation directs OSI to provide a premium subsidy for private medical malpractice insurance policies. […] Read More
