North Carolina OIC and AG to tag team PBM enforcement

NCPA February 23, 2026

North Carolina Insurance Commissioner Mike Causey and Attorney General Jeff Jackson co-authored a letter to the 23 PBMs licensed in the state with their intention to oversee and enforce the Script Act, enacted last year as SB 479.

In addition to restating the key provisions of the new law, the letter states, "By empowering NCDOI with greater regulatory oversight and enforcement and engaging the NCDOJ to work with NCDOI to enforce the law, the State is taking a proactive stance to ensure fairer drug pricing and broader pharmacy access for its residents. The NCDOI and NCDOJ will uphold the legislative mandate of the General Assembly and, where warranted, will pursue all available remedies under law."

More information about the letter can be found here.

NCPA