Fees
Fees shown are state fees only. These fees do not include NIPR transaction fees.
- All fees are per application.
Utilization Review
Fee:
$1200
Third Party Administrator
Fee:
$100
Premium Service Company
Fee:
$1000
Service Contract Provider
Fee:
$200
Pharmacy Benefit Manager
Fee:
$1000
Reinstatement fee:
$1000
Pharmacy Services Administrative Organization
Fee:
$1000
Lines of Authority
Please note that license class names can vary by state.
Utilization Review
No Line of Authority Required
Third Party Administrator
No Line of Authority Required
Premium Service Company
No Line of Authority Required
Service Contract Provider
No Line of Authority Required
Pharmacy Benefit Manager
No Line of Authority Required
Pharmacy Services Administrative Organization
DRLP Not Required
Pharmacy Services Administrative Organization
Rules and Regulations
Applicant Can
- Submit initial license for business entities electronically.
- Reinstate through NIPR's No Home State License Application.
- Print license electronically.
Applicant Cannot
- Submit major lines of authority.
- Submit limited lines of authority.
- Add lines of authority (amend) to an existing active license.
Business Rules
Applicant must not have an active resident state license on PDB in any state.
Applicant must provide business address that is not in the state of South Carolina.
Applicant must provide a valid business address. Business address may not contain a P.O. Box.
Applicant with a license in "Inactive" status and no longer eligible for late renewal, applicant may reapply for their license at normal license fee.
Third Party Administrators are required to submit additional requirements in order to obtain a license in South Carolina. For a list of the requirements, please visit Third Party Administrators.
Utilization Review applicants are required to submit additional requirements in order to obtain a license in South Carolina. For a list of the requirements, please visit Utilization Review/Private Review Agent.
Service Contract Providers are required to submit additional requirements in order to obtain a license in South Carolina. For a list of the requirements, please visit Service Contract Provider
Premium Service Companies are required to submit additional requirements in order to obtain a license in South Carolina. For a list of the requirements, please visit Premium Service Company.
Pharmacy Benefit Managers are required to submit the PBM State Specific Requirements Application in addition to the NIPR application. Please email the application and supporting documentation to Office of PBM Oversight at PBMDept@doi.sc.gov. If you have any questions, please contact the Office of PBM Oversight at (803) 734-0398.
Pharmacy Services Administrative Organizations are required to submit the PSAO State Specific Application https://doi.sc.gov/DocumentCenter/View/14421/PSAO-Application-State-Specific-Requirements--Initial in addition to the NIPR application. Please email the application and supporting documentation to Office of PBM Oversight at PBMDept@doi.sc.gov. Applicants may use the PSAO Application Checklist PSAO-Checklist- (sc.gov)
Pharmacy Benefit Manager and Pharmacy Services Administrative Organization may reapply the day after expiration date when status is inactive.
If applicant responds "yes" to one of the background questions please submit supporting documents electronically via NIPR's Attachments Warehouse. The documents may also be submitted to the state via mail, email, or fax. All other required documentation must be forwarded directly to the state.
Contact Information
Mailing Address
South Carolina Department of Insurance
P.O. Box 100105
Columbia, SC 29202-3105
United States
State overview page
Learn more about state-specific licensing requirements and associate fees to ensure you have all the necessary information for compliance.