Patients should pay no more than is absolutely necessary for their medicines.
It’s time to make the Pharmacy Benefit Manager system work for us.
It’s time for the PBM Accountability Project.
The costs of prescription medications are rising. Across the country, states, businesses, and taxpayers are paying more than necessary because of our flawed marketplace controlled by pharmacy benefit managers (PBMs). PBMs are corporate middlemen that manage the prescription drug formularies for public and private health insurers.
PBMs determine which medicines will be covered by health insurance plans, how much pharmacies will be reimbursed for dispensing medicines and how much patients will pay for their prescriptions.
It’s time for solutions that help create transparent competition among PBMs and address the ways PBMs profit at the expense of independent pharmacies, patients, employee health plans, and taxpayers.