New Home 2018-04-20T19:18:05+00:00

Stop PBM Abuses

Pharmacy Benefit Managers (PBMs) are mega-billion-dollar middlemen corporations that have quietly become a dominant and monopolistic part of our health care system.

Hired by insurance companies and the government to manage drug benefits, PBMs have the power to negotiate drug costs, determine what drugs will be included on plan formularies, and how those drugs are dispensed. PBMs claim to be working to lower drug costs, but year after year, patients continue to pay more.

PBMs have become too big, opaque, and monopolistic in our health care system. Congress must take steps to stop PBM abuses by introducing greater transparency, stopping their nickel-and-diming fee structures that have pushed drug prices higher and higher, and requiring them to allow patients to receive medications at the pharmacy of their choice.

PBMs aren’t who they say they are. In fact, they stand behind some of the worst abuses in our health care system. Tell your elected officials it’s time to stop PBM abuse and protect local cancer care!

There is growing awareness of the problems and pitfalls with Pharmacy Bene­fit Managers (PBMs) in the United States health care system. Contracted by insurance carriers to negotiate on their behalf with pharmaceutical companies, these ‘middle men’ corporations have quietly become an unavoidable part of our nation’s health care system. Controlling at least 80 percent of drug bene­fits for over 260 million Americans, PBMs have the power to negotiate drug costs, what drugs will be included on plan formularies, and how those drugs are dispensed. Oftentimes, patients are required to receive drugs through PBM-owned specialty pharmacies.

However, while the role PBMs play in the U.S. health care system is complex and under scrutiny by policymakers and the public, with much of the debate focusing on economics, there is often little discussion of the impact PBMs have on patients.

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