AJMC August 2, 2024
As pharmacy benefit managers (PBMs) come under increased scrutiny from regulatory agencies, here are 5 things to know about their role in the health care system.
Pharmacy benefit managers (PBMs), which are entities that act as intermediaries between pharmacies, health plan sponsors, pharmaceutical manufacturers, and wholesalers, have been around since the 1960s in the US.1 In recent decades, their role has evolved along with those of the pharmaceutical and health insurance industries, with PBMs subject to increased scrutiny in recent years for lacking transparency in their dealings and contributing to high drug costs in the US.
In July, the Federal Trade Commission (FTC) released a 71-page interim report based on an investigation into PBM practices launched in 2022, with findings...