Pharmacy Times March 25, 2025
Although PBMs claim integration reduces costs and improves efficiency, the reality is more complicated—and often leaves patients footing the bill.
Introduction
Imagine walking into your pharmacy only to find that your medication is no longer covered—or worse, you now must pay more because your insurance insists you use a mail-order service. Millions of Americans are facing similar challenges as prescription costs and access to medications become more complex and costly.
At the center of these changes are pharmacy benefit managers (PBMs), powerful middlemen who negotiate drug prices, determine medication coverage, and influence where patients can fill prescriptions. PBMs hold enormous sway over the health care system, directly affecting patients’ costs and access to care.
In recent years, the rise of...
Today's Sponsors
Today's Sponsor