Vaccination at Risk: Tackling PBM Barriers to Ensure Equitable Access and Sustain Supply
Policy & Medicine November 22, 2024
The Global Healthy Living Foundation (GHLF) recently published a policy paper authored by Robert Popovian, PharmD, MS, Founder, Conquest Advisors and GHLF’s Chief Science Policy Officer, “Challenges in Adult Vaccination: Policy Strategies for Sustaining Access and Supply,” regarding the benefits associated with current vaccine access and the payment model for adult vaccination in the United States. The paper also covers potential negative impacts of Pharmacy Benefit Managers (PBMs) potentially subverting the vaccine reimbursement landscape.
The report notes that vaccines are “one of the most clinically meaningful and cost-beneficial interventions in healthcare” and that every vaccine is unique “due to molecular variation, differing indications, and side-effect profiles.” Currently, the report notes, insurers are required to provide coverage...