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Independent Pharmacies Under Pressure: The Impact of PBMs and Vertical Integration
Independent pharmacies play a significant role in delivering prescription medicines to Americans across the country, representing 35% of all retail pharmacies in the U.S. In recent years, there has been an alarming and continuing rate of independent pharmacy closures - nea rly one in three pharmacies have closed since 2010, leaving almost 800 ZIP codes that had at least one pharmacy in 2015 now having none. A primary factor behind the decline of independent pharmacies
Nov 8
Don’t Fall for the Cigna Head Fake
By Mark Blum, Managing Director, PBM Accountability Project The insurance carrier Cigna’s Evernorth division issued a recent announcement that its pharmacy benefit manager ( PBM) Express Scripts will stop collecting manufacturer rebates in 2028. The announcement was the PBM equivalent of a head fake in football, an all-too-common deflection tactic well-known to those who have tracked the PBM industry since inception. The insurance company that owns Express Scripts wants poli
Nov 8
California Passes Critical PBM Reforms
California’s SB 41 is a major win for PBM accountability, passing the legislature with broad bipartisan support and earning Governor Newsom’s signature this month. This legislation is one of the strongest protections to date against anti-consumer PBM practices and includes important provisions to: require PBMs in California to be licensed and subject to oversight, ending their near-total lack of regulation in the state ban spread pricing – the practice where PBMs charge ins
Oct 14
CBO Report Reveals Massive Abuse of 340B Program by Hospitals and PBMs
As Congress prepares for the final legislative push of 2025, a new report from the Congressional Budget Office (CBO) reinforces the need...
Sep 17
PBM Reform Should be at the Top of Congress' Fall Agenda
As Congress returns this fall, there are likely several items on their “To Do” list – addressing healthcare costs should be near the very...
Aug 28
Expanding the 340B Program Allows PBMs to Steal from Patients in Need
Hospitals and clinics in the 340B program often use pharmacy benefit manager (PBM) affiliated or owned contract pharmacies to dispense...
Jun 12
New Poll: Overwhelming Majority of Nevadans Support Regulation of Prescription Drug Middlemen
Respondents support policies to require pharmacy benefit managers (PBM)s to provide value, lower patient drug costs Carson City, NV – As...
May 23
We Can Wait No Longer: Congress Needs to Aid Those Trapped in a Health Care Nightmare
By: Claire Sachs, Founder of the Patient Advocate’s Chronicle and a DPAC Champion Corps member Millions of Americans afflicted with...
May 19
Senate Judiciary Committee Members Urge PBM Reform
The Senate Judiciary Committee held a hearing this week titled, “PBM Power Play: Examining Competition Issues in the Prescription Drug...
May 15
New Report: PBMs Are Siphoning Money from Patients in the 340B Program
A recent report found that the dominance of pharmacy benefit managers (PBMs) in the 340B drug pricing program benefits these large...
May 12
Reforming the System: PBM Practices Are Blocking Access to Biosimilars
In today’s healthcare landscape, few issues affect patient access and affordability as much as PBM practices. With 80% of the PBM market...
Apr 22
ICYMI: Rural Americans Need PBM Reform Now
Millions of rural Americans face a devastating health crisis. They suffer from high rates of chronic diseases yet face a severe shortage...
Mar 12
The 340B Drug Pricing Program: A Patient Benefit or PBM Profit Center?
Recent public financial disclosures from major health insurance conglomerates like CVS Health have shed light on a concerning trend: the...
Mar 8
House Energy and Commerce Subcommittee Members Highlight the Need for Urgent PBM Reforms
Last week, the House Energy and Commerce Committee’s Subcommittee on Health held a hearing entitled, “An Examination of How Reining in...
Mar 4
ICYMI: Mail-Order Drugs Were Supposed to Keep Costs Down. It’s Doing the Opposite.
One employer was paying about $100 for a prescription for a generic antidepressant, though it could be bought elsewhere for about $12 A...
Jun 26, 2024
ICYMI: New York Times Investigation Shows PBMs Rip Off Just About Everyone
The New York Times has published a detailed investigation into how middlemen pharmacy benefit managers (PBMs) drive up drug costs for...
Jun 22, 2024
Watch: The role of PBMs, patents, and public health in drug pricing
This is Part 1 of “Behind the Counter,” an in-depth video series demystifying the complex world of patents and drug pricing. Watch here >
Jun 13, 2024
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