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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
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
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
Congress Must Protect Consumers from PBM Abuse
The post-election lame duck session of Congress could be one of the most influential for consumers – if our elected officials are willing...
Dec 5, 2024
ICYMI: Medicare Pays Wildly Different Prices for the Same Drug
Middlemen negotiate prescription costs at thousands of different price points, depending on your insurance plan The cost of prescription...
Nov 26, 2024


PBMs are Misleading America
As Congress investigates the pharmacy benefit manager (PBM) problem, these middlemen corporations continue steering patients away from...
Aug 20, 2024
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: How pharmacy benefit managers influence drug pricing
This is Part 2 of “Behind the Counter,” an in-depth video series demystifying the complex world of patents and drug pricing. Watch here >
Jun 13, 2024
A Lehigh County, PA, audit identified $1.4M in lost savings as a result of wasteful PBM contract
"Even with substantive communication and (county-owned) data restrictions, we were able to quantify over $1.4 million in savings: During...
Jan 28, 2021
ICYMI: Secret Rebates: Why Patients Pay $600 for Drugs That Cost $300
(Bloomberg) -- Robyn Curtis, a staff adviser at the University of Southern Mississippi in Hattiesburg, has a 13-year-old daughter with...
Oct 6, 2016
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