Opinion: Pharmacy benefit management – The prescription benefit “shell game”?
Oct 31, 2024
Recent scrutiny by Congress and other government agencies into pharmacy benefit management business practices has ignited discussions on how to address and eliminate apparent problematic behaviors.
Pharmacy benefit managers (PBMs) act as intermediaries between health insurance providers, drug manufacturers, and pharmacies.
Some of their roles include:
Medication lists (formularies)
Negotiating rebates with drug manufacturers or aggregators
Negotiating discounts and establishing preferred pharmacy…