Pharmacy benefit managers are insurance middlemen that decide what prescriptions will be covered by insurance as well as what a patient’s co-pay will be. Consolidation within the industry has resulted in just three PBMs controlling over 80% of the prescription drug market, and they have used this leverage to force local pharmacies into unfair contracts. Many pharmacies close because PBMs do not reimburse them enough for the prescriptions they provide, and they are operating at a loss.
Read the full piece >
Comments