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PBM WATCH

A site dedicated to informing consumers about problems with Pharmacy Benefit Managers and helping identify avenues to a more transparent PBM Market​
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You Think!

What is a PBM?

  • Pharmacy Benefit Managers (PBMs) play an important role in health care markets by setting up pharmaceutical networks and adjudicating pharmaceutical claims. Serving as middlemen for plans between pharmaceutical manufacturers and retailers, PBMs are well positioned to control pharmaceutical costs.
  • By creating networks of multiple pharmacies, PBMs leverage their size to negotiate contracts between drug manufacturers and retail outlets. They can secure rebates on certain drugs and are responsible for determining which drugs are covered by different health care plans.
  • However, over the years the PBM market has become a highly consolidated industry whose focus is not on serving consumers but on increasing company profits. Egregious and anti-competitive behavior on the part of the major PBMs has caused drug costs to skyrocket and harmed consumers and community pharmacists.

This website aims to outline the problems in the PBM market and provide resources to inform and empower consumers and pharmacists to combat many of the problems with PBMs. Visit our resources section to find informative documents, reports and testimonies about the PBM industry, and check out our links tab for other helpful websites on PBMs. 

Here is a sheet with some common myths and facts about PBMs. 

​Here is a summary of recent state legislation regulating PBMs as of May 2019. 


Latest News

December 18, 2019 Proposed Florida Legislation Targets Pharmacy Benefit Managers

December 18, 2019 Independent Pharmacies Want Cuomo To Sign Bill They Say Could Save Their Businesses

December 17, 2019 Tampa Lawmaker Jackie Toledo Leads Push to Lower Drug Costs in Florida

December 12, 2019 Manar Says PBM Bill Will Save Taxpayers Millions

December 9, 2019 Jackie Toledo Plans to Tackle Drug Prices By Regulating the Middlemen

December 6, 2019 Solicitor General Asks U.S. Supreme Court to Hear Arkansas PBM Case

December 6, 2019 Independent Pharmacists Push for Greater Oversight of Pharmacy Benefit Managers

December 5, 2019 Fight for Fair Rx Contracts Goes On As Ohio is 'Hemorrhaging Money'

December 2, 2019 Report Says Kentucky Medicaid Could Save Nearly $240 Million By Cutting Middlemen Between Drug Makers and Pharmacists

November 27, 2019 Ohio Accuses Drug Company of Overcharging for Prescriptions

November 21, 2019 Pennsylvania House Passes Matzie Bill Making Pharmacy Benefit Managers' Practices More Transparent

November 21, 2019 Ohio Medicaid Still Hemorrhaging Money to Pharmacy Middlemen, Expert Testifies

November 21, 2019 Transparency Is a First Step in Bringing Down Costs for American Seniors, Families 

November 18, 2019 PBMs Facing More Than ERISA Suits As RICO, Antitrust, State Law Claims Grow 

November 18, 2019 New PBM Bill Isn't a Full Fix, But Any Help is Welcome

​November 8, 2019 Ohio Lawmaker Proposes Sweeping Restrictions on Pharmacy Middlemen 

November 7, 2019 Senate Rolling Out Plan to Tame Drug Prices

November 6, 2019 Florida's Rx Drug Supply Chain Needs Fixing, More Transparency

November 4, 2019 House Clears Prescription Drug Price Transparency, Health Workforce Legislation 

November 1, 2019 Drug Rebate Dollars Continue to Rise 

October 30, 2019 Florida Pharmacists Sounding the Alarm, Accusing PBMs of 'Hijacking' Health Care Spending 

October 29, 2019 House Passes Spanberger Bill To Bring Transparency to Drug Price Negotiations

October 28, 2019 Bill Gives State Power to Audit Pharmacy Middlemen

October 21, 2019 Michigan's Medicaid Program Plans to Save Millions By Eliminating PBMs

October 21, 2019 Independent Pharmacies Being Driven Out of Business By 'Predatory Middlemen' 

October 16, 2019 Independent Pharmacies Feel Helpless As Unregulated Middlemen Influence Profits 

October 14, 2019 Pharmacy Benefits Manager Group Challenges North Dakota Law on Appeal

October 9, 2019 Trump Wants Lower Prescription Drug Prices. Florida Lawmakers Should Make the Market More Competitive 

October 8, 2019 Michigan Wants to Save $40 Million By Cutting PBMs Out of Medicaid

October 8, 2019 PBMs on Hot Seat 

October 8, 2019 Medicaid Programs Willing to Boot Out Drug Middlemen 

October 2, 2019 Ohio Medicaid Sees Initial Success Overhauling $3 Billion Drug Program

September 30, 2019 Reining In the Maleficent Middlemen: Governor Cuomo Should Sign America's Toughest Prescription Drug Legislation 

September 24, 2019 Holding Pharmacy Benefit Managers Accountable is Crucial in Delaware

September 19, 2019 Lawmakers Frustrated That State Doesn't Know Yet If Jan. 1 PBM Revamp Is Working

September 17, 2019 PBM Whack- A-Mole: Fixing One Problem Doesn't Mean True Reform 

September 16, 2019 Group Formed Supporting Legislation to Create New Regulations for PBMs

​September 16, 2019 Pharmacists Urge Support for Bills to Increase Pricing Transparency

September 11, 2019 New York Governor Plans Lawsuit Against Drug Industry 

September 11, 2019 Drug Prices Hurt Pharmacies

September 8, 2019 Strong Action Needed to Reign In Prescription Drug Costs

September 4, 2019 CVS-Aetna Merger Wins Antitrust Approval From Judge

September 4, 2019 PBM Startup Capital Rx Launches New 'Clearinghouse' Drug Pricing Model

September 3, 2019 Pharmacists: PBM Laws Helped, But Underpayments Continue

September 1, 2019 A Reckoning Is Coming For PBMs

August 30, 2019 Medicaid Boss Says State Won't Tolerate Abuse of Independent Drug Stores

August 26, 2019 Pharmacists Encouraged By New Law Regulating Pharmacy Benefit Managers

August 25, 2019 Wyden Visits Oregon Pharmacies to Promote Drug Price Control

August 23, 2019 New Law Will Make Prescription Drugs More Affordable And Transparent 

August 17, 2019 Community Pharmacies Struggle to Stay Open

August 13, 2019 GAO: PBMs Passed on Nearly All Part D Rebates to Plans in 2016 

August 11, 2019 Governor Ivey to Host Ceremonial Bill Signing

August 10, 2019 The Mortaring of Middle America

August 8, 2019 Small Drugstores Threatened by Pharmacy Benefit Managers 

August 8, 2019 New Group Hopes That Reverse Auctions on Drug Middlemen Can Help Cut Costs

August 7th, 2019 Independent Pharmacies Being Squeezed By Pharmacy Benefit Managers

August 7th, 2019 Sens. Alexander and Murray Take A Bipartisan Step Forward on Drug Pricing

August 6th, 2019 Trump Has Yet to Deliver on Promised Healthcare Savings

August 5th, 2019 Openness in Drug Pricing At Forefront of MC-Rx Mission

August 5th, 2019 Administration Caved to Lobbyists on Prescription Reform

August 4, 2019 Nevada DHHS Releases Updated Transparency Draft Reporting Templates

August 2, 2019 Cancer Patients Are Being Denied Drugs, Even With Doctor Prescriptions and Good Insurance

July 30, 2019 Outgoing Puerto Rico Gov Enacts Law to Oversee PBMs

July 30, 2019 New Oregon PBM Law Prohibits Mandatory Mail Order

July 27, 2019 Reform Several Leaves Patients Pinching Pennies

July 26, 2019 Prescription Drug Rebates, Explained 

July 25, 2019 Sens Kennedy, Cassidy, Others Introduce Legislation to Cut Costs of Prescription Drugs 

July 25, 2019 Senate Panel Wants to Bring Back Proposal Loved by Big Pharma in New White House Backed Bill 

July 23, 2019 Bipartisan Senate Bill Takes Aim At Insulin Prices

July 23, 2019 Kentucky Group Fighting to Stop Insulin Price Hikes

July 21, 2019 CVS-Aetna Merger: AHF Urges Court to Stop the '800-Pound Gorilla'

July 19, 2019 Gov. DeWine's Medicaid Vetoes Affect Pharmacy Benefit Managers

July 18, 2019 Connecticut Legislation Supports Drug Pricing Transparency 

July 17, 2019 Why the Justice Department Waved Through the CVS-Aetna Merger 

July 13, 2019 Trump Took Three Big Losses on Healthcare This Week, and the Losing Streak Probably Isn't Going to End Anytime Soon

July 12, 2019 Kentucky Seeks Law Firm For Potential Cases Against Pharmacy Benefit Managers

July 12, 2019 Trump Drug Pricing Setbacks Put Pressure on Congress

July 11, 2019 White House Kills Major Drug Pricing Proposal 

July 11, 2019 President Trump Withdraws Plan to Eliminate Drug Price Rebates

July 10, 2019 PBM Reform Plan is Too Complex to Be Solved in State Budget

July 6, 2019 Minnesota Aims for More Transparency on Drug Prices

July 6, 2019 Pharmacy 'Deserts' Appear in Ohio As Stores Close Among Drug Pricing Debate 

June 28, 2019 What the Alexander-Murray Bill Could Mean for PBMs

June 28, 2019 Questions Surround the Role of Pharmacy Benefit Managers in Driving Drug Prices

June 25, 2019 Gov. Mills Signs 4 Bills to Reduce Medication Prices, Including Buying from Canada

June 23, 2019 State's Attempt to Curb Drug Middlemen Mostly Futile 

June 19, 2019 Pharmacies Back Bill Instituting State Oversight of Pharmacy Benefit Managers 

June 18, 2019 Governor Signs Senator Jensen's Pharmacy Benefit Manager Bill

June 13, 2019 Pennsylvania House to Vote on Pharmacy Benefit Manager Transparency Bills

June 13, 2019 New York Bill Targets PBMs, Would Extend Medicaid FFS Program

June 12, 2019 Rep. Matzie's Bill Making Pharmacy Benefit Manager Practices More Transparent Passes Committee

June 12, 2019 Senate Budget Strips PBM Changes Sought by House

June 12, 2019 Drug Plan Middle Men Under Scrutiny 

June 12, 2019 State Attorneys General Must Challenge PBM Misconduct 

June 11, 2019 CVS Bought Aetna Last Year. Now a Federal Judge is Sowing Doubts 

June 10, 2019 CBO Analysis Doesn't Tell Full Story on HHS' Drug Pricing Reform 

June 10, 2019 Drug Middlemen Name Own Prices, Methodology Goes Unchallenged 

June 8, 2019 State Audit To Identify Users of Rx Managers; Senator Seeks Analysis, Study of Complaints 

June 2, 2019 New 'Transparent' Medicaid Pharmacy Contract Quickly Withdrawn 

May 30, 2019 Conflict Brews Over Fairness of High-Stakes CVS-Aetna Hearing 

May 23, 2019 Federal Judge Wants Unrestrained Review of Proposed $69 Billion Merger of CVS, Aetna 

May 21, 2019 House Lawmakers Question Whether Transparency Would Fix Drug Prices

May 20, 2019 The Price of Filling a Prescription: Independent Pharmacies Fight for Survival

May 20, 2019 Medicaid Drug-Service Switch Raises Questions About Past Practices

​May 17, 2019 How Big An Issue Is the Cost of Prescription Drugs? So Big That the 2019 Minnesota Legislature Actually Managed to Pass a Bill Addressing It 

May 16, 2019 PBM State Legislation-States Regulating Pharmacy Benefit Managers

May 15, 2019 New Federal Guidelines Target Excessive Profits by Pharmacy Benefit Managers 

May 15, 2019 CMS Seeks to Limit 'Spread Pricing' By PBMs in Managed Care

May 12, 2019 Cancer Patient on PBMs: "It's Scary When You're In the Hospital and They Say, Denied"

May 10, 2019 Governor Vetoes New Regulations on Pharmacy Benefit Managers 

May 10, 2019 The Prescription Pricing for the People Act of 2019 

May 8, 2019 Study: Payers, PBMs Hinder Drug Access for Autoimmune Payments 

May 6, 2019 Aetna Bid to Derail Whistleblower Case Against CVS Denied 

May 3, 2019 State Auditor to Investigate Industry Middlemen Practices in Iowa Medicaid 

May 2, 2019 House Budget Would Revamp Medicaid's Pharmacy Benefit Managers

May 2, 2019 CBO Predicts Drug Rebate Would Increase Medicare,  Medicaid Spending

April 29, 2019 Pharmacists: Benefit Managers Taking Too Big A Cut of Payments 

April 29, 2019 Movement to Reform Pharmacy Middlemen Reaches a Boiling Point Nationwide

April 28, 2019 Pharmacy Benefit Managers Make Dubious Claims About Value

April 24, 2019 Rising Prescription Drug Costs Blamed on Pharmacy Benefit Managers

April 23, 2019 Specialty Drugs: The New Arena for Pharmacy Benefit Manager Profits?

April 22, 2019 In Possible Blueprint for Other States, Ohio Attorney General Floats Proposals to Rein in PBMs

April 22, 2019 Meet the 7 Witnesses Lining Up to Testify Against CVS-Aetna Next Month 

April 20, 2019 Time to End Pharmacy Benefit Manager Price-Gouging

April 19, 2019 Oregon House Okays 60-Day Notice for Drug Price Hikes

April 19, 2019 Trial in CVS-Optum Secrecy Case Delayed Again

April 12, 2019 The Dust Settles on PBM Week - Were There Any Winners?

April 11, 2019 Missing from the PBM Hearings: Value Based Drug Reimbursement

April 10, 2019 Grassley, Wyden Ask HHS Watchdog to Investigate Middlemen 'Spread Pricing'

April 10, 2019 'I Don't Know How You Sleep At Night': Visibly Irate Lawmakers Blast Pharma, PBMs Over Insulin Prices

April 10, 2019 Exasperated Lawmakers Grill Drugmakers Over High Insulin Costs

April 9, 2019 PBMs Sidestep the Senate's Tough Questions - But Lawmakers Hint at Legislation

April 9, 2019 Why I am Stockpiling Insulin in My Fridge

April 9, 2019 CVS, Cigna, Humana Blame Big Pharma at Senate Hearing for Skyrocketing US Drug Prices

April 9, 2019 These Senators Received the Biggest Checks from CVS, Humana, and Other Pharmacy Benefit Managers Testifying Tuesday

April 9, 2019 Drug Middlemen Face State Probes Over Complex Pricing System

April 8, 2019 Sorry, Wrong Number: Patient Fights Back After CVS Caremark Denies Her the Drug She Needs and Records Her Calls 

April 8, 2019 These Powerful But Little-Known Companies That Have Been Blamed for High Drug Prices Are Now Coming Out of the Shadows for a Congressional Interrogation

April 8, 2019 This Week, Five Pharmacy 'Middlemen' Head to Capitol Hill's Hot Seat. Some of Them Have an Easier Defense Than Others

April 5, 2018 Federal Judge To Hear Witness Testimony In Review of DOJ and CVS Merger DOJ Approval

April 4, 2019 Powerful House Committee To Weigh Legislation Aimed At Shedding More Light on Drug Prices

April 3, 2019 Why PBMs' Flawed Efforts to Stop Sensible Reform Won't Work This Time 

April 3, 2019 Cigna's Express Scripts PBM to Cap Insulin Costs Amid Drug Price Scrutiny

April 1, 2019 Court Filings Hint At More State Action Against PBMs

March 29, 2019 Will PBMs Be Held to Account for Their Role in Drug Price Hikes? 

​March 27, 2019 New York (Again) Seeks to Regulate Pharmacy Benefit Managers

March 26, 2019 Minnesota House Democrats Fault GOP on Rising Drug Prices

March 23, 2019 How Maine Is Battling Exorbitant Drug Prices

March 23, 2019 State Are Tackling America's Drug Pricing Problem

March 22, 2019 Kentucky Probes Pharmacy Benefit Managers For Allegedly Overcharging State Medicaid

March 19, 2019 A Drug Pricing Mystery: Who's Behind All the Outrage on Rebates? 

March 19, 2019 Seniors Win Big With Trump Rebate Rule 

March 18, 2019 Bill to Regulate Pharmacy Benefit Managers Dies in House Committee

March 18, 2019 Ohio Sues Pharmacy Middleman OptumRx to Recover $16 Million in Overcharges

March 15, 2019 New Jersey Seeks To Ban PBMs, Insurers From Charging Higher Copay Than Actual Price of Drug

March 14, 2019 U.S. Judge Accessing CVS Merger With Aetna Orders Hearing 

March 13, 2019 Senate Democrats Roll Out Plan to Give Mainers Relief From Prescription Drug Prices

March 13, 2019 New Bills Target Pharmacy Middlemen for State Regulation 

March 12, 2019 Key Senators Call Five Pharmacy Middlemen to Testify About Drug Prices

March 12, 2019 Senate Panel Asks CVS and Four Other Middlemen to Testify About Drug Prices 

March 6, 2019 Senators to Boost Trump's Proposed Ban on PBM Rebates

March 6, 2019 One GOP Senator Is Urging The Drug Industry To Make Good On Lowering Drug Prices

March 5, 2019 Middle Men Seen As Villains In Prescription Pricing

February 27, 2019 Proposal to Regulate Pharmacy Benefit Managers Passes Out of Senate

February 26, 2019 Pharmacy Benefit Manager Reform Bill Could Lower Prescription Drug Costs

February 24, 2019 Kasich's Record, Actions Come Under Fire From New GOP Officeholders

February 24, 2019 Yost Suit to Recover PBM Overpayments Is Welcome

February 21, 2019 Kentucky Finds PBMs Are Benefiting From a Lucrative Profit Center

February 20, 2019 Yost Promises More Action Against Pharmacy Middlemen: 'They Took Our Money'

February 19, 2019 Attorney General Dave Yost Seeking $16 Million Repayment From Pharmacy Middlemen OptumRx

February 19, 2019 Kentucky Medicaid Releases Report on Pharmacy Benefit Program 

February 14, 2019 A Step Forward on Drug Prices Should Not Be Overlooked

February 12, 2019 Drug-Price Debate Targets Pharmacy Benefit Managers

February 12, 2019 Lawmakers Resume Push for Transparency, End to Gag Rules By Pharmacy Middlemen 

February 12, 2019 Defending the Middlemen: JC Scott on Testifying Before Congress, Challenging Trump, and Revamping PBMs' Image 

February 11, 2019 A Big PBM Wants Drug Makers to Agree to Rebate Demands That Would Preserve Its Bottom Line

February 10, 2019 State's New Drug Setup Still Riddled With Loopholes 

February 7, 2019 Time to Remove Texas's Drug Middlemen 

February 5, 2019 How Trump's Latest Plan to Cut Drug Prices Will Affect You

February 1, 2019 The Rebate Rule is Here 

February 1, 2019 DeWine Wants Crackdown on Pharmacy Middlemen, Managed-Care Groups

​February 1, 2019 Bill Goes After Middlemen in Effort to Lower Prescription Drug Prices in Montana

February 1, 2019 Trump Administration Wants to Cut Drug Prices By Eliminating Middlemen's Rebates

January 31, 2019 Trump Officials Move to Lower Drug Prices By Passing Rebates On to Consumers

January 24, 2019 Pharmacy Benefit Managers Marked Up Generic Drugs for NY Medicaid, But Where Did the Money Go? 

January 24, 2019 Drug Middlemen Got Big Markup In New York, Pharmacists Say

January 16, 2019 Montana Lawmakers and Commissioner Target Reducing Prescription Drug Costs

January 15, 2019 CVS Makes Dubious Case for Rebates' Impact on Drug Prices

January 14, 2019 Prescription Drug Pricing Strategy: Where is the Money Going? 

January 14, 2019 Skoufis Targets Prescription Drug Pricing 

January 10, 2019 Pharmacist Fights for Livelihood, Drug Cost Transparency

January 8, 2019 CVS Expects to Benefit from Aetna Merger in First Quarter

January 7, 2019 Arkansas Insurance Department Issues First PBM Licenses

January 7, 2019 CVS Buying Ohio Pharmacy Chain, Closing All But Three

January 4, 2019 This Bottle of Pills Costs $20 in One State and $130 in Another

December 18, 2018 Judge Seeks Monitoring of CVS and Aetna During Antitrust Review

December 17, 2018 Consumer Groups Submit Comments Opposing Merger of CVS and Aetna

December 11, 2018 Auditor General Urging Crackdown on Pharmacy Benefit Managers 

December 10, 2018 West Virginia's System Possible Model for Cheaper Medicaid Drug Prices

December 7, 2018 Ohio Leads Way As States Take On 'Pharmacy Benefit Manager' Middlemen 

December 5, 2018 CVS Hears Trump, But Don't Count on Lower Drug Prices

December 4, 2018 Judge Orders Additional Hearing on Aetna-CVS Merger 

November 29, 2018 CVS Creates New Health-Care Giant As $69 Billion Merger With Aetna Officially Closes 

November 26, 2018 The Monopolization of America

November 23, 2018 Before Clearing CVS-Aetna Deal, New York May Want What California Got

November 21, 2018 State Settles Half-Million Dispute With Pharmacy Benefits Manager 

November 20, 2018 CVS Now Expects Aetna Acquisition to Close After Thanksgiving 

November 17, 2018 Axios Deep Dive Into Drug Pricing 

November 9, 2018 More States, Including Pennsylvania, Are Taking on Pharmacy Benefit Managers, Demanding to See the Savings in Medicaid 

October 24, 2018 Centene Rolls Out RxAdvance PBM Promising Drug Cost Transparency

October 23, 2018 State Regulators Probe CVS Drug Price Fluctuations

October 10, 2018 Justice Department Approves $69 Billion Aetna-CVS Merger 

October 4, 2018 California law will put Limits on PBMs and add disclosure requirements

September 18, 2018 Why payers are buying up PBMs, efficiency arguments and changing markets

June 22, 2018 Ohio Peels Back the Curtain on a Lucrative PBM Profit Center 

April 19, 2018 Momenta and Sandoz Pharmaceuticals Seek Appeal in Generic Enoxaparin US Conspiracy Case
​​
April 18, 2019 Cigna-Express Scrips Deal to be Reviewed by DOJ

April 18, 2018 Tribune-Sinclair Close to Clearing $6.6B Merger

April 5, 2018 Walmart-Humana Deal Boasts Producer and Consumer Efficiencies

March 30, 2018 CVS and Humana PBMs Empowered through Respective Mergers

March 29, 2018 Rite Aid-Albertsons Deal Clears US Antitrust Hurdle

March 29, 2018 How Insurance Companies use PBMs to raise Drug Prices

March 8, 2018 Cigna Buys Express Scripts, Continuing Trend Towards Mergers in the Health Industry

December 6, 2017 CVS-Aetna Merger is a Robber Baron's Dream Come True

​December 5, 2017 CVS/Aetna Deal Likely Won't Improve Prescription Drug Prices

December 3, 2017 CVS to Buy Aetna for $69 Billion in a Deal That May Reshape the Health Industry

November 27, 2017 The Sopranos of the Pharmaceutical Industry 

November 14, 2017 Federal Judge Rules Against National Pharmacy Group in Suit Against North Dakota

November 8, 2017 PBM DIR Fees Costing Medicare and Beneficiaries: Investigative White Paper on Background, Cost Impact, and Legal Issues 

October 30, 2017 Timeline: Insulin Market Under Scrutiny - Kaiser Health News

October 26, 2017 Why CVS Health Would Want to Buy Aetna - Washington Post 

October 25, 2017 Study Finds Disconnect Between Employers and PBMs Over Transparency, Rebates, Value, and Contracts - Business Insider

October 23, 2017 When Paying for Drugs With Insurance Costs More Than Paying Cash: Bill Would Require Pharmacists to Let Their Customers Know - Massachusetts Live 

October 18, 2017 A Huge Health Insurer Just Decided to Build Its Own Middleman to Manage Prescriptions - Business Insider

October 17, 2017 Could Your Health Insurance Be Costing You Money at the Pharmacy? - NBC News

October 12, 2017 Amazon vs. Walgreens? It's Just Around the Corner - Chicago Tribune

September 29, 2017 It's Time to Eliminate the Secretive Pharmacy Benefit Manager Pricing Practices - The Hill

September 22, 2017 Patients and Doctors, Not Insurers, Should Get Say on Drug Choices - Naples Daily News

September 18, 2017 Pharmacy Benefit Manager Accountability Is Key for Employees - HealthPayer Intelligence 

September 17, 2017 Why Are Drug Prices So High? We're Curious, Too - New York Times

September 13, 2017 Drug Plans Are Fighting States to Keep Prices in the Dark - Bloomberg

September 7, 2017 Bill to Shed More Light on Prescription Go-Betweens is Shelved for the Year - Los Angeles Times 

September 1, 2017 Here's Someone to Blame For High Drug Prices - Sacramento Bee

August 2017 Pharmacy Benefit Managers: Drug Industry's Hidden Middlemen - Healio Rheumatology 

August 11, 2017 Want to Bring Down Drug Prices? Go After the Middlemen - American Prospect

August 9, 2017 The Clawback: Another Hidden Scam Driving Up Your Prescription Prices - Los Angeles Times 

August 3, 2017 PBMs Are Worsening the Opioid Epidemic - Fierce Healthcare

August 3, 2017 Pharma's Quieter Price War Continues - Bloomberg

August 2, 2017 Little-Known Middlemen Save Money on Medicines--But Maybe Not for You - Kaiser Health News 

July 14, 2017 In Health Care, PBMS Are Crucial--But Not Regulated - Capitol Weekly 

July 11, 2017 Pharmacy 'Clawbacks' Targeted in Latest State Law Aimed at PBMs - Bloomberg

July 6, 2017 EpiPen Lawsuit Targets Drug Price Middlemen - Dayton Daily News

June 29, 2017 The Crazy Math Behind High Drug Prices - Bloomberg Businessweek

June 28, 2017 Unaccountable Benefit Managers: How PBMs Put Profits Over Patients - Reuters

June 19, 2017 A Wall Street Investor Call Revealed Part of the Reason Why Drugs Are So Expensive - Business Insider

June 15, 2017 Nevada Passes Insulin Drug Pricing Transparency Bill - Business Insider

June 13, 2017 In Drug Price Hearing, Congress Tries to Answer Some Basic Questions - CNBC

June 13, 2017 States Are Starting to Stand Up to 'the New Big Tobacco' Because Washington Won't - Business Insider

June 9, 2017 How 'Price-Cutting' Middlemen Are Making Crucial Drugs Vastly More Expensive - Los Angeles Times 

June 7, 2017 Why Are Drug Prices Going Up? Democratic Power Players Help Pharmaceutical Industry in Connecticut Battle - International Business Times

June 4, 2017 Vetoed Pharmaceutical Bill Given Second Life, Grafted Onto Related Republican Legislation - Nevada Independent 

June 2, 2017 New COA White Paper: "Unaccountable Benefit Managers" Shines Light on How Pharmacy Benefit Managers Hurt Cancer Patients - EIN Presswire

June 1, 2017 Express Scripts Sues Maker of Overdose Drug, Intensifying Feud - New York Times 

The Right Prescription for Reforming PBMs in California - Huffington Post 

May 30, 2017 - PBM P&T Practices: The HEAT Initiative Is Gaining Momentum - P&T

May 25, 2017 - Why Do Prescription Drug Prices Vary: A Look Into PBMS - THV11

May 25, 2017 - Senate Okays Pharmacy Price-Gouging Ban After Clash With Insurance Commissioner - Hartford Courant

May 22, 2017 - The Economic Costs of Pharmacy Benefit Managers: A Review of the Literature - Pacific Research Institute 

May 19, 2017 - Express Scripts Claims Kaleo Failed to Pay Rebates, Fees - St. Louis Record 

May 16, 2017 - In Second Diabetes Bill, Roberson Focuses on Middlemen in Drug Pricing Process, Not Drug Companies - Nevada Independent

May 13, 2017 - Sponsor Attempts to Head Off Republican Concerns With Proposed Amendment to Pharmaceutical Bill - Nevada Independent 

May 12, 2017 - Pharmacy Benefit Managers Have "Undue Influence" on Health Care, Report Finds - The Pharma Letter

May 8, 2017 - Express Scripts to Offer Cheaper Drugs for Uninsured Customers - New York Times

May 6, 2017 - Express Scripts Battle With Anthem Raises Questions About Drug Prices - St. Louis Post-Dispatch

May 4, 2017 - Inside the 'Scorpion Room' Where Drug Price Secrets Are Guarded - Bloomberg

April 27, 2017 - A Dose of Leverage for Small Pharmacies - North Carolina Health News

April 26, 2017 - A Secret Profit Formula Loved by Middlemen Is at Risk - Bloomberg

April 24, 2017 - Benefit managers contribute to high drug prices - Buffalo News

April 24, 2017 - Express Scripts Plunges After Losing Top Client in Legal Dispute - Bloomberg

April 20. 2017 - Hidden middlemen drive up drug costs - Savannah Morning News

April 19, 2017 - Assemblyman Wood's Prescription Drug Bills Move Forward - Ukiah Daily Journal

April 11, 2017 - Bill Introduced in Congress Seeks to Improve Pharmacy Access in Undeserved Areas - Specialty Pharmacy Times

April 5, 2017 - Revision of PBM Law Sails Through House Without Opposition (Oregon)  - The Lund Report

March 28, 2017 - The Hidden Monopolies That Raise Drug Prices - American Prospect

March 21, 2017 - Sanofi, CVS, Others Accused of Insulin Price Fixing - Bloomberg

March 15, 2017 - A new Senate bill would require PBMs to disclose some rebate info - STATNews

March 7, 2017 - Reform PBMs to improve pharmaceutical affordability - Forbes

March 6, 2017 - Gilead exec lashes out at PBMs - FiercePharma

March 6, 2017 - Drug copay clawbacks are a silent scam - CBS News

March 6, 2017 - Shine light on pricing of prescriptions - Rapid City Journal

March 3, 2017 - Drug Costs Too High? Fire the Middleman - Bloomberg

March 3, 2017 - Congressman Rap on PBMs - The CPPC Blog

March 2, 2017 - The middlemen responsible for high prescription drug prices - NBC 11

February 24, 2017 - You're overpaying for drugs and your pharmacist can't tell you - Bloomberg

February 17, 2017 - California could shed light on groups that determine how much your drugs cost - California Watchdog.org

February 17, 2017 - Legislation Would Halt Retroactive DIR Fees - Specialty Pharmacy Times

February 16, 2017 - PBMs and DIR Fees: Where's the Data? - Specialty Pharmacy Times

February 16, 2017 - NASP Response to PCMA re DIR Fees - Specialty Pharmacy Times

February 13, 2017 - Do DIR Fees Threaten the Viability of Independent Pharmacies? - Specialty Pharmacy Times

February 11, 2017 Conflicting Costs: Prescription Prices Can Vary Dramatically - Minot Daily News

February 10, 2017 PCMA Fires Back on DIR Fee Controversy - Specialty Pharmacy Times

February 7, 2017 The Republican who wants to Regulate the Drug Industry's Middlemen - Axios

February 6, 2017 Study: DIR Fees Harmful to All Except PBMs - Specialty Pharmacy Times

January 30, 2017 Drug Makers Accused of Fixing Prices on Insulin - New York Times

January 28, 2017 Consumers kept in dark over drug pricing - Dayton Daily News

January 26, 2017 Who's really controlling your drug prices? 5 thing to know - Dayton Daily News

January 25, 2017 Why are Prescriptions so Expensive - Dayton Daily News

January 19, 2017 The next drug pricing target: Pharmacy Benefit Managers - Axiom

January 2017 - New York State Governor Cuomo unveils plan to protect New Yorkers from increasing drug prices

January 12, 2017 Law Suits Allege Independent Specialty Pharmacies Frozen Out by PBMs - Specialty Pharmacy Times

January 9, 2017 Specialty Pharmacies say Benefit Managers are squeezing them out - New York Times

January 6, 2017 Blue Cross will no longer cover prescriptions at CVS - Decatur Daily

November 30, 2016 PBMs Face New Licensing Requirements - The National Law Review

November 29, 2016 UnitedHealth, OptumRx Targeted in Latest Class-action Suit Alleging Prescription Scam - Louisiana Record

  • Home
  • The PBM Problem
    • Problems in the Market
    • How PBMs Affect Cost
    • Conflicts of Interest
    • Our Goals
  • Resources
    • CEA February 2018 Report-PBMs
    • PBM Role in the Healthcare Market Place
    • CVS and Aetna Merger
    • PBM Litigation Overview
    • Academic Articles
    • Testimonies and Letters
    • Any Willing Provider Laws >
      • State AWP Statutes
      • Any Willing Provider Cases
    • Industry White Papers
    • Dealing with PBMs
    • Express Scripts-Medco Merger >
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