Prescription Drugs - Medicine & Money
The truth about prescription drug costs.
PBMs
- Pharmacy Benefit Managers
- Report PBM Fraud
- Bogus Study Shows Desperation
- What Are They Hiding?
- PBM Record Profits
- 10 Questions to Ask
- Bait and Switch
- Lawsuits
- PBMs: Back to he Future
Just a cost of doing business: PBMs pay multimillions in fraud judgments and settlements to avoid even more costly judgments. This is just the total for the biggest PBMs!
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[click here]Pharmacy Benefit Managers
Look on the back of your insurance card. Odds are that you’ll find the name of the entity that controls which medications you can receive. Bet you thought your doctor had that power, didn’t you?
If you like how HMOs managed your access to medical care, you’ll love what PBMs do to your access to medicine!
“Pharmacy benefit managers (PBMs) are private companies that administer pharmacy benefits and manage the purchasing, dispensing and reimbursing of prescription drugs. PBMs provide their services to health insurers or to large health care purchasers such as public employee systems, other government agencies and labor union trust funds. PBM services to their clients may include negotiating rebates or discounts from pharmaceutical manufacturers, processing claims for prescription drugs and negotiating price discounts from retail pharmacies. PBMs also develop formularies and manage utilization of drugs through prior authorization or utilization reviews.”