Pharmacy Benefit Managers

A standard orange prescription bottle full of yellow pills. The information on the label has been covered. A few pills sit outside the bottle, at its base.

Community Pharmacists Continue to Struggle with Below-Cost Reimbursements for Generic Drugs

For Hashim Zaibak of Hayat Pharmacy in Brookfield, Wisconsin, “There isn’t a single day in the pharmacy where we don’t dispense a prescription in which the reimbursement is below cost.” Unfortunately, many community pharmacists nationwide are in the same situation of paying more for generic medications than... [continue reading]


Proposed Legislation in Florida Will Help Community Pharmacies Stay in Business; Care for Patients

Image trying to run a business without knowing how much you will be paid for your products or services in advance? Sadly, this is an all-too-common scenario for community pharmacies nationwide, including for Polycarp Agbara, owner of Eagle Lake Pharmacy in Lakeland, FL. However, proposed legislation in... [continue reading]


Greater Transparency for Pharmacy Benefit Managers Recommended by Federal Advisory Council

The role of Pharmacy Benefit Managers (PBMs) is to help lower drug costs for consumers, health plan sponsors and payers – including government programs. Unfortunately, the lack of transparency in their pricing methods and compensation received (such as pharmaceutical manufacturer rebates) makes it difficult to verify whether... [continue reading]


Congressional Investigation Looks into Increasing Generic Drug Prices

Amid dramatic increases in generic drug acquisition costs, earlier this year the National Community Pharmacists Association (NCPA) requested a congressional hearing to examine the factors leading to these cost spikes, including pricing methods used by pharmacy benefit managers (PBMs). In response, Senator Bernie Sanders (I-Vermont) and Representative... [continue reading]


Don’t Let Pharmacy Benefit Managers Reduce Patient Access to Pharmacy Care

This past spring, Iowa Governor Terry Branstad signed into law bipartisan legislation, H.F. 2297, that provides the state’s Insurance Commissioner with greater authority to oversee pharmacy benefit managers (PBMs) and to ensure that their practices don’t result in the closure of more community pharmacies in rural and... [continue reading]