Opinion Voices | Letters to the Editor: When a few buyers control most medications, all consumers suffer

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Estradiol patches, a widely used hormone therapy for menopause and certain cancer patients, have become scarce because four large buyers now control about 85 % of the medication market, allowing pharmacy benefit managers and narrow pharmacy networks to manipulate prices, limit generic competition, and prioritize corporate profit over patient access; critics argue that eliminating kickback schemes, banning narrow networks, and forcing price transparency would restore competition and lower costs, while others contend that the real issue lies in drug manufacturers reducing generic production and using tactics that block competition, making the current supply‑chain and reimbursement system unable to provide affordable, reliable access to the patches for women and men who depend on them.

Read more: https://www.latimes.com/opinion/letters-to-the-editor/story/2026-04-22/hormone-treatments-estradiol-patch

#PBMs #Consumeradvocates

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Letters to the Editor: When a few buyers control most medications, all consumers suffer

'The safe harbor allowing kickbacks and market manipulation for pharmacy benefit managers needs to be rescinded, narrow networks outlawed and hospital master charges available for every bill over $20,' writes an L.A. Times reader.

Los Angeles Times

(16 Jun) Ohio pharmacies can’t keep filling prescriptions at a loss

A pharmacy manager retrieves a bottle of antibiotics. (Photo by Joe Raedle/Getty Images)As a pharmac...

https://s.faithcollapsing.com/qduku
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#commentary #ohio-pharmacies #ohio-pharmacies-walgreens #pbms #walgreens

Big Pharma's Price Secret - All-In Pod

#pharmaceuticalindustry #pbms #drugprices

"The American Economic Liberties Project today released new research showing that at least 326 U.S. pharmacies have closed since Dec. 19, 2024, when Congress abandoned bipartisan, bicameral PBM reforms as part of a stopgap spending bill. The new data comes ahead of a vote in Congress tomorrow on a continuing resolution to fund the government, where the policymakers could include much-needed structural PBM reform.

“Despite later admitting that he does not know what a pharmacy benefit manager (PBM) is, Elon Musk successfully tanked PBM reforms with nearly unanimous House support late last year,” said Emma Freer, Senior Policy Analyst for Healthcare at the Economic Liberties Project. “As predicted, without Congressional intervention, the Big Three PBMs have continued to abuse their market power, squeezing at least 326 pharmacies – 237 of them independent – out of business in fewer than 10 weeks and stranding their most vulnerable patients in pharmacy deserts without access to lifesaving care. Given these high stakes, it is critical that Congress stand up to these healthcare monopolist middlemen and pass structural PBM reforms that will save their constituents’ time, money, and lives.”

https://www.economicliberties.us/press-release/326-pharmacies-have-closed-since-elon-musk-tanked-pbm-reform/

#USA Musk #DOGE #PBMs #BigPharma #Healthcare #Oligopolies #Competition #Antitrust

326 Pharmacies Have Closed Since Elon Musk Tanked PBM Reform - 326 Pharmacies Have Closed Since Elon Musk Tanked PBM Reform

March 10, 2025 – The American Economic Liberties Project today released new research showing that at least 326 U.S. pharmacies have closed since Dec. 19, 2024, when Congress abandoned bipartisan, bicameral PBM reforms as part of a stopgap spending bill.

American Economic Liberties Project
As prescription drug prices continue to increase and federal efforts to control them stall,
state lawmakers are focusing on #PBMs, the middlemen which help insurers decide which drugs their plans cover and how much patients will pay out-of-pocket to get them.
However, they have been stymied by the drug industry’s secretive ecosystem of rebates, reimbursements, and obscure fees, thwarting efforts to lower drug costs.
In addition to California, PBM reforms have been introduced this legislative session in Arkansas, Iowa, and at least 20 other states as of Feb. 10.
Athough Trump has criticized PBMs and vowed to “knock out the middleman,”
his recent actions undoing moves to lower prescription drug prices have left some health care experts skeptical that meaningful reform will come from Washington, D.C.
https://kffhealthnews.org/news/article/california-legislation-pharmacy-benefit-managers-pbms-middlemen-newsom/?dml-collection=88e63b63ff2ef939bbb98206afb0eea1&utm_source=distributedmedialab&utm_medium=referral&noamp=mobile
Top California Democrats Clash Over How To Rein In Drug Industry Middlemen - KFF Health News

Frustrated by spiraling drug costs, California lawmakers want to increase oversight of pharmaceutical industry intermediaries known as pharmacy benefit managers. It’s unclear whether they can persuade Gov. Gavin Newsom to get on board.

KFF Health News
Bipartisan bill would force health insurers to sell off pharmacies - Washington Examiner

The bipartisan bills would remove the middlemen who influence prices for prescriptions, making healthcare companies divest their pharmacies.

Washington Examiner - Political News and Conservative Analysis About Congress, the President, and the Federal Government
"The complaint argues that the #FTC’s process violates the companies’ due process rights under the #FifthAmendment." #CryMeARiver #PBMs #monopolies https://buff.ly/4i1hYhZ
CVS, UnitedHealth, Cigna sue to block FTC case over insulin prices

The complaint is the latest move in a bitter legal fight between the U.S.'s three largest so-called pharmacy benefit managers, or PBMs, and the FTC.

CNBC
#FTC Sues #PBMs for Jacking Up Insulin $
"3 largest pharmacy benefit managers (PBMs)— #middlemen [aka #parasites] tt sit btw #patients, drug cos, & pharmacies in #prescriptiondrug trxns—for practices tt hv spiked the cost of #insulin by over 1200% over the past 2 decades.. PBMs use formularies to provide exclusive or near-excl use of certain types of insulins.. PBMs aren't preferring lowest-price insulins, but ones tt give them highest #rebates, which is how they #profit"
https://prospect.org/health/2024-09-20-ftc-sues-pbms-jacking-up-insulin-prices/
FTC Sues PBMs for Jacking Up Insulin Prices

The case against Caremark, Express Scripts, and Optum Rx is the first against this element of the pharmaceutical transaction chain.

The American Prospect

What are PBMs? Read this and see how else the medical "industry" is ripping you off. Resist the Shield of Boringness and My Eyes Glaze Over (MEGO)

#Capitalism #PBMs #Scamming

https://pluralistic.net/2024/09/23/shield-of-boringness/

Pluralistic: What the fuck is a PBM? (23 Sep 2024) – Pluralistic: Daily links from Cory Doctorow