"That is because #PBMs are a cartel. Their clients are private insurers, drug manufacturers, and pharmacies, all of which sign secret contracts with terms the other clients do not get to see. The rest of us don’t get to see them, either. But we can understand how they work by decoding the euphemistic language typical of industries that want your eyes to glaze over."

"By 2018, the total cost of drug kickbacks was $153 billion. Now, it’s $356 billion."

#healthcare

"“Cole was forced to choose between his medication and his rent. He chose to pay his rent,” Rep. Jake Auchincloss (D-MA) told Congress almost a year later."

He died 11 days later.

"PBMs are a particularly rapacious type of middleman, just one of many responsible for turbocharging America’s #affordability crisis."

#healthcare #economics #PBMs

https://prospect.org/2025/12/05/meet-the-connectors-middlemen/

(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
Archive: ais: https://archive.md/wip/JTQGb ia: https://s.faithcollapsing.com/0rxhw

#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

PROFITS OVER HEALTH: For years, P​BMs, took secret payments from opioid ​makers, like Purdue Pharma, in return for not restricting the flow of opioids.

"As tens of thousands of Americans overdosed and died from prescription painkillers, the middlemen collected billions of dollars in payments."👇

@nytimes Gift: https://www.nytimes.com/2024/12/17/business/pharmacy-benefit-managers-opioids.html?unlocked_article_code=1.iE4.rBHr.c_H2TpNJgQ6d&smid=url-share #addiction #PBMs #press

Drugmakers Paid PBMs Not to Restrict Opioid Prescriptions

Drugmakers including Purdue Pharma paid pharmacy benefit managers not to restrict painkiller prescriptions, a New York Times investigation found.

The New York Times
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