Current Pharmacy Benefit Manager (PBM) Transparency Legislation

CURRENT PBM TRANSPARENCY LEGISLATION

WHAT IS A PBM?

Pharmacy Benefit Managers, or PBMs, are third-party entities that contract the management of pharmacy benefits for government programs and employer-sponsored health plans. PBMs develop and maintain drug formularies, contract with pharmacies, negotiate rebates and contracts with manufacturers and oversee the processing and payment of pharmacy benefit claims.

Recently, many healthcare professionals and advocates have become concerned that the services offered by PBMs do not contribute enough positive value to merit the heavy costs and impact on the overall price of health care.

Below are state and federal level PBMs that NICA either supports or opposes. Click on a colored state to learn more.

CONTACT US

Thank you for your interest in NICA. We are eager to connect with you and to discuss the exciting work of increasing patient access to infusible and injectable therapies.

If you have questions or concerns, please send us an email and a member of our team will contact you shortly.

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