Prescription Middlemen Could Be Making Your Healthcare More Expensive

Join our fight to bring more transparency and accountability to Pharmacy Benefit Managers.

Stand with us, demand action against profit-focused PBMs. Let's prioritize patients' health, advocate for transparency, and fairness in healthcare. Using the tool below, you can enter your information and send a letter directly to your elected officials.

Important First Step Achieved to Hold PBMs Accountable

The “Lower Costs, More Transparency Act” passed the House with strong bipartisan support on December 11^th. This is a vital step toward lowering healthcare costs and ensuring healthcare decisions are made by patients and doctors, not profit-driven middlemen. You helped make it happen.

Next step: The Senate takes up the issue.

PBMs and insurance companies work together to decide what medicines will be covered by insurance and the price of those drugs. While the concept was designed to help people save money, the largest 6 PBMs control almost 96% of the PBM market. The largest 3 (Optum, Express Scripts, and CVS Caremark) control 80% of that market. This gives PBMs inordinate power to set prices, deny coverage and pad their bottom line instead of passing the savings along to people who need medicine.

Your healthcare decisions should be made by you and your medical provider, not insurance companies and their prescription middlemen.

Easily send an email and/or Tweet to your elected officials urging them to pass PBM reform.

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New studies highlight PBMs’ profit sources, customer dissatisfaction

As Congress, the U.S. Federal Trade Commission, and industry are taking a closer look at PBMs, a new report highlights the fact that a growing share of PBMs’ profits come from fees and specialty pharmacy ownership.