Pharmaceutical Care Management Association | PCMA

PBM Innovations

PBM Innovations: Putting Patients at the Center

PBMs are not waiting for government interventions or unnecessary mandates to innovate and adapt to changing market conditions to help patients.

How PBMs Work and How Congress Strengthened the Hand of Big Pharma

How PBMs Work and How Congress Strengthened the Hand of Big Pharma

All participants in the prescription drug supply chain deserve scrutiny, but weakening the mechanisms that extract price concessions will not lower drug spending. The more likely outcomes are gains for drug companies and less efficient pharmacies, and higher drug costs. Effects will be especially felt by seniors on Medicare and by smaller employers that lack the leverage to offset the law’s new constraints.

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Thought Leadership

PCMA President and CEO Outlines New PCMA Strategy

PCMA President and CEO Outlines New PCMA Strategy

The Pharmacy Benefit Manager (PBM) industry has too long been defined by others, and PCMA is recommitted to telling its own story, new President and CEO Dave Marin told POLITICO in an exclusive interview. The organization is pursuing a new strategy to recapture its own narrative, refocus on how policies impact patients, and attract new partners to advance shared priorities. Following the passage of PBM reform earlier this year, Marin talked about how this is an inflection point for the industry and an opportunity for policymakers to turn their focus to the real obstacles to prescription drug affordability and access.

Nationwide Employer Survey Finds High Value Placed on PBMs

Nationwide Employer Survey Finds High Value Placed on PBMs

Employers who provide drug coverage for their workers throughout the country report high satisfaction with how pharmacy benefit managers (PBMs) reduce drug costs, offer coverage options to fit their businesses, and provide transparency to show how and where their businesses fund prescription drug coverage, survey results show.PCMA commissioned health care policy research firm Healthsperien to conduct the nationwide survey of 1,035 small and large employers.

PBMs and Pharmacies

PBMs and Pharmacies

Each year, PBMs save patients and the U.S. health care system an average of $1,040 per person. Without PBMs, employers and health plans would be forced to go it alone on pharmacy benefits, which would result in significantly higher drug costs for patients.

Inside PBM Reform - Diving Into CAA PBM Provisions

Inside PBM Reform - Diving Into CAA PBM Provisions

PBMs have come a long way to change how they do business, ultimately leading to patients being better informed about their drug coverage and employers knowing how their health care dollars are being spent. PBMs provide employers, unions, and government programs comprehensive reports that show drug savings data, present specific drug utilization, and outline spending information on prescription drugs. For patients, PBMs offer digital tools that provide real-time information on how much a drug will cost at the pharmacy counter.