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About Our Industry

ABOUT OUR INDUSTRY About PCMA The Pharmaceutical Care Management Association (PCMA) is the national association representing America’s pharmacy benefit managers (PBMs). PBMs administer prescription drug plans for more than 266 million Americans who have health coverage from a variety of
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PBM Mail-Service Pharmacies

PBM Mail-Service Pharmacies Many Americans rely on the mail-service pharmacies operated by pharmacy benefit managers (PBMs) for convenience and value. Having regularly needed medication(s) delivered by mail is more convenient and may promote adherence for patients with restricting health conditions
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Generic Drugs Key Tool For PBMs In Keeping Costs Down

Pharmacy Benefit Managers Drive Generic Utilization PBMs create formularies with preferred generic drug tiers to incentivize use of generics. PBMs create formularies with preferred generic drug tiers to incentivize use of generics. PBMs create formularies with preferred generic drug tiers
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Drug Coverage Mandates

PBMs negotiate rebates from drug manufacturers in exchange for covering their drugs and granting preferred status on formularies. Imposing mandatory drug coverage or limiting cost-sharing requirements for prescription drugs raises premiums and grants drug companies unlimited pricing power. Such mandates
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COVID-19: How PBMs Are Helping Patients and Health Plans

COVID-19: HOW PBMs ARE HELPING PATIENTS AND HEALTH PLANS PCMA COVID-19 Updates JC Scott: 12 Ways PBMs Are Helping Patients Access COVID-19 Vaccines COVID-19 Resources: Pharmaceutical Supply Chain and Payment Coalition  How PBMs are Supporting Access to COVID-19 Vaccines Understanding
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PBM Industry Principles

PBM Industry Principles PBMs have distinct business processes that differentiate them in the market, but PBMs also adhere to stringent accreditation standards, the terms of negotiated contracts, and legal requirements. In support of our health plan sponsor clients, we are
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Pharmacy Contracting & Reimbursement

PBMs contract with pharmacies on behalf of health plans and employers to serve patients by building networks of preferred pharmacies. As part of the negotiations to become a preferred network provider, pharmacies and PBMs negotiate contract types, payment rates for
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