Pharmaceutical Care
Management Association
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Washington, DC 20004
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©2024 PCMA. All Rights Reserved.
According to University of Chicago economics professor Casey Mulligan, pharmacy benefit companies provide many services to participants across the healthcare system. The value to society of all of these services is a whopping $145 billion. Every. Single. Year. What would happen to
Pharmacy benefit companies play an important and unique role in the drug supply and payment chain. Employers, labor unions, health plans, government agencies, drug companies, pharmacies, and most importantly patients all benefit from pharmacy benefit company services.
I have been the Head of the Research Team at PCMA, representing the pharmacy benefit industry, for nearly four years. And while it is part of my job to research and write about the clinical care activities of pharmacy benefit
The most consequential potential change to the drug pricing system – the overhaul of pharmacy benefit manager (PBM) rebates, with attendant 100% pass-through to beneficiaries – won’t happen. The Biden Administration has essentially nixed former President Trump’s executive order calling for a 100% pass-through of rebates. And, PBM rebate reform is not even stipulated in the budget reconciliation bill, or the Build Back Better Act.
The most consequential potential change to the drug pricing system – the overhaul of pharmacy benefit manager (PBM) rebates, with attendant 100% pass-through to beneficiaries – won’t happen. The Biden Administration has essentially nixed former President Trump’s executive order calling for a 100% pass-through of rebates. And, PBM rebate reform is not even stipulated in the budget reconciliation bill, or the Build Back Better Act.
©2024 PCMA. All Rights Reserved.