For patients, transparency isn’t about massive data files, it’s about knowing their options and costs before making a decision. Actionable, clear information that is easy to access and understand. As Washington searches for ways to improve transparency, it’s worth reminding policymakers that pharmacy benefit managers (PBMs) have been investing in tools that do exactly that for years.
This year’s passage of the Consolidated Appropriations Act delivers unprecedented transparency to employers, unions, and government programs. When it comes to transparency for patients, PBMs are already delivering real-time cost information to patients through online portals, mobile apps, and other digital tools. The principle is making it easy for patients to access the information they need.

Tools developed by PBMs often allow patients to compare their out-of-pocket costs across pharmacies in their network, so they know exactly what they’ll pay for a drug. They can see their options for ordering a prescription drug – whether at a chain pharmacy, a local independent, or through the mail – and identify opportunities to save money. This helps eliminate surprises at the pharmacy counter and ensures that patients have the information they need to determine where to fill their prescription.
When appropriate, generic alternatives may also appear alongside the cost information to arm patients with the information they need for conversations with their doctor or pharmacist about lower-cost options.
Beyond comparing drug costs, many PBM tools help patients find a convenient pharmacy location, understand their prescriptions, refill medications, and in some cases, manage their prescription drug orders in one spot. They can also be connected with patient support through the platform if coverage questions arise.

Transparency works best when it helps patients make better decisions. For years, PBMs have been delivering real-time information that allows patients to compare costs, understand their benefits, explore lower-cost alternatives, and find the pharmacy option that works best for them. As policymakers look for ways to make health care more affordable, policymakers should build on the tools that are already helping patients save money and avoid surprises at the pharmacy counter.
