The Enormous Value Created by PBMs – for Patients, Employers, and Taxpayers

This week, David Marin, president and CEO, PCMA, will testify, along with others in the drug supply chain, at the Energy and Commerce Committee. The Committee is focused on affordability in health care, and it has no better partner than pharmacy benefit managers (PBMs), which deliver enormous savings each year for patients, employers, and taxpayers. In contrast to other segments of the supply chain, PBMs exist to make medicines more affordable, and they are highly effective at delivering savings for the Americans they serve.

PBMs work on behalf of 289 million Americans and save patients $1,154 per person per year on prescription drugs – that’s more than $333 billion annually in savings for the American health care system. Families are better off because of the work PBMs do.

Amid skyrocketing prescription drug prices, PBMs are on the side of patient affordability – going head-to-head with big drugmakers to deliver lower premiums and higher savings at the pharmacy counter. These cost savings, combined with safe access to the medications patients need, are why nearly all employers, labor unions, and government programs choose to hire PBMs.

PBMs are also responsive to those that hire them. Across the industry, PBMs have rolled out new, innovative programs to provide greater transparency, increase patient safety, support independent pharmacies, and help patients and employers lower out-of-pocket costs.

Ahead of the hearing, here are some key facts to know.

Savings

 

Safety

 

Value

 

Transparency

  • PBMs have adopted transparent models with 94 percent of employers reporting satisfaction with the transparency in their PBM contract.