This comment letter from PCMA that was sent to every Arkansas legislator provides a comprehensive overview of the value that PBMs provide to their clients, employers, health insurance plans, labor unions, state and federal employee-benefit plans, Medicare and Medicaid managed care organization that pay for the drug benefit. This PCMA letter also outlines how PBMs lower costs for patients and payers by utilizing PBM tools ranging from plan design, pharmacy networks, mail-service pharmacy, manufacturer rebates and how PBMs promote high quality care for patients.