This document contains talking points on why a PBM Excise Tax will increase drug costs noting that (1) an excise tax on PBMs will be passed on to all insured consumers-including union members, seniors, and at-risk populations-who take prescription drugs (2) comprehensive health benefits, including prescription drugs, are already taxed under the Affordable Care Act, and (3) Increased drug costs have been shown to reduce both the initial filling of a prescription and filling of refills, affecting treatment adherence