Pharmaceutical Care
Management Association
325 7th Street, NW
Washington, DC 20004
Main: 202.756.5700
©2022 PCMA. All Rights Reserved.
Each year, PBMs save patients and the U.S. health care system an average of $1,040 per person. Without PBMs, employers and health plans would be forced to go it alone on pharmacy benefits, which would result in significantly higher drug costs for patients.
While PBMs are working every day to reduce drug costs for patients, PBMs are also committed to working with pharmacies to support patients’ access to prescription drugs. For example, in rural communities PBMs are offering innovative programs to support increasing pharmacy reimbursements including expanding reimbursements for clinical services performed at rural independent pharmacies for rural patients. A strong relationship between PBMs and rural pharmacies means a better experience and more affordability for patients.
Patients who live in rural areas may have unique needs and pharmacy benefit companies have programs designed to identify and assist these patients. Analyzing patient information, pharmacy benefit companies can identify patients in rural areas who may need additional support, including connecting them to available pharmacies and other sources of clinical and social resources—for example, diaper banks and food banks—to help them lead healthier lives.
Reimbursing rural independent pharmacies at higher rates than non-rural pharmacies
Developing pharmacy networks to support rural independent pharmacies
Expanding reimbursement for clinical services performed in rural independent pharmacies
Pharmacies are important points of care for many patients across the U.S. This can especially be true for patients in rural areas, who may depend on their pharmacist for clinical services—such as vaccinations and help managing chronic conditions—in addition to filling their prescriptions.
Mail-Service Pharmacies provide a convenient, reliable and affordable option for patients to safely access prescription drugs.
Payer-aligned specialty pharmacies have the technology and clinical experience to enhance the safety of patients receiving specialty medications.
©2022 PCMA. All Rights Reserved.