PBMs are hired by corporate employers, health plans, labor unions, and other organizations to interface with drug manufacturers and to process prescription-related claims. The PBM’s objective is to negotiate drug prices with drug manufacturers and pharmacies on behalf of payer. Having an effective ...
Increased transparency: There are calls for greater disclosure of rebate amounts and PBM practices. PBM regulation: Some lawmakers have proposed more direct regulation of PBMs at the federal level. Investment Implications For investors, understanding the dynamics of PBMs, formularies, and rebates is c...
A Pharmacy Benefit Manager (PBM) is a third party administrator contracted by health plans, employers, unions and government entities to manage prescription drug programs. A PBM acts as a fiscal intermediary between insurers/payors and pharmacies. There is an old saying, 'Possession is 9/10ths o...