PBMs are Clear as Mud: The Value of a Fee-Based, Transparent Model

September 26, 2023

Transparency in the drug supply chain is desperately needed to deliver consumers the lowest cost and highest value prescription drugs. Pharmacy benefit managers (PBM) play an important role in the supply chain, negotiating prices with manufacturers, managing formularies for health plans and processing claims. Traditional PBMs leverage the complexity of the drug supply chain for profit, putting the interests of the consumer second. Contrary to traditional PBMs, fee-based, transparent PBMs operate differently, offering health plans predictability in administrative costs and visibility into rebates.

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