Big three PBMs cut loose more specialty pharmacies as scrutiny grows
Pharmacy benefit managers have broadened their crackdown on specialty pharmacies, with at least 8 cut off from reimbursement in recent days. The PBMs are targeting pharmacies with close ties to particular drugmakers, saying the relationships favor brands over generics, jacking up health spending and running afoul of their own reimbursement rules.
The pharmacies say they help patients get access to drugs they need, often with the help of copay assistance programs funded by pharma companies. The PBMs say the pharmacies they’re targeting are “captive” operations with “a really high proportion of sales” from a particular drugmaker…
