Most PBMs market themselves as “transparent” and purport to “pass thru” all rebates to plan sponsors. However, recent litigation has brought that into question for some of them. We have seen instances where PBMs secretly use little-known rebate aggregators that are often PBM-owned or affiliated in the manufacturer rebates arena. Plan sponsors hire PBMs to administer and manage pharmacy benefits for their members and beneficiaries.
- Money or medicine? Our state’s most vulnerable shouldn’t have to choose
- More Pandemic Fallout: Independent Physicians Struggling to Stay Independent