The bill grants oversight into the PBM process, requiring them to report the rebates and payments they receive from drug manufacturers and how they are disbursed. –
“After visiting pharmacies in rural areas, small towns, suburbs and cities across the commonwealth, it’s clear the way pharmacy benefit managers are currently operating is contributing to community pharmacy closures and rising drug costs,” said Benham. The “big three” PBM’s – Caremark, Express Scripts and Optum – control over 90% of the prescriptions filled in the nation. They use vertical integration structures to profit from every level of the patient process, from clinic to prescription.