Patients

While senior citizens and those who are chronically ill are especially dependent on prescription drugs, most of us rely on them at one point or another. PBMs want you to think they're on your side, but in fact, PBMs:

  • Keep drug costs high by charging the health plan more than they reimburse the pharmacy, then keep the difference (or "spread") for themselves as profit

  • Control what drugs your doctors are allowed to prescribe you

  • Decide where you can go to fill your prescription, and often penalize you for using your hometown pharmacy by threatening higher medication costs if you don't utilize a PBM-owned pharmacy

  • Influence your insurance plan promising savings by requiring mail order to fill prescriptions when it's often less expensive and far less wasteful for you to use your neighborhood pharmacy

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