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Pharmacy Benefit Managers Investigated by FTC

Pharmacy Benefit Managers

.5 minute read

The Federal Trade Commission (FTC) will investigate the six largest pharmacy benefit managers (PBMs) in the U.S. PBMs are the middlemen who negotiate with drugmakers for rebates and lower fees and reimburse pharmacies for prescriptions they distribute. PBMs influence which medicine most Americans receive, which pharmacies they can use, and how much they pay.

The PBMs will be asked to provide information and records about their business practices. The inquiry should provide clarity on how PBMs impact pharmacies, payers, doctors, and patients and potentially direct any needed reform to help address the rising prescription drug prices.

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National Insurance Services is not a law firm and no opinion, suggestion, or recommendation of the firm or its employees shall constitute legal advice. Readers are advised to consult with their own attorney for a determination of their legal rights, responsibilities and liabilities, including the interpretation of any statute or regulation, or its application to the readers’ business activities.

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Steve Smith

Steve Smith

Steve Smith is a powerhouse of energy, living by the mantra "work hard, play hard." As an expert in uniting teams for a greater purpose, Steve's innovative and creative strategies in employee health and wellness are game-changers. With over 25 years of expertise in health insurance, covering compliance, cost mitigation, utilization, analytics, wellness plans, and strategic planning, Steve is the go-to expert for driving down utilization trends and fostering a culture of well-being. His clients trust him to deliver exceptional results, making him an invaluable asset in the industry. As an Employee Benefits Consultant, Steve specializes in health care consulting for Minnesota public sector organizations including fully insured, self-insured, and stop-loss plans. Steve is a licensed insurance agent and holds the designations for Managed Healthcare Professional (The Health Insurance Association of America), Certified Patient Protection and Affordable Care Act Professional (National Association of Health Underwriters), and Group Benefits Disability Specialist (Hartford School of Insurance).