When pharmacy benefit managers (PBMs) and middlemen control which medicines are covered and how much you pay, patients face higher costs and fewer choices.
Pharmacy benefit managers (PBMs), insurers, and others decide which medicines are covered, how much patients pay, and where they can get their prescriptions. Their role in the healthcare system drives up costs for patients, making it difficult to access needed medications. In fact:
This isn’t just about cost – it’s about quality of life for patients. When PBMs limit access to vital medicines, patients may experience delays, disruptions, and negative health impacts. For patients and families facing serious illness in need of medications, those obstacles can make an already difficult journey even harder.
“I spend a lot of hours on the phone talking to these insurance companies to try and have them give me another inhaler that can possibly save my life. It makes me feel that the insurance companies aren’t thinking about us and that they’re just thinking about the profit that they’re making on the medicines.”
— Renne, Patient with Asthma
Clear, targeted changes can bring greater accountability to PBMs and relief for patients.
Tell Congress: Pass Reforms to ensure medicine savings go to patients, not middlemen.
Advocates are making their voices heard about harmful PBM practices.
Renne’s Story: Middlemen make it harder to get medicine
Alfred and Rebecca’s Story: PBMs Make it Harder for Americans to Access the Medicines They Need
