As Congress has made changes to the health care system over the past 30 years, nothing has impacted consumers’ lives as much as the growth of pharmacy benefit managers (PBMs). Most consumers might not think that PBMs play a large role in their lives, but they do. A staggering 266 million Americans (about 81% of the total population) are connected to PBMs in one way or another — either through commercial health plans, self-insured employer plans, union plans, Medicare Part D plans, the Federal Employees Health Benefits Program, state government employee plans, or managed Medicaid plans.
Frier Levitt’s Pharmacy Group Lead, Jesse C. Dresser discusses how PBMs are impacting consumers experiences with their prescriptions without having much or any connection to their PBM.
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