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PBMs’ ‘Perverse Incentives’ Still Limiting Generics Access, AAM Report Reiterates

Supply Chain Middlemen Continue To Block Patient Access To Cheaper Generic Drugs

 
• By Chloe Kent

Generic medicines continue to be intentionally left off formulary tiers in favor of more expensive brand medications, according to a new report from the US Association for Accessible Medicines.

Woman holding up her hand
Many patients are unable to access cheaper generics due to formulary decisions • Source: Shutterstock

The US Association for Accessible Medicines has released a report doubling down on its criticisms of healthcare industry ‘middlemen’, such as health plans and pharmacy benefit managers, for blocking patient access to and delaying coverage of new generic drugs in favor of higher-priced brand drugs with high rebates.

“Patients and the health care system win when new, lower-cost generic drugs enter the market,” said David Gaugh, AAM’s interim CEO. “But too many PBM and health plan formularies are...

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