With PBM execs slated to testify at a Senate hearing about drug costs on 10 May, scrutiny of pharmacy benefit managers seems be cemented as part of the drug pricing debate, thanks in large part to a successful campaign from their vendors/rivals, the pharmaceutical industry.
Even As PBMs Face Reckoning, Formulary Exclusions Rise Again In 2023
Congressional scrutiny aside, ‘the rebate model remains alive and well’ as the big three pharmacy benefit managers exclude around 600 drugs each from their formularies.

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