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PBM Formulary Exclusions On The Rise, PhRMA Says

Access To Lower-Cost Insulin Affected

 
• By Joseph Haas

According to a report commissioned by PhRMA, the three largest pharmacy benefit managers continue to exclude more drugs from standard formularies, including those with expedited FDA approval. 

US drug costs: Medical capsules spilled out of an open capsule on dollar bills. High costs of expensive medication concept
PBMs continue excluding drugs from their standard formularies

A trend of large pharmacy benefit managers (PBMs) restricting access to drugs by excluding them from formularies has grown, according to a new report by AmerisourceBergen Corporation./Xcenda that the Pharmaceutical Research and Manufacturers of America (PhRMA) underwrote, with increasing numbers of single-source drugs, biosimilar and authorized generic insulins, and cancer medicines excluded from coverage.

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