Help PA Families Maintain Access to Community Pharmacies
Without #PBMReformNow, predatory practices will continue to cause painful financial challenges to pharmacies that serve a large number of elderly and low-income patients. This has caused the closure of particularly community pharmacies in urban and rural areas throughout the commonwealth.
HOW SENATE BILL 1000 AND HOUSE BILL 1993 WOULD ACHIEVE #PBMReformNow
- Ensure pharmacies are reimbursed for the cost to buy and dispense drugs;
- Stop the process of “spread pricing,” where PBMs charge payers, such as a health plan, a higher price for medications than what they pay to pharmacies, keeping the difference or “spread” as profit;
- End the practice of “patient steering,” which occurs when PBMs force patients to use a PBM-owned pharmacy or risk paying higher out-of-pocket costs;
- Grant the Department of Insurance power to audit PBM contracts with pharmacies;
- Develop a process of receiving, hearing and resolving complaints from pharmacies about PBMs; and
- Set fixed amounts for PBM claim processing and administrative fees.
Every Pennsylvanian is represented by one member of the state House and state Senate. Here’s how to find them and some tips for writing letters.
