Who We Are

We represent Pennsylvania pharmacists and pharmacies who lose hundreds of millions of dollars each year on the costs of prescriptions through a non-transparent process by pharmacy benefit managers, commonly known as PBMs.

Here’s How PBMs Hurt Pennsylvanians:

Access to community pharmacists! Pharmacies that have served our communities for years are closing. Meanwhile, one PBM also owns pharmacies in Pennsylvania and is applying pressure on pharmacists to sell their businesses.

Savings aren’t being passed on to you! PBMs are pocketing an estimated $2.4 billion a year of your tax dollars, reducing services Medicaid could provide countless Pennsylvanians.

There is zero fiscal transparency! The greed of PBMs could be even worse. No one truly knows because PBMs operate without any real transparency.

No one is accountable! PBMs aren’t required to provide appropriate Medicaid reimbursement rates to community pharmacies. One Pennsylvania pharmacy filled its most prescriptions ever in 2023 but lost hundreds of thousands of dollars because of PBMs.

Case Studies

Mainline Pharmacy

PBMs Force Closure of Nine Community Pharmacies

Despite filling more prescriptions in 2023 than any other time in its 40-plus years in business, Mainline Pharmacy closed locations in Harrison City, Blairsville, Ebensburg, Hastings, Portage, Davidsville, Altoon, Cresson and Nanty Glo. The pharmacy said it lost $350,000 over sixweeks due to being paid less from PBMs than what it costs to purchase the medications.

Example: For a popular diabetic injectable, Mainline’s cost to buy the drug is $2,858, but the reimbursement they received from the PBM led to a loss of $422.

What the Community is Saying:

“It’s terrible. The small places are gone. There are no more mom-and-pop places anymore. It’s all going by the wayside.”

“It’s definitely going to be a huge loss for the community.”

“I really like supporting the local business. That meant a lot, honestly.”

“I get to know them. They’re really great people, they really are. I’m so sad for them. …It just feels like they’re letting my friends go.”

Sources: The Tribune-Review, Altoona Mirror, WPXI-TV

SUPPORT #PBMReformNow
SENATE BILL 1000 AND HOUSE BILL 1993

Learn More

Coalition Members