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Beyond the Traditional: Pass Through PBMs & Market-Driven PBM Reform
Beyond the Traditional: Pass Through PBMs & Market-Driven PBM Reform YouTube video by Pharmacists United for Truth & Transparency

ICYMI
When even #PBMs sound the alarm against traditional PBM practices & lack of accountability, IT'S TIME TO WAKE UP AND LISTEN

🎧Catch The Episode Now🎧
youtu.be/jLTgOm01dkc

#PUTTcast #podcast #PBMReform #patientsoverprofits @foreverlaurenyoung.bsky.social @moniquewhitney.bsky.social #PharmSky

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On #OpenDataDay, here’s a simple ask: Show us the data.

Transparency is required in many states but #PBMs are still redacting & withholding the real numbers

You can’t manage what you can’t see. Open the books PBMs!
#EmployersForTransparency #PBMreform

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Points from #SOTU: #HealthInsurance companies should be accountable for their role in the US drug market. Congress must work on #InsuranceReform, as well as reining in #PBMs to lower drug costs.

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Sharon Faust smiling and leaning on a white countertop next to a tall snake plant in an office setting.

Sharon Faust smiling and leaning on a white countertop next to a tall snake plant in an office setting.

In a time where #PBMs are fraught with calls for reform, alum Sharon Faust is being honored for her work to reshape pharmacy benefit management and patient-centered care, as the first-ever recipient of the PBMI Innovators Award from @mhexecutive.bsky.social! https://bit.ly/3OCnOMl #PharmSky #RxSky

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Even though @POTUS has noted the steps needed to rein in #PBMs, Congress must maintain the pressure on #HealthInsurance companies to ensure treatments are more affordable. #SOTU

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As @FTC and @USDOL build on Congress’ work to rein in #PBMs and the insurance companies that own them, in light of upcoming #SOTU, Washington must keep the pressure on these vertically integrated companies to lower costs for patients.

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Alum Sharon Faust Nationally Honored as Innovator - School of Pharmacy Alumna Sharon Faust is recognized by Managed Healthcare Executive magazine for reshaping pharmacy benefit management and patient-centered care.

In a time where #PBMs are fraught with calls for reform, alum Sharon Faust says she’s able to contribute a different mindset to Navitus — work that has earned her the inaugural PBMI Innovators Award from @mhexecutive.bsky.social Magazine! https://bit.ly/3OCnOMl #RxSky #PharmSky

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Image: Close-up image of a person wearing long-sleeves tapping their phone to make a payment in a doctor's office. Text: 1) Increased oversight of pharmacy benefit managers (PBMs) to address spread pricing. 2) Focus on addressing market consolidation for both medical providers and throughout the pharmacy supply chain. 3) Establishing price and payment ceilings by benchmarking reimbursement for hospital care and prescription drugs to known, more transparent sources. 

Image: Close-up image of a person wearing long-sleeves tapping their phone to make a payment in a doctor's office. Text: 1) Increased oversight of pharmacy benefit managers (PBMs) to address spread pricing. 2) Focus on addressing market consolidation for both medical providers and throughout the pharmacy supply chain. 3) Establishing price and payment ceilings by benchmarking reimbursement for hospital care and prescription drugs to known, more transparent sources. 

3/5 🧵 Themes observed include: 1) Increased oversight of pharmacy benefit managers #PBMs to address spread pricing. 2) Focus on addressing market #consolidation for both medical providers and throughout the pharmacy supply chain. 3) Establishing price and #payment ceilings.

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Don't Miss The New #PUTTcast Podcast Episode!
Airing TOMORROW, February 17th!
TruthRx.org/puttcast

#PBMReform #patientsoverprofits #PBMs #podcast #TwitteRx #pharmacy #healthcare #independentpharmacy #PharmSky #MedSky #EmployerSolutions

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If #PBMs games are driving up costs and blocking care… maybe it’s time for another PBM policy slap, not another study. 🤔

#SlapDay #PBMReform #PatientsOverProfits #pharmsky

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Viewpoint: When a doctor in Congress calls out the Healthcare Giants, it’s time to act, Iredell Free News BY SALLY NIX When Congressman Greg Murphy confronted insurance executives during the House Ways and Means Committee hearing on January 22, he did not...

#PBMs, in particular, operate as powerful and opaque middlemen within massive insurance conglomerates, controlling formularies, influencing pricing, and profiting from delay and denial. zurl.co/rbEw4

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It’s Wave All Your Fingers at Your Neighbor Day 👋 Be friendly…

Or just wave one finger at the #PBMs. 😏 Then do something more effective and contact your legislators and demand #PBMreform.

Patients & pharmacists deserve better. #PharmacistsFightBack

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It's Official: TrumpRx Makes Direct-to-Consumer Prescription Drug Pricing a Thing TrumpRx.gov launches direct-to-consumer site offering historic discounts on prescription drugs for all Americans.

Friday good news. On @RedState.

It's Official: TrumpRx Makes Direct-to-Consumer Prescription Drug Pricing a Thing redstate.com/jenniferoo/2... #TrumpRX #TrumpRxgov #DonaldTrump #BigPharma #PBMs #DeepDiscounts

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#Seniors

#UnaffordableHousing #Homelessness #UnaffordableHealthcare #Medicaid #ShareOfCost #Medicare #MedicareAdvantage #InsuranceMonopolies #PBMs #SNAP #Rent #Mortgage #RealEstate #LandLords #Banks #InterestRates

@democrats.senate.gov @housedemocrats.bsky.social
👇
youtu.be/GNjEZ9Gqdss?...

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Delinking PBM Compensation From Drug List Prices Could Unleash Major Savings - July 24, 2025 - USC Schaeffer Reforming payments to PBMs and other pharmacy middlemen could lower annual U.S. drug spending by nearly $100 billion without hurting innovation, finds Schaeffer Center research. - July 24, 2025

Delinking compensation for #PBMs and other middlemen from drug prices – and using fair, transparent fees instead – could save about $95B annually, according to an analysis from USC Schaeffer’s Geoffrey Joyce.

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Say No to PBM Lies! Ask your Kansas lawmaker to SUPPORT SB 360 and Stand With Kansas Pharmacies!

Say No to PBM Lies! Ask your Kansas lawmaker to SUPPORT SB 360 and Stand With Kansas Pharmacies!

Orgs funded by the #healthcare conglomerates that are raising #drugprices & driving pharmacies out of business say that #Kansas SB 360 is a "pill tax".
SB 360 forces #PBMs to pay a dispensing fee to pharmacies. NOT a tax levied on patients.

Say NO to PBM Lies!
Say YES to #PBMReform!

#PharmSky

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House passes health funding package, including PBM reform UPDATED: Jan. 22 at 5:45 p.m. ET | The House Appropriations Committee has unveiled proposed outlays for the Department of Health and Human Services, including key investments in priorities within the…

The House-approved plan includes elements that would prevent #PBMs from tying compensation in #Medicare Part D prescription plans to the list price of drugs, and boost price transparency for employers in their PBM contracts.

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BOOM: The Break Up of Big Medicine Starts as Congress Cracks Down on UnitedHealth and CVS Pharmacy benefit managers owned by UnitedHealth, CVS, and Cigna drive up costs and harm patients. Finally, the House and Senate agreed on rules to cut into their power.

The Break Up of Big Medicine Starts as Congress Cracks Down on #PBMs. Pharmacy benefit managers owned by UnitedHealth, #CVS, and Cigna drive up costs and harm patients. Finally, the House and Senate agreed on rules to cut into their power. www.thebignewsletter.com/p/boom-the-b...

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😔 22-year-old Wisconsin man dies after asthma inhaler jumps from $66 to $539 overnight. He paid rent instead. Five days later, a fatal asthma attack. PBMs control coverage and pricing & sometimes lives. #AsthmaAwareness #PBMs #HealthcareCrisis #PatientsOverProfits #HealthEquity

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DoctorMike@Gmail.com
🎯💥

"It's bcuz #administrators have ballooned beyond any reasonable level, #pharmaceutical co's have no transparency, #pharmacybenefitmanagers #PBMs who take kickbacks & all sorts of rebates with zero #transparency break the system...

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Original post on mastodon.social

"That is because #PBMs are a cartel. Their clients are private insurers, drug manufacturers, and pharmacies, all of which sign secret contracts with terms the other clients do not get to see. The rest of us don’t get to see them, either. But we can understand how they work by decoding the […]

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STAT+: UnitedHealth proclaims audits show it has ‘robust’ procedures, in contrast to findings of independent reviews UnitedHealth Group said Friday that the consultants it hired to audit its operations found they’re not only “robust,” but “industry leading.”
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Crapo, Wyden Introduce Bipartisan Pharmacy Benefit Manager Legislation | The United States Senate Committee on Finance Crapo, Wyden Introduce Bipartisan Pharmacy Benefit Manager Legislation

Large #PBMs are driving up drug costs and forcing independent pharmacies to close. @schiff.senate.gov & @padilla.senate.gov, please co-sponsor the PBM Price Transparency and Accountability Act to protect #patients and improve affordability. www.finance.senate.gov/chairmans-ne...

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Get rid of #PBMs

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Meet the Connectors Middlemen, our economy’s most shadowy characters, sit in between buyers and sellers and get rich in the process. It can even be a matter of life or death. The post Meet the Connectors appeared first on The American Prospect.
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Upstart PBMs chip away at market leaders as ‘Big 3′ pivot Top pharmacy benefit managers CVS Caremark, Optum Rx and Express Scripts have rolled out new models that mirror what smaller rivals offer.

Newer, transparent #PBMs are gaining some ground in a marketplace dominated by 3 major firms. But as USC Schaeffer’s Neeraj Sood tells @modernhealthcare.bsky.social @noahtong.bsky.social, the fate of these alternative PBMs is still tied to the Big 3.

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What little most consumers know about #PBMs is not good. Big hassles, high costs, and poor access to care. It's little wonder that many trends in the marketplace could make them irrelevant. Everyone seems to be shunning them.
conscienhealth.org/2025/11/are-...

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Senate Finance Committee Hearing Wed, 11/19 at 10:00am ET

Senate Finance Committee Hearing Wed, 11/19 at 10:00am ET

TOMORROW the Senate Finance Cmte will hold a hearing to discuss policy solutions that improve affordability & access including discussions of how #PBMs practices contribute to⏫#healthcare cost$.

It's time to #GetLOUD about #PBMreform!

#Pharmsky #MedSky

www.finance.senate.gov/hearings/the...

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Companies tout a novel payment model for obesity drugs, other medications in drive to lower costs Some companies are pitching a new model for employers to help their workers pay for medications, but without using insurance.

"This is what the #PBMs do already…It doesn't make sense to me."

Dr. Sean Sullivan, former dean & current @uwpharmacy.bsky.social professor, provided perspective and solutions on a proposal for a new type of pharmaceutical sales middleman, for @statnews.com.

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Cigna’s End to Drug Rebates Spurs Questions on Premiums, Impact Cigna Group’s announcement that it will end the highly criticized practice of accepting back-end drug manufacturer rebates prompted surprised cheers from some corners of the drug supply chain, even as...

PUTT supports Evernorth’s stance to End anti-kickback exemptions on rebates. It's a refreshing change from PBM groups suing President Trump to stop removal of the Safe Harbor exemption. We applaud Cigna for leading the way to repeal Safe Harbor for #PBMs

news.bloomberglaw.com/pharma-and-l...

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