Pick one or more. We'll use your choices and the connected bills to help you send a message to your elected officials.
Answer the policy questions below or skip any that don't fit your view. We use only your answers and the bills they connect to for your message.
1 bill on this topic
“PBMs and Medicaid managed care plans should have to pass drug payments and dispensing fees through to pharmacies, get paid only reasonable administrative fees, and lose federal Medicaid matching money for hidden markups above what pharmacies receive.”
1 bill on this topic
“PBMs working with Medicare drug plans should generally be paid only fair-market fees for real services and should pass drug-maker rebates, discounts, and other price concessions to plan sponsors instead of keeping them when the pass-through rule applies.”
1 bill on this topic
“PBMs should not charge Medicare drug plans more than they pay pharmacies for the same drug costs or dispensing fees, or pay independent pharmacies less than PBM-linked pharmacies for the same covered drug.”
1 bill on this topic
“Medicare PBMs should give plans and federal officials detailed yearly drug payment reports, let plans audit PBM and affiliate records, repay improper money, and use standard confidential electronic reporting formats.”
1 bill on this topic
“PBM violations should be able to carry fines up to $1 million per violation, while accused PBMs can raise available legal defenses, including when the challenged conduct was genuinely needed for legal compliance, patient safety, or patient access.”
1 bill on this topic
“PBMs should have to tell employer health plans about expected money from drug makers and other outside groups, including rebates, discounts, drug-data payments, list-price shares, and how much value is expected to reach the plan or its members.”
1 bill on this topic
“PBMs should send federal agencies yearly summary reports on payment gaps, fees, clawbacks, drug tier changes, and treatment of PBM-owned pharmacies, without identifying patients or prescribers.”
1 bill on this topic
“Pharmacy benefit managers in Medicare should be paid in a clear way that does not reward hidden deals or higher drug costs.”
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