Oklahoma lawmakers target pharmacy benefit managers
- mike33692
- 3 hours ago
- 1 min read
Oklahoma lawmakers target pharmacy benefit managers practices
The Oklahoma lawmakers target pharmacy benefit managers as concerns grow over the impact on independent pharmacies.
State Capitol Reporter Trey Davis says lawmakers are focusing on PBMs, which act as middlemen in prescription drug pricing, according to Center for Health Law and Policy Innovation analysis.
Independent pharmacies argue current practices are threatening their ability to stay in business.
Oklahoma lawmakers target pharmacy benefit managers over pricing concerns
The Oklahoma lawmakers target pharmacy benefit managers over several controversial practices.
These include spread pricing, where PBMs charge insurers more than they pay pharmacies, and reimbursement clawbacks, where fees are taken back after the fact.
Pharmacists also raise concerns about vertical integration, where PBMs are tied to insurance companies and large pharmacy chains, according to federal PBM policy overview.
Oklahoma lawmakers target pharmacy benefit managers with reforms
The Oklahoma lawmakers target pharmacy benefit managers through proposed legislation aimed at reform.
Lawmakers are considering measures to increase pricing transparency, ban certain pricing practices, and ensure fair reimbursement rates for pharmacies.
Some proposals would also prevent PBMs from steering patients toward affiliated pharmacies, according to Congressional healthcare legislation summaries.
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