State PBM Issues

Pharmacy Benefit Managers, often known simply as "PBMs," are largely unrecognized by most employees—and even by many employers and human resource managers. But they have a tremendous impact on U.S. health care decision-making because they influence more than 80 percent of drug coverage. Below you will find a series of one-pagers that outline several of the specific problems or issues with PBMs also accompanied by NCPA model legislation, specifically designed to address some of the questionable business practices that these entities engage in. Also below is a summary of all of the state PBM-related legislation that has passed to date.