PCMA Highlights Recent Pro PBM Comments

September 9, 2025

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PCMA recently highlighted several op-eds from policy analysts and economists who have spoken out on the value of PBMs. Satya Marar, visiting postgraduate fellow at the Mercatus Center at George Mason University, explained in a CounterPunch op-ed why PBMs are necessary to push back against the high list prices that drug companies alone set: “We’d pay even more if private health plans didn’t pool patients together and collectively bargain on drug prices through intermediary PBMs.”

A recent op-ed in Inside Sources by policy analyst Jason Reed echoes Marar’s assessment: “PBMs are the little-known heroes of the American health care system. They act as intermediaries to negotiate drug prices with Big Pharma on behalf of consumers…keeping Big Pharma in check and maximizing healthcare accessibility in exchange for meager profit margins as low as 2 percent (well below the S&P 500 average of 12 percent).”

Dr. Jeremy Nighohossian, senior fellow and economist at the Competitive Enterprise Institute, argues in a blog post that PBMs “play an integral role in negotiation and sourcing behind the scenes” and warns lawmakers in Washington against interfering with the PBM market that is delivering lower drug costs for Americans.

In an Inside Sources op-ed, Marar similarly cautions against pursuing policies that would undermine the ability of PBMs to negotiate lower drug prices: “Blanket, industrywide restrictions on negotiation practices that benefit patients and health plans would serve vested interests while backfiring on those they’re meant to help.”

Initiatives

Calls grow for Drug Patent reform

In a recent blog post, the Pharmaceutical Care Management Association (PCMA) highlighted increased attention to pharmaceutical companies’ abuse of drug patents. Last month, the Supreme Court unanimously ruled in favor of a generic drugmaker in a “skinny labeling” case, a victory for patients. Skinny labels allow generic and biosimilar competitors to launch products for non-patented indications, helping accelerate […]
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perspectives

AHIP calls for Bipartisan reform to address health care cost drivers

On July 23, AHIP President and CEO Mike Tuffin wrote an opinion piece in The New York Times saying, “common-sense bipartisan reforms are needed to promote competition in care delivery and prescription drugs, protect consumers from providers and drugmakers’ anticompetitive practices and transition away from the perverse incentives of fee-for-service medicine.” Tuffin notes that health […]
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Solutions

PCMA urges preserving patient access and flexibility in new fertility benefits rule

PCMA recently submitted comments to HHS, DOL, and the Treasury (the Departments) in response to the proposed rule establishing a new category of limited excepted benefits for fertility services. PCMA supports the Departments’ goal of expanding access to fertility care while encouraging employer innovation but urged several targeted refinements to ensure the framework is operationally […]
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August 11, 2026

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