Are you tired of increasing drug prices? Are you experiencing issues accessing medical or pharmaceutical care? Are your copays getting more expensive?
WE ARE HERE TO HELP!
Contact with your Legislator is Key.
There is nothing more valuable.
How do PBMs impact patients?
Raised Drug Prices: PBMs negotiate rebates with drug manufacturers, but the system is complex and lacks transparency. The rebate system incentivizes PBMs to favor higher-priced drugs with larger rebates over lower-cost alternatives, driving up overall healthcare costs.
Pharmacy Closure Impact: PBMs implement reimbursement policies that negatively impact independent pharmacies, potentially leading to closures. This severely limits patients' choices for where they can fill their prescriptions.
High Out-of-Pocket Costs: Some PBMs implement co-pay accumulator programs, where manufacturer coupons or assistance programs are not counted toward a patient's deductible or out-of-pocket maximum. This results in higher out-of-pocket costs for patients.
Step Therapy and Prior Authorization: PBMs often implement step therapy and require prior authorization for certain medications. This leads to delays in patients receiving necessary treatments, potentially impacting their health outcomes.
Complex Benefit Design: The complexity of PBM-driven benefit designs, such as tiered formularies and cost-sharing structures, can be confusing for patients. This complexity leads to misunderstandings about coverage and costs.
Limited Medication Access: PBMs create formularies that limit the availability of certain medications. Patients face challenges accessing non-formulary drugs, leading to disruptions in their treatment plans.
Tell Us Your Story.
Have you been impacted by high drug prices or additional barriers to receiving medical and/or pharmaceutical care? We want to hear from you as we cater our mission to support Missourians needs.