Middlemen’s Hard Time… PBMs

It has been more than a month since the 7 major drug manufacturers’ CEOs testified before the congress on February 26.

One of the “problems” that pharma CEOs complained about was pharmacy benefit managers (PBMs) or the middleman problem.

In a healthcare system involving drugmakers, PBMs, pharmacies, insurers, patients, etc., one of the premises behind CVS’s $70 billion acquisition of Aetna and Cigna’s $54 billion acquisition of Express Scripts might actually make them vulnerable in front of regulators: their bargain power.

CVS Health, Cigna, McKesson, Rite Aid, Walgreens… companies with relatively large exposure between pharmaceutical companies and patients/payers are having a very hard time.

Source: Author, Yahoo Finance

What’s ahead – on March 13, the same committee (Senate Finance Committee) said it has called 5 major PBMs to testify on April 3 (tomorrow…)

    • Cigna
    • CVS
    • Humana
    • OptumRx
    • Prime Therapeutics

They must have been prepared.

Stay stunned.