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PBM Issues


In The News | The Middlemen Draining Main Street Pharmacies
Real Clear Health Reporter: Justin Leventhal In the past decade, independent drugstores have been vanishing, especially in low-income, minority, and rural communities, in part due to pharmacy benefit managers (PBMs) having rigged the system in favor of their own pharmacies. By steering patients to in-house pharmacies and squeezing independent pharmacies with hidden fees, PBMs are driving local pharmacies out of business . This loss of competition hits vulnerable communities
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5 days ago2 min read


PUTT Blog | 7 Days of PBM Reform and Resistance: A Not-So-Typical Week at PUTT
Are We Talking About the Same Middlemen? Following President Trump’s announcement today of “TrumpRx”, a new executive initiative to help lower patient drug costs, we thought for a minute the Chief Executive might have gotten pharmacies confused with PBMs. Currently there are not enough details to know exactly what TrumpRx is or how it would work, but we can all agree that patient safety cannot be compromised by removing access to trusted pharmacy professionals. Even if Tru
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Sep 293 min read


PUTT Blog | Guest Post: The Story of Tennessee’s MAC Law — and Why It Matters Now
Author: Kayla Copeland At the heart of Tennessee’s PBM reforms is the Maximum Allowable Cost (MAC) law. A MAC is the reimbursement cap a...
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Aug 293 min read


In The News | Letters: Rural residents & veterans need a fair system. PBMs hinder that.
NoLa.com Author: Monique Whitney, PUTT Executive Director Recently guest essayist Rob Maness suggested banning pharmacy benefit managers...
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Aug 272 min read


In The News | 12 pharmacy benefit managers found in violation of reimbursement rule
Northwest Arkansas Gazette Reporter: Nathan Ansell Twelve pharmacy benefit managers have been found in violation of a rule requiring...
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Aug 252 min read


In The News | PBM markets are at risk of harming patients
WebWire The American Medical Association (AMA) today published a new annual analysis (PDF) measuring competition in pharmacy benefit...
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Aug 63 min read


In The News | As pharmacies close, Ohio Chamber blasted for siding with middlemen
Ohio Capital Journal Reporter: Marty Schladen Owners of small pharmacies — many themselves members of local chambers of commerce — are...
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Jun 263 min read


In the News | The White House Can Lower Drug Prices By Fixing The Market, Not Price Controls
The Federalist Author: Drew Johnson Why do we have a medical system in this country where too many people can’t get the treatment that...
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Jun 183 min read


PUTT Statement | DOJ Anticompetitive Regulations Taskforce Public Comment
May 27, 2025 Anticompetitive Regulations Task Force United States Department of Justice 950 Pennsylvania Avenue NW Washington, DC 20530 Re: Anticompetitive Practices by Vertically Integrated Health Insurers and Pharmacy Benefit Managers Dear Members of the Anticompetitive Regulations Task Force: I am writing on behalf of the independent pharmacy members of Pharmacists United for Truth and Transparency (PUTT) to bring to your attention the urgent need for antitrust enforcem
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Jun 25 min read


In The News | Statewide View: Middlemen costing pharmacies money, Minnesotans their pharmacies
Duluth News Tribune OPINION: by PUTT President, Deborah Keaveny On March 21, pharmacist Philip Hommerding was busy dispensing medications...
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May 193 min read


In the News | To cut ‘waste and fraud,’ reform Medicare Advantage
The program was supposed to save the government money. It doesn’t. The Washington Post Editorial Board Republicans in Congress have made...
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May 12 min read


PUTT Blog | Time For a 20th Century Law Revival
Let’s cut the nonsense: pharmacy benefit managers (PBMs) aren’t just shady middlemen—they’re operating a masterclass in anti-competitive...
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Apr 303 min read


In the News | State attorneys general ask Congress to bar PBMs from owning pharmacies
The state officials claim that ownership limits competition Consumer Affairs Reporter: Mark Huffman Key takeaways State attorneys general...
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Apr 232 min read


In the News | Congress targets PBMs to curb drug prices, end spread pricing practices
KRCR ABC News7 Reporter: AUSTIN DENEAN | The National News Desk The House is renewing a push to take on pharmacy benefit managers that...
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Mar 53 min read


PUTT Blog | Digging Deep: PDABs
Author: Brandi Chane, PUTT Executive Board member In the Fall of 2024 we had the opportunity to attend the PDAB Patient Advocacy Summit...
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Feb 42 min read


In the News | Unions file suit against drug middlemen, insulin makers on behalf of thousands
Michigan Advance Reporter: Marty Schladen Unions that provide health benefits to nearly a half-million workers — including many in Ohio —...
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Jan 242 min read


In the News | NEWS RELEASE: OptumRx and Walgreens Sued Over the Death of Twenty-Two-Year-Old Who Couldn’t Afford His Asthma Medication
For further information or an interview or a copy of the complaint, contact Michael Trunk at michael.trunk@klinespecter.com . APPLETON,...
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Jan 212 min read


In the News | How a Duty To Spend Wisely on Worker Benefits Could Loosen PBMs’ Grip on Drug Prices
KFF Health News Reporter: Arthur Allen Ann Lewandowski knows all about pharmacy benefit managers, or PBMs, the companies that shape the...
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Dec 19, 20244 min read


In The News | Justice Department antitrust division looking at health care conglomerates, pharmacy drug middlemen
Ohio Capital Journal reporter: Marty Schladen Huge health conglomerates have another reason to worry that their business model might be disrupted. On a visit to Columbus Monday, one of the country’s top antitrust watchdogs said her agency is taking a hard look at the businesses and their practices. Doha Mekki, the No. 2 official in the U.S. Justice Department’s Antitrust Division, said her agency is investigating whether it should take action in the health care space generall
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Oct 31, 20242 min read


Federal Trade Commission sues largest drug middlemen for allegedly inflating insulin prices
CNN Reporter: Tami Luhby , CNN The Federal Trade Commission took action Friday against the nation’s three largest pharmacy benefit...
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Sep 25, 20242 min read
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