Letter to the editor: PBMs continue to drive up out-of-pocket costs for patients

Letter to the editor by Aaron Mierzwiak, President of the Ohio Medical Group Management Association


A recent story by Marty Schladen, ‘Biden administration announces ‘comprehensive’ plan to fix high drug prices’, uncovered more of the countless reports about how pharmacy benefit managers, or PBMs, continue to drive up out-of-pocket costs for patients with very little accountability or transparency.


After years of PBM efforts to keep their operations under wraps, the State of Ohio will go to trial soon to throw open the curtains. But Ohio didn’t wait for a verdict to challenge these invisible policies. The state recently took a significant step forward in reforming how PBMs contract with public-sector employee prescription drug benefits and other state-run public programs. The new budget includes plans for a PBM “reverse auction,” which modernizes the way we do business with these middlemen.


Read the full letter here.