The death of PBMs is coming and they see it
A blue wave so massive that corporations are demonopolizing themselves.
November 4, 2026 at 9:35 PM
The death of PBMs is coming and they see it
Relatedly:
FTC Again Highlights Billion Dollar Abuses of Pharmacy Benefit Managers (PBMs) - American Society of Consultant Pharmacists
www.ascp.com
November 4, 2026 at 7:35 PM
Relatedly:
PBMs are a load bearing pillar of medical enshittification. Huge victory to strip their power.
November 4, 2026 at 7:46 PM
PBMs are a load bearing pillar of medical enshittification. Huge victory to strip their power.
I still gotta make PBMs illegal, but it's a good step
November 4, 2026 at 11:09 PM
I still gotta make PBMs illegal, but it's a good step
People are tired of hearing me scream about PBMs. But I don’t care. I have fucking lozenges. There’s some real sinister shit out there.
November 4, 2026 at 10:07 PM
People are tired of hearing me scream about PBMs. But I don’t care. I have fucking lozenges. There’s some real sinister shit out there.
- re-form medicaid to make it universal for under 18 and those on social security
- pass single payer healthcare for all
- at the very least, abolish PBMs outright.
for a start
- pass single payer healthcare for all
- at the very least, abolish PBMs outright.
for a start
November 4, 2026 at 2:07 PM
- re-form medicaid to make it universal for under 18 and those on social security
- pass single payer healthcare for all
- at the very least, abolish PBMs outright.
for a start
- pass single payer healthcare for all
- at the very least, abolish PBMs outright.
for a start
Love me some PBMs 😡
November 1, 2026 at 7:45 PM
Love me some PBMs 😡
Evilnorth should ship HRT patches with at home wax kits. That should be the upside of the captive audience mandate by PBMs to warehouse 90 days of my prescriptions in an ikea storage bin under the bed in my little urban apartment. It’s so fun moving with tons of drugs! Especially Dupixent.
November 3, 2026 at 9:20 PM
Evilnorth should ship HRT patches with at home wax kits. That should be the upside of the captive audience mandate by PBMs to warehouse 90 days of my prescriptions in an ikea storage bin under the bed in my little urban apartment. It’s so fun moving with tons of drugs! Especially Dupixent.
STAT+: House lawmaker probes PBMs for ‘punitive’ audits of independent pharmacies www.statnews.com/pharmalot/20...
House lawmaker probes PBMs for 'punitive' audits of independent pharmacies
A House lawmaker is investigating whether the three largest PMS targeted independent pharmacies withretaliatory audits.
www.statnews.com
October 31, 2026 at 3:20 PM
STAT+: House lawmaker probes PBMs for ‘punitive’ audits of independent pharmacies www.statnews.com/pharmalot/20...
Eliminate PBMs!! 🙏 Also nobody but a patient's doctor should be allowed to "assess" anything on behalf of insurers and benefit providers.
We also need something like the BBB where patients can report abuse, poor quality care, and benefit refusals. And more patient involvement in med ed and nih $.
We also need something like the BBB where patients can report abuse, poor quality care, and benefit refusals. And more patient involvement in med ed and nih $.
November 5, 2026 at 12:07 AM
Eliminate PBMs!! 🙏 Also nobody but a patient's doctor should be allowed to "assess" anything on behalf of insurers and benefit providers.
We also need something like the BBB where patients can report abuse, poor quality care, and benefit refusals. And more patient involvement in med ed and nih $.
We also need something like the BBB where patients can report abuse, poor quality care, and benefit refusals. And more patient involvement in med ed and nih $.
Good to see employers and pharmacy advocates recognizing the work PBMs do. Patients need affordable prescriptions, and the negotiations PBMs handle are part of helping make that possible. Never forget.
November 3, 2026 at 9:59 AM
Good to see employers and pharmacy advocates recognizing the work PBMs do. Patients need affordable prescriptions, and the negotiations PBMs handle are part of helping make that possible. Never forget.
Employer, Pharmacy Advocates Applaud DOL Final Rule On PBMs
https://medcitynews.com/2026/10/employer-pharmacy-advocates-applaud-dol-final-rule-on-pbms/
Employer, Pharmacy Advocates Applaud DOL Final Rule On PBMs
The Department of Labor finalized a rule that seeks to bring more transparency into PBM compensation.
medcitynews.com
November 2, 2026 at 3:12 PM
Employer, Pharmacy Advocates Applaud DOL Final Rule On PBMs
https://medcitynews.com/2026/10/employer-pharmacy-advocates-applaud-dol-final-rule-on-pbms/
Not everything implemented during the Trump admin has been a disaster. For example, its Dept. of Labor implemented new rules on Pharmacy Benefit Managers (PBMs) which the money-grabbing industry despises but might benefit covered patients.
Employers Can Finally See What PBMs Are Paid. Will They Look?
healthcareuncovered.substack.com/p/employers-...
healthcareuncovered.substack.com/p/employers-...
Employers Can Finally See What PBMs Are Paid. Will They Look?
The vast pharmacy benefit business, which is a big part of the Big Insurance middleman empire, just lost a Washington fight, and that's good news for millions of Americans and their employers.
healthcareuncovered.substack.com
November 4, 2026 at 1:32 PM
Not everything implemented during the Trump admin has been a disaster. For example, its Dept. of Labor implemented new rules on Pharmacy Benefit Managers (PBMs) which the money-grabbing industry despises but might benefit covered patients.
The House Oversight release and letters: https://oversight.house.gov/release/comer-investigates-pbms-for-retaliatory-audits-of-independent-pharmacies/
November 4, 2026 at 1:00 PM
The House Oversight release and letters: https://oversight.house.gov/release/comer-investigates-pbms-for-retaliatory-audits-of-independent-pharmacies/
Its #Election Day! 📣 Your vote is one of the most powerful tools we have to change the future of healthcare. Reforming PBMs is a critical step toward making healthcare affordale, transparent and accessible. Vote Today. Fight Today. Reform PBMs. https://bit.ly/44WZYAg #PBMreform #vote
November 3, 2026 at 1:05 PM
Its #Election Day! 📣 Your vote is one of the most powerful tools we have to change the future of healthcare. Reforming PBMs is a critical step toward making healthcare affordale, transparent and accessible. Vote Today. Fight Today. Reform PBMs. https://bit.ly/44WZYAg #PBMreform #vote
DOL Final Rule Aims to Increase Drug Price Transparency and Disclosures by PBMs
DOL Final Rule Aims to Increase Drug Price Transparency and Disclosures by PBMs
Employers will have a right to use a pharmacy benefit manager (PBM) auditor of their choosing, as well as access to robust data on manufacturer...
www.jdsupra.com
November 4, 2026 at 7:56 PM
DOL Final Rule Aims to Increase Drug Price Transparency and Disclosures by PBMs
Great question! I think the answers will be situational: there are GOP vets who might be willing to impeach Hegseth, but not to block PBMs
November 5, 2026 at 5:29 AM
Great question! I think the answers will be situational: there are GOP vets who might be willing to impeach Hegseth, but not to block PBMs
Employers Can Finally See What PBMs Are Paid. Will They Look?
healthcareuncovered.substack.com/p/employers-...
healthcareuncovered.substack.com/p/employers-...
Employers Can Finally See What PBMs Are Paid. Will They Look?
The vast pharmacy benefit business, which is a big part of the Big Insurance middleman empire, just lost a Washington fight, and that's good news for millions of Americans and their employers.
healthcareuncovered.substack.com
October 30, 2026 at 7:43 PM
Employers Can Finally See What PBMs Are Paid. Will They Look?
healthcareuncovered.substack.com/p/employers-...
healthcareuncovered.substack.com/p/employers-...
Your health plan buys drugs through a middleman who never had to say what he keeps.
Labor just made PBMs disclose rebates, spread and clawbacks to 131,102 large employer plans, with a yearly audit.
www.freemarketsreport.com/pbms-must-no...
Labor just made PBMs disclose rebates, spread and clawbacks to 131,102 large employer plans, with a yearly audit.
www.freemarketsreport.com/pbms-must-no...
November 1, 2026 at 11:05 PM
Your health plan buys drugs through a middleman who never had to say what he keeps.
Labor just made PBMs disclose rebates, spread and clawbacks to 131,102 large employer plans, with a yearly audit.
www.freemarketsreport.com/pbms-must-no...
Labor just made PBMs disclose rebates, spread and clawbacks to 131,102 large employer plans, with a yearly audit.
www.freemarketsreport.com/pbms-must-no...
New AMA analysis shows the four largest PBMs collectively have a 73% share of the national retail pharmacy network management and prescription claims adjudication markets.
Policymakers must act for increased transparency and accountability. bit.ly/4yZMpwY
Policymakers must act for increased transparency and accountability. bit.ly/4yZMpwY
November 3, 2026 at 9:37 PM
New AMA analysis shows the four largest PBMs collectively have a 73% share of the national retail pharmacy network management and prescription claims adjudication markets.
Policymakers must act for increased transparency and accountability. bit.ly/4yZMpwY
Policymakers must act for increased transparency and accountability. bit.ly/4yZMpwY
MedImpact is buying a rebate aggregator. Aggregators pool claims to get drugmaker rebates for smaller PBMs. That extra layer hides what rebate your plan really gets.
https://www.insurancebusinessmag.com/us/news/benefits/medimpact-adds-rebate-aggregator-in-latest-pbm-acquisition-595955.aspx
https://www.insurancebusinessmag.com/us/news/benefits/medimpact-adds-rebate-aggregator-in-latest-pbm-acquisition-595955.aspx
November 4, 2026 at 6:45 PM
MedImpact is buying a rebate aggregator. Aggregators pool claims to get drugmaker rebates for smaller PBMs. That extra layer hides what rebate your plan really gets.
https://www.insurancebusinessmag.com/us/news/benefits/medimpact-adds-rebate-aggregator-in-latest-pbm-acquisition-595955.aspx
https://www.insurancebusinessmag.com/us/news/benefits/medimpact-adds-rebate-aggregator-in-latest-pbm-acquisition-595955.aspx
Today is #Stress Awareness Day! Managing a pharmacy can be difficult, but adding in pressure from PBMs drives stress to a high level.
Learn how to manage by watching Dose of Reality: Managing Pharmacy Benefit Managers & Workplace Stress Effectively. https://bit.ly/3E0IBnU
Learn how to manage by watching Dose of Reality: Managing Pharmacy Benefit Managers & Workplace Stress Effectively. https://bit.ly/3E0IBnU
November 4, 2026 at 1:24 PM
Today is #Stress Awareness Day! Managing a pharmacy can be difficult, but adding in pressure from PBMs drives stress to a high level.
Learn how to manage by watching Dose of Reality: Managing Pharmacy Benefit Managers & Workplace Stress Effectively. https://bit.ly/3E0IBnU
Learn how to manage by watching Dose of Reality: Managing Pharmacy Benefit Managers & Workplace Stress Effectively. https://bit.ly/3E0IBnU
NO. ICE must be abolished. GOP always talks about "small government" which means how much can we turn over to private corporations for their profit but because of them we have Medicare Part B and D, HHS, ICE, PBMs, etc.
November 5, 2026 at 12:58 AM
NO. ICE must be abolished. GOP always talks about "small government" which means how much can we turn over to private corporations for their profit but because of them we have Medicare Part B and D, HHS, ICE, PBMs, etc.