How PBM Practices Were Uncovered in the Ohio Medicaid Program

Before pharmacy benefit managers (PBMs) were put on the center stage of the pharmacy industry, they were working in the shadows, according to many experts, as drug middlemen deciding what pharmacies were reimbursed for dispensing medicine. In 2016 in the state of Ohio, with the help of several drug-pricing experts, these PBM practices were uncovered.

Now, PBM reform has become one of the hottest topics in pharmacy today, creating a frictious relationship between market-controlling PBMs and struggling pharmacies.

“To the degree with which secrets are already available in the marketplace, meaning they’re not secrets, but they’re just kind of…