💊 💰 🤷🏻‍♂️ A.B.C.D.P.B.M. 🤷🏻‍♂️ 💰 💊

PBM reform in 2025 reads like a sequel nobody asked for but everybody needs to watch. Congress is finally dragging pharmacy benefit managers out of the shadows.

The Pharmacy Times piece spells out below how lawmakers in both parties are targeting spread pricing, rebate schemes, and the chokehold PBMs maintain on independent pharmacies. After decades of hearings, lobbying, and window dressing, the machine is finally slowing down because voters are angry and legislators sense political payoff.

Here’s what makes me grind my teeth. Patients still pay more every year while three PBMs control nearly eighty percent of the market.

We know the names.

CVS Caremark. Express Scripts. OptumRx. 🤮

They dictate what drugs get covered, where patients fill prescriptions, and how much pharmacies get reimbursed.

Reform packages in 2025 look good on paper.

Transparency requirements. Bans on spread pricing in Medicaid. Limits on clawbacks. All moves in the right direction. But until the rules break the cycle of middlemen skimming billions while patients ration insulin, it is all theater.

Every reform cycle promises change. PBMs always adapt, rebrand their practices, and keep the cash flow intact. The difference in 2025 comes from states passing their own laws, courts questioning their legality, and Congress looking for bipartisan wins before an election year.

Patients are tired of waiting. Pharmacies are closing. The ground is shifting, but not fast enough for the people who need their medication today.

SOURCE ➡️ https://www.pharmacytimes.com/view/pbm-reform-takes-off-in-2025