I don’t know why they aren’t more vocal.
@pcmanet lobby constantly blames Pharma for drug costs. But the PBM is the one extorting rebates and fees. Pharma plays the game because they need market share.
A quarter of Pharma rebates go to PBMs. Same PBMs owned by CVSHealth, UnitedHealth, and Cigna. Because of rebates a $274 drug becomes a $608 drug for the consumer.
Be glad PBMs don’t exist in home electronics because your flat television would still be $6,000. Be glad PBMs don’t exist in cell phones because your iPhone would be $3,000. Be glad PBMs don’t exist in gas stations because your gas would be $15/gallon and the PBM would tell you if it wasn’t for their negotiating power you’d pay $42.