What is a PBM?

In the US, a Pharmacy Benefit Manager (PBM) is a third party administrator of prescription drug programs. They are primarily responsible for processing and paying prescription drug claims. They also are responsible for developing and maintaining the formulary, contracting with pharmacies, and negotiating discounts and rebates with drug manufacturers. Currently, there are over 100 PBMs in the United States.

Examples

Pharmacy Resources

PBM News Articles