Pharmacists Push for Better Regulations to Keep PBMs Honest

Pharmacists complain that they’re still at the mercy of wildly unpredictable and unfair compensation from some pharmacy benefit managers, and face burdensome audit and appeals processes to fix unfair pricing, despite a 2013 law intended to correct PBM behavior. They want the Insurance Division to have more teeth to enforce the law as well as new rules that would not allow PBMs to pay pharmacists less than their posted price.

The Oregon State Pharmacy Association is gearing up for another run at fixing the kinks in the state laws governing pharmacy benefit managers so that these large for-profit companies won’t push the last mom-and-pop pharmacies to close their doors.

Pharmacists on Primary Care Team Save Money, Lives

Pharmacists and insurers urge those managing pharmacy benefits to support Legislation making clinical pharmacists a part of interdisciplinary medical care teams.

Stacy Ramirez is a faculty member at Oregon State University, yet spends the majority of her time in clinical practice working with primary care homes in Benton and Linn Counties.

Pharmacists Say State PBM Regulations Need More Teeth

This article is for premium subscribers!

To read further, please sign up for a premium subscription. You can also read more about standard and premium subscriptions here. Your subscription dollars are tax deductible and support the in-depth stories you appreciate from The Lund Report. If you believe you already are a premium subscriber, you are already logged in, and you are getting this message, please contact [email protected] Thanks!

If you are a premium subscriber that is not logged in, please login now.

The state passed a sweeping law in 2013 in an attempt to regulate the complicated work of pharmacy benefit managers, who serve as middlemen for insurance companies purchasing pharmaceuticals. Pharmacists complained their aggressive tactics were putting them out of business, and the PBMs’ capricious reimbursement schemes are forcing them to dispense medications at a loss.

Oregon is revisiting its 2013 regulations on pharmacy benefit managers and may be adding more teeth after pharmacists testified that their businesses are still in trouble from PBMs unwilling

House Votes to Regulate PBMs and Rein in Abuses to Pharmacists

The Lund Report
Pharmacy benefit managers, tasked with managing prescription drug plans, will be required to register with DCBS, follow state rules when conducting pharmacy audits and give more transparency in payments to pharmacists.


June 20, 2013 — The House unanimously passed a landmark bill regulating pharmacy benefit managers, requiring them to register with the Department of Consumer & Business Services and reining in practices on drug prices and audits that independent pharmacists testified were driving them out of business.

Pharmacists Want to Give Shots to Young Children

The Lund Report
Senate Bill 167 would give the state health director the right to allow pharmacists to immunize children in a disease outbreak, but Sen. Laurie Monnes Anderson was concerned about letting pharmacists inject babies

February 12, 2013 -- If a disease outbreak swept over Oregon like this winter’s flu pandemic or the whooping cough epidemic declared in Washington last April, children under 11 could not get shots at pharmacies under current law without a prescription.

Mail Order Pharmacy Said to Save Money

The Lund Report
Pharmacies push back against what some say may drive them out of business

May 20, 2010 -- Controversy is brewing over a proposed cost-saving measure that could offset CAREAssist’s projected $2.1 million biennial shortfall -- and change the way some of its 2,300 clients receive their HIV medications.

Legislature Takes Up Prescription Monitoring Program

A bill to track prescriptions of controlled substances faces heated opposition from the ACLU as it has in past sessions

June 17, 2009 -- People addicted to pain medications know the ropes. They go from one doctor to the next and end up with multiple prescriptions for such painkillers as Oxycodone or Vicodon.

Subscribe to pharmacists