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. Please sign up here for a tax-deductible subscription. 

If you're a premium subscriber, sign in below. 

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.

Subscribe to pharmacists