Pharmacy Benefit Management: Are Reporting Requirements Pro- or Anticompetitive?
pharmacy benefit management
Business Administration, Management, and Operations
Business Law, Public Responsibility, and Ethics
Health and Medical Administration
Organizational Behavior and Theory
Pharmacoeconomics and Pharmaceutical Economics
Pharmacy Administration, Policy and Regulation
The market-based US health care system relies on pharmacy benefit managers (PBMs) to control pharmaceutical costs, in contrast to most other countries that regulate drug prices and access. Optimal strucuturing and regulation of PBM contracts poses significant agency challenges for private and public payers. However, recent reporting requirements for PBMs may be counterproductive and reflect the interests of competitors rather than customers.