The PBM Reform Act of 2025 aims to ensure pharmacy access and choice for Medicare beneficiaries by regulating pharmacy benefit managers.
The PBM Reform Act of 2025 introduces measures to regulate pharmacy benefit managers (PBMs) to ensure pharmacy access and choice for Medicare beneficiaries. It mandates PBMs to report on compensation and payment structures related to prescription drug prices. The bill requires PBMs to submit reports to group health plans and health insurance issuers, detailing compensation paid for covered drugs, differences between amounts paid to pharmacies and PBMs, and other relevant information.
Included in complete analysis
- Overview
- Core Provisions
- Implementation
- Impact
- Legal Framework
- Critical Issues
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