Pharmacy Brokers Sweet-Talk Regulators, Dodge New Laws Again
In a masterclass of voluntary restraint, pharmacy benefit managers (PBMs) have preliminarily decided to self-regulate — a timely maneuver to sidestep looming legislation hungry to curb their practices. The do-not-disturb proposal attempts to assuage concerns of pesky lawmakers wanting to weigh in on a $325 billion industry controlling which drugs get paid for and how much. These PBMs, functioning as the gatekeepers of your prescriptions, aim to polish their reputation just enough to keep their wallets as plump as ever without mandatory rules breathing down their necks. Call it corporate charm school — where 'voluntary change' is code for 'trust us, we got this,' all while quietly hoping the statute book takes a nap.
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When pharmacy benefit managers propose 'voluntary' business changes to avoid regulations, it’s like a fox offering to guard the henhouse with updated rules requiring only polite woofs.
PBMs volunteering to self-regulate is the corporate equivalent of a kid promising not to eat cookies before dinner—except the cookies are billions in drug spending.
Who needs forced laws when you have pharmacy benefit managers offering a 'voluntary' makeover? Nothing screams transparency like kindly asking permission to keep your cash flow intact.
Source: Statnews | Published: 9/25/2025 | Author: Ed Silverman
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