Member-owned, group purchasing organization serving independent pharmacy with members in 31 states.
Joined June 2010
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Pennsylvania independent pharmacist testifies about how #PBMs underreimburse on so many prescriptions. This testimony was a lot different than the Pennsylvania Medicaid administrator who testified that the proposed #PBMReform bill could raise costs. | @ErieNewsNow
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Sen. Warren is waiting on a reply from the Defense Department on her request for the Pentagon to audit Express Scripts over reimbursement for non-affiliated pharmacies. | @starsandstripes
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States that have implemented a single #PBM for Medicare programs have seen millions in savings, but this Pennsylvania official thinks the #PBMReform bill there wouldn't have the same savings.
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$100 million in claw-back revenue for one of three #PBMs operating in Iowa's Medicaid system. But the true harm to the program isn't known because the #PBMs withheld the information from the auditors. #PBMs are hiding behind their opaque financial structures to continue to break these state laws banning spread pricing. | @KMABroadcasting
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Chicago will have a test case for its proposed Office of Pharmacy Access. Independent pharmacies in the area will step up and operate in a city owned building to address a pharmacy desert on the South Side. | @BlockClubCHI
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Join Us Tomorrow for Effectively Using OneQ Webinar
APCI’s next webinar, Effectively Using OneQ: Maximizing Buying Opportunities & ResolveRx Reconciliation, is tomorrow.
📅 Wednesday, June 10, 2026
🕛 Noon CT
Join host Bruce Harris and presenters Darlene Trimble and Brittney Withers for a practical look at how eligible APCI members can use OneQ more effectively.
OneQ gives APCI Choice and PRO members access to a variety of opportunity-based tools, including purchasing opportunities, prescription data reviews, clinical opportunities, and claims reconciliation through ResolveRx.
Register today to save your seat.
Please note: APCI website login required for registration
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Sen. Bobby Harshbarger recently discussed Tennessee's #PBMReform legislation and the need to address practices that have placed increasing pressure on independent pharmacies. For years, community pharmacies have faced challenges from a system that often limits patient choice, reduces transparency, and makes it harder for local pharmacies to compete.
These reforms represent an important step toward ensuring patients can continue to access the personalized care, medication expertise, and trusted relationships that independent pharmacies provide every day.
When independent pharmacies thrive, patients benefit from greater choice, stronger local healthcare access, and healthier communities. | @JCPress
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New Jersey residents are seeing the #PBMReform playbook from the #PBMs: Call the nominal dispensing fee a "pill tax" and cry that it will raise prices for everyone, even though the opposite has been true for every state that has implemented this policy. | @parsippanyfocus
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Patient advocates understand the #PBM problem for independent pharmacies. Pennsylvania lawmakers should take heed and pass #PBMReform.
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Arizona legislators have a #PBMReform bill before them that would stop #PBMs from steering patients to their own pharmacies. | @AzCapitolTimes
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Health care companies can earn money by creating value.
The problem comes when employers, patients and providers cannot clearly see what they are paying for, who is being compensated and whether the arrangement actually makes sense.
That is especially true in the prescription drug system, where #PBM contracts, rebate arrangements, spread pricing, pharmacy networks and purchasing strategies can dramatically affect what employers pay and what patients experience.
The goal is not to eliminate profit. The goal is alignment, transparency and accountability.
When health care dollars move through the system, employers and patients deserve to know where they are going and what value is being created along the way.
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Tennessee’s Fair Rx Act is facing a legal challenge from CVS, but the underlying issue remains clear: Vertical integration in the prescription drug system deserves scrutiny.
When one corporation can control insurance coverage, pharmacy benefit management and pharmacy dispensing, the potential conflicts of interest are obvious.
Independent pharmacies are not asking for special treatment. They are asking for a fair marketplace where patients are not steered away from trusted local providers and where pharmacy access is not determined by ownership structure.
#PBMReform is about transparency, accountability and protecting patient choice.
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#PBMReform is essential, but employers also need to understand how prescription benefit decisions are made before a contract is ever signed.
Here's an important question: Are employers getting clear, independent advice when they evaluate health plans, PBMs and other benefit vendors?
When advisors, brokers or consultants have financial relationships with the vendors they are supposed to evaluate, employers deserve to know. Transparency should not stop at the PBM contract. It should include the entire decision-making process that shapes pharmacy benefits, patient access and overall health care costs.
Better options exist. The challenge is making sure employers can actually see them.
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Independent pharmacies are not closing because their communities no longer need them.
They are closing because too many are being asked to fill prescriptions at a loss.
This Jamestown Press article shares the perspective of Tim Baker, who owned and operated Baker’s Pharmacy in Jamestown for more than 40 years before closing the business. His experience reflects what independent pharmacies across the country continue to face: reimbursement rates that often do not cover the actual cost of serving patients.
That is not sustainable. And when a local pharmacy closes, the loss is felt by the entire community.
Fair reimbursement is not just about keeping pharmacy doors open. It is about protecting patient access, preserving local care and making sure trusted community pharmacists can continue serving the people who depend on them.
Below-cost reimbursement is not a business model. It is a warning sign.
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Patients should come before #PBMs.
That should not be a controversial statement.
This op-ed points to one of the biggest problems in the prescription drug system: PBMs have enormous influence over which medications patients can access, what they pay at the counter and which pharmacies are allowed to serve them.
For independent pharmacies, this is not an abstract policy issue. PBM decisions can determine whether patients can continue using the local pharmacy they know and trust, or whether they are pushed somewhere else by a benefit design they did not choose.
A more accountable system should protect patient choice, preserve access to local pharmacy care and bring real transparency to PBM practices.
Patients deserve better than a system built around middlemen.
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Drug pricing reform should be focused on a simple question: are savings reaching patients?
This opinion piece highlights the need for greater transparency and accountability in both 340B and #PBM practices, including spread pricing, rebate pass-through and pharmacy network access.
Patients and pharmacies deserve a system that is easier to understand and built around access, not opacity.
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Fair pharmacy reimbursement is a patient access issue.
Louisiana lawmakers have approved legislation aimed at #PBM reimbursement practices and prescription drug affordability, including requirements tied to pharmacies’ actual drug costs.
Independent pharmacies cannot continue serving patients when they are forced to fill prescriptions at a loss. #PBMReform matters because access matters.
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Independent pharmacies are not trying to become smaller versions of big retail chains.
Independents compete through relationships, local trust, accessible care and deep knowledge of the communities they serve. But they are doing that in a market shaped by consolidation, #PBM pressure and increasingly narrow margins.
Supporting independent pharmacy means supporting patient access.
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#PBMs are not the only middlemen raising questions about transparency and accountability in health care. The financial incentives for Medicare Advantage brokers can influence how patients are guided through important coverage decisions.
Patients deserve a system that is clear, accountable, and focused on their best interests, not one made harder to navigate by unnecessary complexity or hidden incentives.
Whether the issue is PBMs, brokers or other intermediaries, health care works best when patients come first.
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A recent Dexcom alert is an important reminder for patients using continuous glucose monitors: medical devices should only come from trusted, authorized sources.
Dexcom has identified certain G7 sensors that were intended for destruction but were reportedly stolen and resold. Patients using Dexcom G7 sensors should check the affected lot numbers and follow Dexcom’s guidance.
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