The PBM Trap: How “Savings” Are Costing You a Fortune

PBMs (pharmacy benefit managers) were created with good intentions but became broken middlemen incentivized to push higher-cost drugs. Securing a big discount on an expensive drug looks more impressive than low-cost alternatives. Unfortunately, the system encourages over-prescription. 90% of doctors have no idea what the drugs they prescribe will actually cost you, and direct-to-consumer advertising (allowed only in the US and New Zealand) drives patients to demand expensive brand-name drugs they saw on TV. The solution? Incentivize patients (again!). Independent audit teams can proactively offer generic alternatives, and 80% of the time, doctors agree. Patients receive recurring savings directly in their bank accounts. And for companies: Read your contracts, align incentives with employees, and don't accept the status quo. Healthcare may be weird, but we don't have to be passive victims of it.

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