Anti-competitive behavior and a lack of transparency on the part of Pharmacy Benefit Managers (PBMs) have resulted in significant barriers to affordable healthcare. PBMs have created barriers to competition in the delivery of pharmacy services in community pharmacy settings, resulting in increased costs and reduced choices for small business owners and employees.

NFIB supports reforms to ensure healthy competition and affordability by increasing transparency and ending anti-competitive behavior that harms small businesses and small business pharmacies.

NFIB is a founding member of the Coalition for PBM Reform to engage and amplify the voices of small businesses regarding how PBMs threaten broad and affordable access to local healthcare. The goals of our coalition are:

• Patient choice of pharmacy
• Patient access to lowest-cost medications
• Transparent pharmacy reimbursement
• Full transparency of true drug costs to employers/plan sponsors