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Healthcare

Affordable. Flexible. Predictable. Healthcare that works for small business

Pharmacy Benefit Manager (PBM) Reform

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

Your Chance to Influence

Healthcare Reform, General
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PBM Reform
Tell Congress to Reform PBMs! Contact your elected officials to reform the PBM industry.
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Healthcare in NFIB Press Releases

June 27, 2025
A Small Business View on the 2025 New Hampshire Legislative Ses…
Rep. Brian Labrie (Bedford), an NFIB member and small business owner, share…
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June 27, 2025
READ: NFIB NH Op-Ed Opposes Higher Health Insurance Taxes
Proposed tax would’ve hit small business health coverage.
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June 26, 2025
NFIB Virginia Members Testifies Before Congressional Subcommitt…
“Health coverage is not the same as health care.”
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U.S. Capitol Building
June 26, 2025
ICYMI: Virginia Small Business Owner Testifies Before U.S. Hous…
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