Private practice with Dr Seth BilazarianView all posts »
Pharmacy benefits managers: A nuisance for the private practitioner?May 28, 2009 09:30 EDT
Prescription fulfillment has changed radically over the past years, becoming markedly more complicated since the advent of pharmacy benefits managers (PBMs), which are third-party companies hired by insurance firms to manage the prescription formularies for the members of their plans.
PBM interventions can include notification of generic substitutes, more intrusive suggestions such as the addition of an ACE inhibitor based on guideline recommendations, or even weighing in on evolving fields such as the possible reaction of proton-pump inhibitors and clopidogrel.
What are your thoughts on PBMs? Are they invasive necessities or intrusive annoyances that create fresh levels of bureaucracy without adding value? What is your experience with PBMs?