I hope this email finds you well. I am writing you again regarding the need for PBM reform. I am a pharmacist in your district.

The groundswell of concern about PBM abuse has brought this issue to the forefront for patients, care providers and the U.S. government over the past few months. Media coverage is increasingly shining a spotlight on the abuses and need for reform.

The PBM middlemen are hurting patient access to health care by manipulating the cost of prescription medication, making it hard for local pharmacies to stay open, and interfering with what doctors prescribe by pushing alternatives and mail-order drugs that directly profit the PBMs.

PBMs may have originally been created to control prescription drug costs… but now there is overwhelming evidence about their lack of transparency and greed. This is not free-market enterprise…it is monopolistic conduct that directly hurts the American people. The Federal Trade Commission, the U.S. House and Senate, the big pharmaceutical companies, patient-rights groups, doctors and nurses…they all agree that the PBM middlemen are the problem.

As you prepare for the 2025 session, please make this issue a top priority for Missouri.

A new survey conducted by the American Pharmacists Association highlighted pharmacists' PBM concerns, with 91.5% of respondents agreeing that PBM practices negatively affect their ability to provide care.

Protect your constituents’ access to healthcare and your local pharmacies by supporting PBM reform. I appreciate your time and consideration.