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At the July 23 hearing on PBM issues conducted by the House Committee on Oversight and Accountability (watch the hearing here), executives of the Big 3 PBMs -- CVS Caremark, Express Scripts and Optum Rx -- all testified under oath that their PBMs are always willing to negotiate provider contracts with pharmacies.
Responding to an inquiry from South Carolina Rep. Russell Fry, Express Scripts President Adam Kautzner stated (with a straight face) “Pharmacies can always redline a contract back to us and negotiate."
American Pharmacies is asking all its members to submit to the Oversight Committee examples of communications with any of the Big 3 PBMs in which they refuse to negotiate terms of reimbursement in provider contracts. This is an important action to provide the committee ample evidence that the PBMS are lying about their willingness to negotiate contract terms. The committee states that it welcomes such examples.
Simply email oversight.committee@mail.house.gov and copy/paste in examples of emails you have received from the contracting arms of the PBMs effectively stating that their contract offers are non-negotiable. Please put "PBM Provider Contracts are Not Negotiable" as the subject of your email and provide a short narrative abut your contract-related communications with the PBM.
Thank you for your help – let’s make sure that Congress knows the real story about how PBMs “negotiate” with pharmacies.
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