(Radio Iowa) – Iowa Congresswoman Mariannette Miller-Meeks says it’s time to crack down on the business practices of Pharmacy Benefit Managers or P-B-M’s. “Currently, 97% of all prescription drugs in the United States flow through just six major PBMs. These entities are destroying independent pharmacies,” Miller-Meeks says. “…This year alone, 25 independent pharmacies have closed in Iowa and this has to stop.” P-B-Ms negotiate the prices of medications on behalf of insurers.

Miller-Meeks and other critics say P-B-M’s drive down the prices paid to the pharmacies that fill prescriptions in order to pocket a bigger cut of the insurance payout.  “Every American who utilizes prescription medications experiences the impact that PBMs and vertical integration have on our health care system. Patients everywhere and our independent pharmacists especially deserve a more transparent health care system where patients always come first,” Miller-Meeks said.

Iowa Congresswoman Mariannette Miller-Meeks speaks at D.C. news conference with John Nicholson, owner of Mahaska Drug in Oskaloosa, to her left. (Photo provided by Miller-Meeks congressional staff)

Miller-Meeks is among a large, bipartisan group of lawmakers from the U-S House and Senate who are calling for passage of a bill before congress adjourns for the year.  “The time for PBM reform is now,” Miller-Meeks said.

Miller-Meeks backs legislation that would prohibit P-B-Ms from forcing patients to use a certain pharmacy rather than the one that’s closest to them. It would also ban P-B-Ms from paying lower rates to independent pharmacies than it pays affiliated pharmacies for the same services.