AMA pushes for scrutiny of PBM market consolidation

A recent American Medical Association found that 72% of insured individuals are covered by companies owning or closely linked to a pharmacy benefit manager. As a result, the organization is advocating for stronger regulatory oversight.

The AMA's report, released Sept. 9, found that CVS Health, OptumRx, Express Scripts and Prime Therapeutics control 70% of the national PBM market, according to a news release shared with Becker's. The analysis also found that 82% of PBM markets at the regional level are highly concentrated, suggesting limited competition.