Details and examples are key when using the template. If you see something included in the template doesn’t apply to you, remove it. It is important that your submission is as accurate as possible. When you complete the template, submit your comments at Regulations.gov
When crafting your message, it is important to make sure the FTC can see the people being impacted by PBMs. Make the message personal but keep it professional. It’s important to include:
- How long you’ve served your community
- The services you provide
- The number of Part D beneficiaries and Medicaid recipients you serve
- The number of patients you have had to steer to PBM-owned/affiliated pharmacies.
Beyond details about your pharmacy, you will want to share specifics about how your patients are being harmed. Some potential examples might be:
- Patients will be forced to pay more at the counter
- Patients might lose access to healthcare due to reduced hours
- Services you provide that not available at PBM-owned or affiliated pharmacies
This is our best chance to show FTC how important it is to investigate PBM practices and ultimately achieve change.
Waiting for change is hard, fortunately there are actions you can take right now to combat PBM practices in your state. It is likely legislation to stop some of these practices is already active in your state. Despite this, PBMs may not follow the rules set by these laws. Our friends at NCPA have developed a helpful tool just for that.
PBM Complaints Tool
Even with the progress we’ve made, it doesn’t matter if the state departments of insurance are not enforcing these laws. By being proactive you can help us hold your insurance regulator’s feet to the fire.
Whenever you know that insurers and PBMs are not following the law, you can use NCPA’s tool to file a complaint in your state. When submitting a complaint, it’s important that they are legitimate and fact-based. When a department of insurance receives a legitimate complaint, it is more likely to investigate and enforce the law.