One performance measure is patient adherence.

once the performance fees were deducted.PBMs will pay them less for the drugs they dispense.

vice president of the National Community Pharmacists Association.when a pharmacy fills a prescription.Senate Finance Committee billswould require the Department of Health and Human Services to issue rules ensuring that PBM payments to pharmacies and other contract terms are reasonable.

The Biden administrations first major step toward imposing limits on the pharmacy benefit managers who act as the drug industrys price negotiators is backfiring.The unintended consequences of the rule are likely to aggravate the problems of community pharmacists.

isset to take effect Jan.

Pharmacist groups supported the Medicare rule change.Performance fees have also boosted Medicare patients prescription costs at the pharmacy counter by hundreds of millions of dollars.

pharmacies will face a double whammy.000 or so independent pharmacies had accepted its terms.

PBMs will pay them less for the drugs they dispense.But the organizations are loathed by independent drugstores.