Analyst: Specialty Generic Markups Flagged by FTC Are ‘Growing Profit Pool for PBMs’

  • Jan 23, 2025

    In a move endorsed by its new chairman, the Federal Trade Commission (FTC) on Jan. 14 issued its second interim staff report on PBMs, this time finding that the country’s three largest firms significantly marked up specialty generic drugs dispensed by their affiliated pharmacies.  

    The PBM industry’s main trade group, the Pharmaceutical Care Management Association (PCMA), says the FTC’s report is making “sweeping assertions about the role of PBMs disconnected from a full appreciation of their critical cost-saving role for employers, unions, taxpayers, and patients.”  

    Yet one equities analyst who focuses on the health care industry recently suggested to investors that the FTC may very well be onto something. 

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  • Leslie Small

    Leslie has been working in journalism since 2009 and reporting on the health care industry since 2014. She has covered the many ups and downs of the Affordable Care Act exchanges, the failed health insurer mega-mergers, and hundreds of other storylines spanning subjects such as Medicaid managed care, Medicare Advantage, employer-sponsored insurance, and prescription drug coverage. As the managing editor of Health Plan Weekly and Radar on Drug Benefits, she writes and edits for both publications while overseeing a small team of reporters who also focus on the managed care sector. Before joining AIS Health, she was a senior editor for the e-newsletter Fierce Health Payer, and she started her career as a copy editor at multiple local newspapers. She graduated with a dual degree in journalism and political science from Penn State University.

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