Pharmacy Benefit Managers Post J&J Lawsuit: Anticipated Changes for 2025 and 2026
The Role of Pharmacy Benefit Managers in Healthcare
Pharmacy benefit managers (PBMs) play a pivotal role in managing prescription drug benefits for employers and health plans. Amid ongoing discussions regarding a recent lawsuit involving Johnson & Johnson, changes are expected in the PBM landscape in 2025 and 2026.
Impacts of the J&J Lawsuit
The lawsuit has brought considerable attention to the practices and pricing structures of PBMs, prompting many employers to reconsider their current arrangements.
- Transparency Issues: The need for more transparency in pricing and reimbursement processes.
- Negotiation Power: Employers may gain enhanced negotiation abilities with PBMs.
- Future Compliance: Anticipated changes in regulations arising from the lawsuit.
What Employers Should Expect
As 2025 and 2026 approach, employers must prepare for these shifts. Key considerations include:
- Cost Management: Assessing potential changes in costs associated with prescription drugs.
- Strategy Reevaluation: Rethinking current PBM contracts and agreements.
- Impact on Employee Health: Understanding how these changes affect employee coverage.
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