Improving Transparency into Pharmacy Benefit Manager Fee Disclosure
Summary
This new rule requires pharmacy benefit managers—the companies that manage prescription drug benefits for health insurance plans—to be more transparent about the fees they charge. The goal is to help employers, insurers, and patients better understand how much these middlemen are being paid and whether those costs are reasonable.
Key Points
- 1Pharmacy benefit managers must disclose detailed information about all fees they charge to health plans
- 2The rule aims to reduce hidden costs that ultimately get passed on to workers through higher premiums and out-of-pocket expenses
- 3Employers and health plans will have better information to negotiate better deals and potentially lower prescription drug costs
- 4The public comment period runs until April 1, 2026, allowing stakeholders to provide feedback before the rule is finalized
- 5This applies to health plans that cover prescription drugs, affecting millions of Americans with employer-sponsored insurance
Key Dates
January 30, 2026
This summary is for informational purposes only. It may not capture all nuances of the regulation. Always refer to the official text for authoritative information.
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