Dana Tilton, who owns Dana’s Pharmacy in Spur, about 67 miles east of Lubbock, recently filled an insulin prescription that cost Tilton $414.21 to stock. The PBM reimbursed Tilton $403.16 and the customer didn’t have to pay anything.
Across the country, community pharmacies’ claims for publicly funded services grew—in some cases, by triple digits—according to data compiled by the Canadian Foundation for Pharmacy.