Tag: Pharmacy benefit manager

According to a survey by the National Community Pharmacists Association, 59% of independent pharmacists reported being subject to gag clauses before federal bans were enacted [1.4.1]. What is the gag clause for pharmacists? It was a contractual barrier preventing them from telling patients about cheaper drug options.

With over a quarter of U.S. adults finding it difficult to afford their medication, many wonder **why do pharmacies honor GoodRx?** The answer lies in a complex system of contracts, competition, and the drive for customer foot traffic [1.2.7].

Nearly 85% of Americans have some form of prescription drug coverage, and for a vast number of these individuals, the pharmacy benefit is administered through a managed care organization (MCO) pharmacy. This system is a complex, behind-the-scenes operation designed to balance cost control and quality patient care. Understanding **what is an MCO pharmacy** is key to navigating your healthcare effectively.