What happens when an industry can direct entire populations? They will eventually flex their muscle and their monopoly position. An excellent example of the unchecked-power the PBM industry has over the pharmacy industry occurred in Wisconsin recently, with a PBM sending out letters to members misleading them into switching pharmacies. One of the choices, of course, was their own mail order pharmacy.
The mailing was reportedly an error, but the impact was and is very real. The misleading letter negatively is hurting many independent pharmacies in Wisconsin.. For more, follow this link.