You're Being Misled About Ozempic.

PBM transparency problems are a huge issue that most people are unaware of. Pharmacy benefit managers (PBMs) are like a toll bridge between you and the price you pay for medication. Find out how PBMs affect drug costs and influence the drugs covered by your insurance, all for their own financial gain.

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0:00 Introduction: Do PBMs raise drug costs?

0:45 Hidden PBM fees explained

1:39 Spread pricing explained

3:49 How PBMs affect insurance premiums

4:30 Raising awareness about hidden PBM fees

Why do drugs like Ozempic cost $1500 in the U.S., but only $147 in Canada? Most people don’t know about the invisible middleman making more than 10 of the top drug companies combined.

Healthcare may seem like a broken system, but it’s actually not broken at all. It works great; it’s just not working for you. Pharmacy benefit managers use their contracts to make massive profits off of everyone.

PBMs may appear to be helpful. They negotiate lower prices for manufacturing companies, reduce out-of-pocket expenses, and handle logistics between employers and insurance companies.

Pharmacy benefit managers charge the employer a very high price and pay the pharmacies a very low price, pocketing the difference. This is known as spread pricing. PBMs decide which drugs your plan covers, how much you’ll pay out of pocket, which pharmacy you can use, and when or if you’ll get your medication.

Cheaper and better drugs are often denied if PBMs don’t get a big enough rebate. They can even force you to fill your prescriptions at specific PBM pharmacies for more profit.