01/14/2026
What’s really driving up prescription costs?
Pharmacy Benefit Managers (PBMs) are middlemen that decide which pharmacies get paid — and how much — for the prescriptions you fill. That can mean big PBM-owned chains get better profits while independent pharmacies struggle to stay open. Patients can end up with higher costs, fewer local choices, and less personalized care because of these behind-the-scenes decisions. 
📣 Support fair pharmacy practices so local, trusted pharmacies can keep serving our community!
Pharmacy benefit managers are shaping pharmaceutical care in Missouri.