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Single PBM and 340B changes draw scrutiny as Ohio tracks lost drug rebates and pharmacy access
Summary
Department witnesses said a single pharmacy benefit manager has increased transparency and produced drug and administrative savings, while the department is proposing changes to 340B contract‑pharmacy claims to recoup rebates it says have been lost.
The Ohio Department of Medicaid told the committee that the state's single pharmacy benefit manager (PBM) and the Ohio Medicaid Enterprise System (OMES) have substantially improved visibility into prescription drug use and costs.
“Today, more than 99% of all pharmacies in the state are Medicaid providers,” Director Maureen Corcoran said during testimony. She told members the single PBM helped identify previously unseen rebate losses tied to 340B contract pharmacy claims and allowed the department to book significant savings and administrative reductions.
The nut graf: Medicaid officials said visibility from a single PBM allowed them to identify growth in 340B claims and to estimate that the state had…
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