It’s no secret that medication prices are a huge expense in a company’s overall healthcare plan offering. But what may be a secret is that one of the major reasons for these escalating costs are Pharmacy Benefit Managers (PBMs). PBMs are companies that are employed as intermediaries between health plans, manufacturers, and pharmacies. Often with little to no medical training, PBMs determine what drugs are available within a given plan and which patients have access. In return they receive reimbursement, administrative fees, and rebates for their services from the parties involved. These added costs are often absorbed by the end-using patients, driving up the price of medications.