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Data & Resources

Protect Floridian Small Business Pharmacies, Healthcare Providers, & Their Patients

The Florida legislature has previously backed legislation that champions transparency, accountability, and free-market policies to preserve patient access, keep drug prices affordable, and hold PBMs accountable, but the out-of-state corporate insurance lobby has blocked the majority of their efforts.

It's time to take a stand against PBM abuse of our state's local pharmacies, healthcare providers, and patients!

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Executive Order 22-164 issued by Governor Ron DeSantis to drive down prescription medication costs for Floridians

2022 Executive Order requiring accountability and transparency for PBMs when doing business with the state of Florida

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Analysis of FL Medicaid Confirms Over $90Million in PBM Spread Pricing

An independent analysis of Florida Medicare commissioned by the Agency for Health Care Administration (ACHA) sheds light on PBM fee and pricing practices in Florida's Statewide Medicaid Managed Care System (SMMC). The analysis confirms that PBMs have taken over $90 Million per year in excess profits through the use of spread pricing.

Office of Insurance Regulation – Informational Memo on Early Prescription Refills

A memorandum to all health insurers, health maintenance organizations and other health entities authorized to do business in Florida related to early prescription refills pursuant to Executive Order 20-52.

Press Conference Announcing New Report that Exposes Predatory Practices by PBMs

State legislators, pharmacists, and physicians gathered to highlight the need for comprehensive PBM reform in Florida.

3Axis Advisors Report: Florida Medicaid

An independent study by 3 Axis Advisors uses 350+ million prescription drug claims from AHCA to show how the predatory practices by PBMs are hurting Florida's Medicaid program.

Floridians for PBM Reform Rally at the State Capitol

More than 100 advocates for PBM reform gathered at the Capitol to call on the Florida Legislature to reform our state's broken PBM system

USC Schaeffer Report: Overpaying for Prescription Drugs: The Copay Clawback Phenomenon

With over 200 million Americans commercially insured in 2013, the findings in this report suggest the practice of overpayments may account for a non-negligible share of overall drug spending and patient out-of-pocket costs.

The PBM Issue Panel Presentation

Presentation explaining the predatory practices of PBMs and their effects on patients and neighborhood pharmacies was presented to the Senate Committee on Health Policy and the Senate Committee on Banking and Insurance on November 5, 2019 by SPAR representatives Shane Abbott and Kevin Duane

Summaries & Handouts

PBM Costs to FL taxpayers

PBMs are Lining Their Pockets With Millions of Dollars at the Expense of Patients and Taxpayers

This cover sheet summarizes the highlights of a groundbreaking report on PBMs and their cost to Florida taxpayers.

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HB961 Summary Handout

Read the highlights of the bill sponsored by Rep. Jackie Toledo and co-sponsored by Rep. Randy Fine.

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We All Pay The Price Handout

Pharmacy Benefit Managers (PBMs) are middlemen who have strayed from their original purpose of negotiating savings for patients and now keep the profits for themselves, leaving the rest of Florida’s consumers to pay higher drug prices.

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PBM Myths vs Fact

Patient access and affordability are at risk. Learn the common myths that PBMs spread so you are prepared to push back with the truth

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Reducing Drug Costs Handout

In order to reduce prescription drug costs, we need to pay attention to the middleman. Patient out-of-pocket costs are rising and PBMs are to blame

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