When The PBM Explains Why Your $12 Generic Costs $498 After Rebates

By Joshua R.

Every independent pharmacist knows this story. PBMs spin words like “rebates” and “discounts” to make you think they’re saving money — when in reality, they’re the ones sailing off with the cash.

💊 Pharmacies lose margin.
💰 Patients overpay.
🏦 PBMs profit off the spread.

It’s Wolf of Wall Street energy — minus the yachts and champagne.

Let’s call it what it is: PBM logic in action.