Resources
Learn more about the Pharmacists Fight Back legislation with our PBM reform resources
Educate
01
Watch highlights from the Pharmacists Fight Back Act press conference held December 11, 2025, featuring pharmacist testimony and bipartisan congressional support for PBM reform legislation. This video captures firsthand accounts of how pharmacy benefit manager abuses are forcing independent pharmacies to close and driving up drug costs for patients in Medicare and federal health programs. Shared widely by PBM reform advocates, the press conference marks a critical moment in the 119th Congress push for comprehensive pharmacy benefit manager accountability.
02
This concise one-pager outlines five compelling reasons to support the Pharmacists Fight Back Act, making the case for why comprehensive PBM reform legislation is essential for patients, independent pharmacies, and taxpayers. It covers key issues including PBM spread pricing in Medicare, patient steering to PBM-owned pharmacies, and the urgent need to lower prescription drug costs through rebate pass-through requirements. An ideal resource for sharing with legislators, community members, or anyone researching pharmacy benefit manager reform.
03
This explainer breaks down the two bills comprising the Pharmacists Fight Back Act: H.R. 6609, which reforms PBM practices in Medicare Part D and Medicaid managed care, and H.R. 6610, which addresses PBM abuses in the Federal Employees Health Benefits Program. Understanding the distinction between these two pieces of PBM reform legislation is essential for advocates, healthcare professionals, and policymakers tracking the 119th Congress. Together, the bills represent the most comprehensive federal effort to end pharmacy benefit manager spread pricing, patient steering, and opaque rebate practices.
04
Explore a decade of US pharmacy closures by state using this interactive map from the University of Pittsburgh School of Pharmacy, developed by researcher Lucas Berenbrok. The map visualizes how pharmacy deserts have expanded since 2010, with independent pharmacies bearing the greatest closure risk — leaving nearly 45 million Americans without convenient access to a local pharmacy. This data resource is essential for understanding the real-world consequences of PBM reimbursement abuses and the urgent need for pharmacy desert legislation.
05
This analysis examines how the National Average Drug Acquisition Cost (NADAC) reimbursement model would create fairer, more transparent pharmacy reimbursement and eliminate the massive drug cost markups enabled by PBM-owned mail-order and specialty pharmacies. The Pharmacists Fight Back Act proposes centralizing pharmacy reimbursement using NADAC plus state Medicaid dispensing fees, directly addressing the well-documented PBM spread pricing abuses in Medicare Part D and Medicaid managed care. This one-pager is an authoritative resource for policymakers, healthcare economists, and advocates researching PBM spread pricing reform.
Inform
photo credit: Ben Samkavitz for Pharmacists United for Truth & Transparency
01
Access the full text of H.R. 6609, the Pharmacists Fight Back Act targeting PBM reform in Medicare Part D and Medicaid managed care, introduced in the 119th Congress by Representatives Jake Auchincloss (D-MA) and Diana Harshbarger (R-TN). This bipartisan PBM reform legislation addresses spread pricing, patient steering to PBM-owned pharmacies, and the denial of drug manufacturer rebates to Medicare Part D beneficiaries. H.R. 6609 represents a direct legislative response to documented PBM abuses that have cost seniors and taxpayers billions of dollars annually.
02
Review the full legislative text of H.R. 6610, the Pharmacists Fight Back Oversight Act, which applies comprehensive PBM reform to the Federal Employees Health Benefits Program — the largest employer-sponsored health insurance program in the United States. This companion bill to H.R. 6609 closes a significant gap in federal PBM oversight by requiring transparency, fair pharmacy reimbursement, and rebate pass-through for the more than 8 million federal employees and retirees covered under FEHB. Tracking H.R. 6610 is essential for federal employee unions, healthcare policy researchers, and anyone following PBM reform legislation in the 119th Congress.
03
Watch the full livestream of the Pharmacists Fight Back Act press conference from December 11, 2025, featuring bipartisan congressional sponsors and pharmacist advocates making the case for urgent PBM reform legislation in the 119th Congress. The event included firsthand pharmacist testimony about the devastating impact of PBM spread pricing and patient steering on independent pharmacy survival across the United States. This broadcast serves as a primary source for journalists, researchers, and advocates documenting the growing momentum behind pharmacy benefit manager accountability legislation.
04
This concise explainer summarizes the key provisions of H.R. 6610, the Pharmacists Fight Back Oversight Act, detailing how it would reform pharmacy benefit manager practices specifically within the Federal Employees Health Benefits Program. It covers the bill's requirements for PBM transparency, fair NADAC-based pharmacy reimbursement, and civil penalty enforcement mechanisms designed to prevent PBMs from circumventing the law. An essential reference for federal employees, union representatives, HR professionals, and policymakers seeking a plain-language overview of FEHB PBM reform legislation.