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PBMs: Their Role, the Problems, and How Practices Can Work With Them
Ray Bailey, RPh, and Ricky Newton, CPA
Medical World News®, October 2017
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PBMs: Their Role, the Problems, and How Practices Can Work With Them

Ray Bailey, RPh, and Ricky Newton, CPA
COPA has also developed a system to document incidents of PBM abuses by collecting data on PBM and specialty pharmacy-related incidents to identify trends, patient care issues, and pricing issues and to provide tools that can ensure maximum patient benefit. These data are also available to support proposed regulatory or legislative action. COPA also maintains a chronology of actual patient stories of PBM abuses. Go to to review the complete listing in Real Life Impact of Pharmacy Bene t Managers: April 2017, May 2017, September 2017.

Next Steps

Community oncologists expect their pharmacists to make sure patients have their prescribed drugs— whether from the practice or a PBM—and are fully educated and compliant and properly monitored and managed. PBMs can be both part of the problem and the solution to meeting those expectations. When they are part of the problem, community oncology pharmacists and pharmacy technicians are not alone and have tools to help them help patients. 

Ray Bailey, RPh, is pharmacy director for Florida Cancer Specialists
and Research Institute’s clinical sites and a member of the Board of the Community Oncology Pharmacy Association.
Ricky Newton, CPA, is treasurer and director of nancial services and operations for the Community Oncology Alliance and an advisor to the Community Oncology Pharmacy Association. 

Ricky Newton, CPA
Director of Financial Services and Operations
Community Oncology Alliance
1634 I Street NW, Suite 1200 Washington, DC 20006 


1. Shell W. The history of physician dispensing website. Complete Claims Processing Inc website. Accessed August 23, 2017. 
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