PBM Misalignment Initiative: Final Report

The National Alliance PBM Misalignment Initiative investigates and addresses misalignment between employers and their pharmacy benefit management (PBM) service providers. 

Building on the 2023 PBM Playbook and other related resources, this final report outlines the initiative’s scope, key takeaways, and deliverables. It also provides an overview of the current PBM landscape, examines factors driving misalignment, and identifies actionable steps employers can take to improve PBM practices and prices.