Meador Mark
Ann Health Law. 2011 Winter;20(1):77-112, 7 p preceding 1.
Pharmacy benefit management (PBM) companies are the middlemen of the pharmaceutical industry, designing plans for sponsors and insurers and pushing the products of manufacturers. Their unique position can often create conflicts of interest, which has been the basis of much litigation. This article reviews the structure of the PBM industry and analyzes concerns arising from its handling of prescription drug pricing, manufacturer rebates and discounts, and mail order pharmacies. After surveying several legislative proposals, it concludes with a comprehensive outline for legislation to eliminate underhanded dealing in the industry and lower the cost of prescription drugs.
药品福利管理（PBM）公司是制药行业的中间人，为赞助商和保险公司设计方案，并推销制造商的产品。它们独特的地位常常会引发利益冲突，这也是诸多诉讼的根源。本文回顾了PBM行业的结构，并分析了该行业在处方药定价、制造商回扣和折扣以及邮购药店处理方面引发的问题。在调研了多项立法提案后，文章最后给出了一份全面的立法纲要，以消除该行业的不正当行为并降低处方药成本。
