11/19/2025
The Texas Pharmacy Association is putting the spotlight on how Express Scripts, Inc., the nation’s largest pharmacy benefit manager (PBM), is forcing many Texas pharmacies into mid-contract modifications—a move that could drive more closures and limit more patients to mail-order transactions for their medicines.
“To expect a pharmacy to earn medication reimbursement rates that are less than what they pay for the prescriptions is a brazen attempt to drive a community pharmacy — essentially a competitor to the PBM’s own pharmacies — out of business,” said TPA CEO RoxAnn Dominguez. “It’s unfair, it’s wrong, and it violates the spirit and in some cases the letter of Senate Bill 1236. This move could drive more pharmacies to close and could force some patients into PBM-controlled mail-order-only transactions for their medicines.”
https://www.texaspharmacy.org/news/714844/Last-Minute-Move-by-Large-PBM-Could-Force-More-Pharmacy-Closures-Drive-Patients-to-Mail-Order-Only.htm