Pharmacy Benefit Managers (PBMs) routinely deny reimbursement for compounded medications. They reject claims, set arbitrary exclusions, and lock out compounders from provider networks. That forces patients to pay out of pocket—or go without treatment entirely.
This is profit-driven gatekeeping, not healthcare.
Who’s Paying the Price
Families managing chronic conditions with compounded solutions
Patients priced out of commercial options
Providers forced to change care plans to fit insurance rules
Independent pharmacies competing with vertically integrated giants
