Evidence map›Paper›PMID 41562028›Full record

ReviewAntimicrobial stewardship & healthcare epidemiology : ASHE2026

What should infectious diseases clinicians know about pharmacy benefit managers and their impact on our patients?

Karan Raja, Antoinette Acbo, Humberto R Jimenez, David Silverman, Austin Golia, Alyssa Joy Ford, Priya Nori

Abstract readReview
In one paragraph

Review in Antimicrobial stewardship & healthcare epidemiology : ASHE, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Karan RajaClara Maass Medical Center, Belleville, NJ, USA.ORCID https://orcid.org/0000-0003-0173-3313
Antoinette AcboRutgers, The State University of New Jersey, New Brunswick, NJ, USA.
Humberto R JimenezRutgers, The State University of New Jersey, New Brunswick, NJ, USA.
David SilvermanPrime Healthcare, Ontario, CA, USA.
Austin GoliaNew York-Presbyterian - Weill Cornell Medical Center, New York, NY, USA.
Alyssa Joy FordRWJBarnabas Health, Barnabas Health Medical Group, Eatontown, NJ, USA.ORCID https://orcid.org/0009-0000-1495-1964
Priya NoriMontefiore Health System, Albert Einstein College of Medicine, Bronx, NY, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Pharmacy Benefit Managers (PBMs) are contracted by health plans, employers, and government programs to manage pharmacy and prescription drug benefits. They maintain drug formularies, process and pay pharmacy claims, establish and manage pharmacy networks, and negotiate prices with manufacturers and pharmacies. Despite PBMs' role in cost management, their lack of transparency and complex administrative processes can delay treatment and increase out-of-pocket costs, affecting vulnerable populations like those in pharmacy deserts. These factors influence healthcare delivery for persons living with human immunodeficiency virus, Hepatitis C Virus, and other conditions. Herein, we describe PBM practices and their impacts on infectious diseases patients and highlight mitigation strategies to facilitate timely and equitable medication access.

Identifiers

PMID41562028
PMCPMC12813721

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.