Fighting for the Heart of the Community: Gibson Pharmacy’s Struggle Against PBMs
Lisa Kocian stands behind the counter of Gibson Pharmacy and smiles as she hands a prescription to a familiar customer. She knows their names and stories—small victories, quiet struggles, shared hope. Gibson Pharmacy isn’t just a business; it’s a place where neighbors find help and compassion.
But behind Lisa’s smile, pressure builds each day.
Independent pharmacies like Gibson are disappearing. In 2023, an average of one independent pharmacy closed every day across the country. The trend in 2024 looks no better. Gibson Pharmacy is caught in a system designed to push it out.
The pressure comes from an invisible force: Pharmacy Benefit Managers, or PBMs. You know them as the companies that handle your prescription insurance. Few people know about them, but their influence is everywhere, dictating access to medicine and costs. PBMs, like CVS Caremark and Express Scripts, decide which pharmacies are in an insurance network and set reimbursements, often below cost.
The contracts are non-negotiable, leaving pharmacies like Gibson struggling. Across the country, independents are crushed by low reimbursements and unexpected payment reductions, losing out to PBMs that are also their competition.
This isn’t just about a business—it’s about people.
As PBMs grow stronger, voices like Lisa’s are being drowned out. She is fighting to keep the lights on and maintain the heart of what local pharmacies stand for: access, compassion, understanding.
Lisa isn’t giving up. Not yet. There are lawsuits challenging PBMs and regulations aiming to curb abuses. It’s a small light, but one she’s willing to follow.
"PBMs are hurting patients, pharmacies, and entire communities," she said. "People are having a hard time getting their medications, and small independent pharmacies are closing fast. Rural areas already don't have enough pharmacies, and even bigger places are seeing fewer options."
It’s time to act. Tell Congress to regulate PBMs so communities can access quality pharmacy care. This fight is about more than business—it’s about the heart of our communities.