The PBM Power Play: Pharmacy Benefit Managers, Rising Prescription Drug Costs, and What South Carolina Can Do About It

The role of Pharmacy Benefit Managers, more commonly known as “PBMs,” has been a frequent topic of conversation in the South Carolina State House in recent months, with a new Pharmacy Benefit Managers Ad Hoc Committee established in February 2025. The Palmetto State PBM conversation mirrors national attention on the matter by Republicans and Democrats alike. But the topic brings with it lots of confusion.

Our new report takes a deep dive into this complex issue, for readers and policy wonks alike to learn more about the state of PBM reform in South Carolina and across the nation. What exactly are pharmacy benefit managers? What is the controversy about these drug supply chain middlemen? What role do the states and the federal government play in protecting consumers from inflated drug prices? And what changes are underway and can be amplified here and in other states? 

Download the full report or read it below to learn more.