Dispense Times

PBM Action Tool

Build a PBM action packet, estimate below-cost claim review priority, identify cautious contact paths, and copy professional PBM complaint scripts.

Action Center

PBM Action Tool

Use this tool to organize your issue, gather documentation, and generate professional message scripts for PBM complaints, reimbursement pressure, pharmacy access concerns, forced mail order, steering, or plan/PBM disputes.

Start Here

Built for independent pharmacy owners, pharmacy teams, patients, and community members who need a clearer way to document PBM-related access and reimbursement issues.

What are you trying to do today?

  1. Enter your information
  2. Generate your message
  3. Copy the message
  4. Open the official resource and submit it there

Government and insurance department forms vary by state and office. This tool prepares your message and opens the official resource, but you must submit it directly through the official website.

Build Your PBM Complaint Packet

Use this tool to organize your issue, gather documentation, and generate professional message scripts. This MVP runs in your browser. Dispense Times does not store your packet details from this tool.

Your Info

This MVP runs in your browser. Dispense Times does not store your information or packet details from this tool.

Issue Details

Do not include protected health information or identifying patient details.
Documentation available

Government and insurance department forms vary by state and office. This tool prepares your message and opens the official resource, but you must submit it directly through the official website.

Visible Disclaimer

This tool is for informational and advocacy purposes only. It is not legal advice, medical advice, financial advice, or a guarantee that any agency, PBM, plan, or elected official will take action. Complaint processes, appeal rights, deadlines, and PBM laws vary by state, plan type, contract, and payer. Verify requirements with your records, contract, PSAO, attorney, state agency, or plan contact.

Underwater Claim Snapshot

Estimate whether a claim deserves review before deciding whether to appeal or escalate. This is an estimate for internal review only. Verify all figures against your records, contract, PSAO, attorney, or applicable agency process.

Snapshot Output

Estimated margin/loss$0.00
Appeal priorityReview
Claim referenceNot entered

    This is an estimate for internal review only. Verify all figures against your records, contract, PSAO, attorney, or applicable agency process. Do not assume all below-cost claims are unlawful or recoverable.

    Who Should I Contact First?

    Use this decision tree to build a cautious contact path. The output uses “consider contacting” language because plan type, contract terms, deadlines, and state processes vary.

    Suggested Contact Path

      Script Library

      Editable copy/paste scripts using your packet fields. Keep messages professional, factual, nonpartisan, and non-threatening.

      Script can be edited before copying.

      Ask Patients to Help Explain the Access Problem

      Use this patient-safe kit when pharmacy access is affected. Patients and caregivers should avoid sharing protected health information publicly.

      Patient/Caregiver Message

      Patient message ready.

      Why My Local Pharmacy Matters

      Local pharmacy message ready.
      PUTT logo for Pharmacists United for Truth & Transparency

      Advocacy resource

      Support PBM Transparency Advocacy

      Dispense Times encourages readers to learn from and support organizations working on PBM transparency and pharmacy access. PUTT provides advocacy resources, PBM education, patient information, and ways to get involved.

      Disclaimer: This tool is for informational and advocacy purposes only. It is not legal advice, medical advice, financial advice, or a guarantee that any agency, PBM, plan, or elected official will take action. Complaint processes, appeal rights, deadlines, and PBM laws vary by state, plan type, contract, and payer. Verify requirements with your records, contract, PSAO, attorney, state agency, or plan contact.

      Do not include protected health information in public messages. When patient-specific information is required by an official complaint process, follow that process and obtain appropriate permission.

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