Too Big to Care: How PBMs Are Undermining HIV Care

We have spent our lives fighting for people living with HIV because we are among them. We have sat in waiting rooms doing the math on whether to pay for prescriptions or the train fare home, and we have watched community clinics struggle to stretch every dollar. Programs like the state AIDS Drug Assistance Programs, or ADAPs, and the 340B Drug Pricing Program were designed to be lifelines to low-income patients who otherwise couldn’t afford their health care. Too often, patients are weakened not by accident but by the incentives of a system that puts profit over patients.