Skip to content

Illinois PBMs are Working to Reduce Prescription Drug Costs for Millions of Illinoisans

In 2019, PBMs helped to provide Illinoisans access to more than 148 million prescriptions. PBMs are the only members of the prescription drug supply chain that are working to lower drug costs. Over 10 years, PBMs will save Illinois health plan sponsors, public programs, and patients nearly $40 billion on prescription drug costs.
Illinois Map

PBMs save Illinoisans: $21.1 Billion on commercial/private insurance, $16.0 Billion on Medicare Part D, $2.1 Billion on MEDICAID. It is a total of $39.3 Billion.
Source: The Return on Investment (ROI) on PBM Services

Share This

PBMs save patients and payers 40-50% on prescription drug and related medical costs, compared to what they would spend without PBMs.
Source: The Return on Investment (ROI) on PBM Services

Share This

PBMs save patients an average of $962 per person, per year.
Source: The Return on Investment (ROI) on PBM Services

Share This

During COVID-19

PBMs are working to help over 12 million Illinoisans safely access affordable prescription medications.

In the COVID-19 pandemic, PBMs are working with health plans, prescribers, drug manufacturers, pharmacists, and federal and state agencies to make sure patients in Illinois continue to receive their prescription drugs in a safe, efficient and affordable manner.

To mitigate the adverse effects that COVID-19 has on patients and communities across the state PBMs are:

  • Working with pharmacy partners to assist with mailing prescriptions; and
  • Temporarily waiving requirements for pharmacies to obtain proof-of-receipt signatures from patients, unless required by law

PBMs are also leading collaborative efforts with industry stakeholders, including pharmaceutical manufacturers, pharmacies, hospitals and health plans, to minimize the potential for a shortage of any drug for Illinoisans. If patients encounter a disruption for a specific medication, PBMs stand ready to work with both prescribers and health plans to identify covered and acceptable therapeutic substitutes.



Stay up to date on your healthcare savings.

Get updates and more information on how PBMs are lowering your prescription drug costs and coordinating your healthcare by subscribing below.


Follow PCMA on social media for news and updates.

Follow us on social media for updates and information about prescription drug pricing.

Read more about how PBMs are #OnYourRxSideIL

PBMs serve a critical role in the health care system: advocating for our patients and payers.

PBMs Are Helping People With Diabetes Stay Informed About Their Health Care

National Diabetes Month is an annual reminder of the importance of tailoring care management to every person’s…

Read More

PBMs Are Keeping Costs Down for People Living With Diabetes

As we reflect upon National Diabetes Month, we all know how threatening diabetes can be for millions…

Read More

PBMs Help Patients Stick to Their Budgets

As a result of the COVID-19 pandemic, over 266 million patients across the country are tightening budgets…

Read More

Better Access. Better Cost. Better Health.

PBMs are advocates for Illinoisans in the health care system, working to lower out-of-control prescription drug prices for patients, and acting as your care coordinators to keep you safe and healthy.
Scroll To Top