We hear you! Your pharmacy workplace is stressed and stretched. You have rapidly growing concerns for patient safety. Still, you are there—every day—to care for your patients despite conditions that seem to be working against you.

As we reach the midpoint of American Pharmacists Month, we must continuously honor the pharmacists who do heroic work every day in the face of incredible pressures. Pharmacy workforce shortages exist in almost every area of the country. Corporations can seem insufficiently responsive to the stresses of pharmacy practice. Patients may aggressively challenge the professional judgment of pharmacists and other pharmacy personnel. A toxic mixture of vaccine misinformation and disinformation fuels distrust. Keeping up-to-date with the rapidly evolving vaccine guidance from government authorities can be difficult. We recognize these problems and are thankful for your invaluable work.

Earlier this month, HHS was working on an aggressive deadline. President Joe Biden had given them 45 days to develop a comprehensive plan to lower drug prices, and the clock was ticking. HHS asked stakeholders across the spectrum to provide input during a special roundtable discussion. Guess who they called from pharmacy?

It should be abundantly clear that APhA has several bones to pick with big pharmacy benefit managers (PBMs). These PBMs, operating under the guise of altruism, paint themselves as saints who work to lower prescription drug prices for the masses. Instead, they actively game the system by knocking out pharmacy competitors, reducing patient access to medicines and pharmacist services, and ripping off patients, employers, and taxpayers.