 Ever wonder why getting the medicines you need can be so hard? Or why you can't always go to the trusted pharmacy of your choice? There's a good chance the answer is PBMs, or Pharmaceutical Benefit Manipulators. These middlemen claim they work behind the scenes to negotiate lower prices with drug makers. And they try to convince lawmakers that they're saving money for patients and taxpayers. Sounds great, right? The problem is, PBMs dictate what medicines you can get from what pharmacy.