PBGH Celebrates Department of Labor’s Final Rule on PBM Compensation Disclosure

October 29, 2026 – The Purchaser Business Group on Health (PBGH), a nonprofit coalition of over 40 of the nation’s largest and most innovative employers and public purchasers of healthcare, applauds the finalization of the PBM Compensation Disclosure Rule by the Department of Labor (DOL). This rule will give employers significantly more transparency into their PBM relationships and provide the tools they need to evaluate their PBM partners and hold them accountable. PBGH’s comments in support of the rule earlier this year can be read here.

“PBGH welcomes DOL’s clarification that employers are entitled to meaningful disclosure and transparency into their PBM service provider relationships,” said Elizabeth Mitchell, PBGH president and CEO. “Employers need clear, actionable information to evaluate and compare PBM partners and identify arrangements that are best aligned with the needs of their employees. This rule is a significant step toward a more transparent and competitive pharmacy benefits market, and we look forward to capitalizing on this progress.”

“Moments like this are the result of years of persistent advocacy,” Mitchell continued. “Today’s rule follows the Transparency in Coverage updates finalized earlier this month as well as the historic, bipartisan PBM reforms passed by Congress early this year. These policies are directly aimed at reforming our system to make healthcare affordability achievable. Collectively, these reforms deliver employers an unprecedented view into their healthcare spending as well as the means to hold their partners accountable.”

PBGH has been a forceful advocate for greater transparency into healthcare service provider relationships for over a decade, predating the transparency and disclosure requirements passed in the Consolidated Appropriations Act of 2021 (CAA 2021). Over the past several years, PBGH has worked with Congress and regulators to expose how opaque PBM arrangements drive up costs, brought our members’ experience directly to policymakers, and pushed for meaningful transparency including the PBM disclosure requirements DOL finalized today.

Purchasers support policies that increase transparency, promote fair competition, and deliver the tools they need to be more effective purchasers and decrease healthcare costs. PBGH’s 2026 Annual Member Survey revealed that over a quarter (27%) of PBGH members are already using a “non-traditional” PBM and another quarter (23%) are conducting a pharmacy RFP. The final rule builds on that momentum by giving purchasers additional information they can use to assess PBM arrangements and pursue models that better align with their needs.