State Association PBM Appeals Road Map
Support Your Pharmacies. Strengthen Your Advocacy. Deliver Real Results.
At Pharmacy Marketplace, we support Community Pharmacy everywhere and at every level. The objective of this section of our website is to equip state pharmacy associations with a clear, repeatable PBM Appeals solution for their member pharmacies.
Turn PBM Challenges into Measurable Wins
Pharmacy Marketplace simplifies and streamlines the PBM appeals process so your members can act quickly on underpaid claims without adding administrative burden. Pharmacies can easily identify opportunities, submit appeals, and track outcomes, all in one place. The result is faster resolution, improved cash flow, and more time for pharmacists to focus on patient care.
Deliver Immediate Value to Your Members
Associations are always looking for ways to provide tangible benefits. PBM Appeals offers a clear, measurable return:
- Increased revenue through successful appeals
- Reduced staff time spent on manual processes
- Greater visibility into payer behavior and trends
This isn’t theoretical value. It’s dollars recovered and operational relief your members can see.
Strengthen Your Advocacy with Real Data
Beyond individual pharmacy impact, Pharmacy Marketplace provides aggregated, de-identified insights that help associations better understand what’s happening across their state. Appeal success rates, reimbursement trends, and payer behavior can all inform legislative priorities and payer discussions, giving your organization stronger footing in every conversation.
Built for Collaboration with State Associations
We work alongside associations to ensure our platform reflects the realities of your state’s PBM laws and regulations. From aligning with appeal timelines to adapting to new legislation, Pharmacy Marketplace is designed to support your members accurately and effectively.
A Proven Path to Adoption
We make it easy to introduce PBM Appeals to your members through:
- Pilot programs with select pharmacies
- Co-branded educational webinars and CE opportunities
- Ready-to-use marketing and communication materials
- Ongoing reporting and quarterly partnership updates
This structured approach builds trust, demonstrates value, and drives meaningful adoption across your state.
We developed a state association playbook, designed with you in mind. Get our step-by-step guide that makes it simple to ensure your members are fast-tracked with our PBM Appeals Tool.
See It In Action
The best way to understand the impact of PBM Appeals is to see it firsthand. Schedule a personalized demo to walk through how the platform works, explore real examples of recovered revenue, and discuss how we can partner with your association.
PBM Appeals Background Video
Watch our short video detailing how Pharmacy Marketplace developed our PBM Appeals Tool with our Lead Trainer, Kayla Copeland, CPhT, to help pharmacies stop losing money on underwater claims.
Additional PBM Resources
Keep the learning going with our PBM Appeal Resources. We've designed videos, downloads, and blogs to help demonstrate the value Pharmacy Marketplace is bringing to Community Pharmacies through our PBM Appeals Tool.
Our latest PBM Appeals Update is now available as a free digital download, offering a clear look at how pharmacies are improving appeal outcomes and recovering lost revenue. This resource highlights key trends, success rates, and practical strategies to streamline the appeals process and reduce administrative burden. Whether you’re just getting started or looking to optimize your current approach, this update provides actionable insights to help your pharmacy navigate PBM challenges more effectively.
Hear what Community Pharmacies are saying about our PBM Appeals Tool. Watch our Pharmacy Spotlight videos:
Pharmacy Marketplace’s blog on Tennessee’s FairRx Act breaks down how this landmark legislation is reshaping the pharmacy landscape by increasing transparency and accountability in PBM practices. The article explains what the law means for reimbursement, contract fairness, and patient access, while highlighting why it matters not just for Tennessee pharmacies, but for operators nationwide. As states continue to evaluate similar reforms, the blog offers important context on how policy changes like the FairRx Act can support the long-term sustainability of community pharmacy. Read the full blog.