Because you spoke up, stayed engaged, and encouraged others to do the same, Congress has passed, and President Trump has signed legislation that represents the most consequential federal action ever taken to address pharmacy benefit manager (PBM) middleman practices — an outcome made possible by sustained engagement and an extraordinary grassroots effort from RxIMPACT advocates nationwide.

You didn’t just take action once. You shared the links, brought colleagues, pharmacy teams, and partners into the effort, and ensured lawmakers heard — clearly and repeatedly — about the real harm PBM practices have caused to patients, pharmacies, employers, and communities.

That collective effort mattered. And it made a difference.

At the same time, we must be clear: this is a foundation, not a finish line.

As these reforms move from passage to implementation, the PBM industry is already pushing back — declaring the entire issue of PBM reform “settled,” urging policymakers to move on, and attempting to shift attention elsewhere, all while downplaying the real-world consequences of their practices. It’s a familiar playbook, and one we must be prepared for.

That’s why your continued engagement is so important.

One meaningful next step is to thank your Members of Congress for delivering these long-overdue reforms — while also reinforcing the importance of strong oversight, effective implementation, and additional legislation to fully address harmful PBM practices.

A sincere thank-you reinforces that lawmakers did the right thing and shows they have the strong support of their constituents.

A forward-looking message makes clear that patients and pharmacies are counting on Congress to remain engaged as these reforms take effect — and to keep building on this progress.

Please take a moment to send a thank-you message today and help set the tone for what comes next.

From everyone at NACDS, thank you for standing up, speaking out, and helping change the trajectory for patients and pharmacies across the country. This victory belongs to you — and together, we will keep building on it.