PhRMA has long advocated for sharing the $166 billion in rebates and discounts given by biopharmaceutical companies to the government, insurers, and pharmacy benefit managers (PBMs) with patients at the pharmacy counter. This is why OptumRx’s decision to require all new employer plans, beginning in 2020, to provide discounts directly to patients at the pharmacy is a step in the right direction. Sharing negotiated rebates with patients is an important step to improving medicine affordability and ensuring patients can access the medicines they need.