Comment on CMS-2026-2212-0001

Summary: The Food Industry Association (FMI) supports CMS's implementation of Section 6224 to restrict PBM compensation and advocates for broad definitions of "PBM" and "affiliate" to capture entities that shift costs onto community and supermarket pharmacies. They urge CMS to require independent, third-party determination of fair market value and to ensure that reimbursement terms are sustainable enough to keep pharmacies operational.