One of the pharmacists sharing her experiences was Chichi Momah, the CEO and founder of Springfield Pharmacy in Delaware County. Pharmacy owners and trade groups lay the blame largely on pharmaceutical industry middlemen known as pharmacy benefit managers, or PBMs. “Act 77 is limited in scope,” said Victoria Elliott, CEO of the Pennsylvania Pharmacists Association, a trade group representing independent and small chain pharmacies across the state. “[The Pennsylvania Pharmacists Association] had the opportunity to review the draft agreement language,” Arkoosh said. “DHS received comments and several changes were incorporated into the agreement based on those.”Lawmakers also asked panelists about the possibility of moving Pennsylvania’s Medicaid plans to what’s called a “single PBM” system.