3min chapter

Raising Health cover image

The Consolidated Drug Channel and Cash-Pay Drugs

Raising Health

CHAPTER

PBMs Are Uniquely Able to Monetize That Spread in the Pharmaceutical Industry

As recently as 40 years ago, 50 years ago, the majority of prescriptions were paid for by consumers out of their pocket. PBMs have emerged to take advantage of this opportunity and manage these dollars. With very few exceptions, the cash price a provider sets is never lower than the price the insurance company will pay.

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