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PBMs: Friends or Foes?

Healthcare Unfiltered

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The Disadvantages of PBMs

One of the concerns that I hear a lot is that the decision of what to cover and what not to cover is not as pure as we assume. If me and you are two different companies competing for a PBM formulary, they will just go with the one that will get them the best rebate,. regardless of clinical efficacy or the information. "I want to make sure that you're making these decisions, not just based on the dollar signs only," he says.

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