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The PBM Hitman

Organized Money

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Disrupting Drug Pricing: The Role of PBMs

This chapter examines the tensions between pharmacy benefit managers (PBMs) and pharmaceutical pricing, spotlighting an entrepreneur's transparent pricing strategy aimed at disrupting traditional models. It critiques the existing Medicaid drug rebate policies and the complexities they introduce, leading to inflated drug prices, while emphasizing the need for greater accountability in the healthcare system. Additionally, the discussion raises skepticism about the potential for meaningful reform in pharmaceutical pricing, urging for separation between PBMs and pharmacies to enhance market transparency.

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