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Transparency, Regulation Needed to Rein in Pharmacy Benefit
American Medical Association [AMA] [Opinion] June 12, 2019
"With pharmacy benefit managers playing an increasingly pivotal role not only in drug pricing but also in administering patient drug benefits, the American Medical Association (AMA) [[on June 10] called for oversight and transparency for the lightly regulated industry. The new policy ... responds to pharmacy benefit managers (PBMs) -- middlemen -- operating in a 'black box' with limited transparency to show what goes on behind closed doors.... [T]he AMA is concerned that the rebate process results in list prices above what they would be absent rebates, as neither PBMs nor manufacturers have an incentive to lower list prices."
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