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Prescription Drug Supply Chains: An Overview of Stakeholders and Relationships
RAND Corporation Link to more items from this source
Oct. 27, 2021

49 pages. "Financial incentives drive the structure of prescription drug supply chains and the behavior of stakeholders. Approximately 80 percent of spending but only 10 percent of prescriptions are for brand-name drugs.... Three distributors ... account for nearly all the U.S. market. Customers include large pharmacy chains, independent pharmacies, physician offices, and hospital systems.... PBMs assemble networks of pharmacies that agree to the PBM's payment terms in exchange for an increase in prescription volume from PBM patients. The three largest PBMs ... cover three-fourths of U.S. prescription claims."

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