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Understanding the Evolving Business Models and Revenue of Pharmacy Benefit Managers (PDF)
PBM Accountability ProjectLink to more items from this source
Dec. 2, 2021

28 pages. "When considering future prescription drug policy options, it is vital to consider the implications of PBM incentive structures for patients and other stakeholders within the market: [1] PBMs benefit directly from prescription medicine list price growth, leading to misaligned incentives in the system.... [2] Excess complexity and information asymmetry in the market prevent payers and patients from properly evaluating PBM decisions or drug costs.... [3] Lack of meaningful PBM industry standards, limited transparency, and lack of regulatory oversight enable PBM revenue growth."

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