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Pharmacy Benefit Managers (“PBMs”) serve a central function in the U.S. healthcare system. They supply a variety of services that help plan sponsors to administer prescription drug coverage for their beneficiaries. However, when plan sponsors contract with a PBM, they should be aware that they are entering a market that, as law professor Robin Feldman once wrote, is dominated by “distortions—deviations in the pathway so that a clever participant can amble over and pluck a tasty morsel from a neighboring field.” (Feldman 2022) That field is the plan’s bottom line expenses. And the “amble” occurs during the negotiation and implementation of the PBM contract. Download this white paper and learn about:
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