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What’s wrong with the way PBMs currently operate? |
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Several aspects of the current PBM system need fixing:
1) PBMs are allowed to steer business to their own mail-order divisions, preventing local pharmacies from filling certain prescriptions
2) PBMs are not regulated by either the federal government or by the state of Michigan. In fact, only four states – Georgia, Hawaii, Maine and Missouri – have any sort of PBM regulation
3) PBM financial disclosure practices do not reveal the true amount of rebates and discounts that PBMs receive from drug manufacturers. One consequence is that PBMs are able to pocket most of these special deals, rather than pass them back to the health plan sponsor where they belong
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