Pharmacy benefit managers and their pharmacies
Businesses manage prescription benefits and operate affiliated mail and specialty pharmacies.
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Problems they gain from
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- Pharmacy benefit managers profit from opaque drug pricing: Rebates and opaque pricing generate revenue for benefit managers and their insurer parents.
- Brand-name drug prices far above production cost: High list prices generate rebates for benefit managers.
- Pharmacy closures and pharmacy deserts: Affiliated mail and specialty pharmacies benefit as local pharmacies close.