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Many pharmacy and patientadvocacy groups have spoken out against the obscure methods employed by PBMs to increase their profits. These groups have advocated for the fees to be applied at the time a patient picks up the medication at the pharmacy rather than subjecting pharmacies to these fees months later.
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Posted last August, CMMI issued a Strategic Refresh whitepaper proposing to address affordability directly through models that “focus on moderating drug prices” or indirectly through models that “target low-value care and sources of waste that drive up patient costs.”
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