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0 pointss1artibartfast4y ago0 comments

Yes for PBM because that is where the pharmacy buys the drug, not the manufacturer. Manufacturers usually can't sell direct to pharmacies.

You can usually pay cash at a pharmacy, skipping insurance

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Scoundreller4y ago

The pharmacy will buy the drug from a distributor, not the PBM. The PBM manages the insurance.

These may all be standalone operations, or one corp with its hands in each pocket: PBM, pharmacy, insurer and distributor.

s1artibartfastOP4y ago

That is correct. My point was to highlight that there is a lot more to the supply chain than manufacturer to pharmacy, with intense negotiations and fake pricing at each step

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