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Theres very little direct negotiation compared to other parts of the world, and the result is that patients pay the price. Acting as middlemen, PBMs negotiate drug prices on behalf of insurance companies and have been accused of prioritizing their profits over patient access
doi: 10.1136/rmdopen-2019-000928 67 LiuBMengQGaoXSunHXuZWangYet al
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