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by s1artibartfast 1586 days ago
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
1 comments
Scoundreller 1586 days 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.

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s1artibartfast 1586 days 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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