[r58lf]

PBRs have contracts with medical insurance. They get paid based on how much money they "save" the insurance company.

"Save" is defined as list price minus contracted price that the insurance pays for the drug.

PBRs manipulate the list price to be higher so that they "save" the insurance company more money.

They also manipulate the co-pays so that patients will choose drugs that "save" the most, as opposed to the lowest price drug.

[michtzik]

If you use an abbreviation like PBR, it helps to either explain what it means or use the correct one. Do you mean PBM = pharmacy benefit manager?