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States Clash with PBMs Over Drug Costs
States are cracking down on pharmacy benefit managers—companies that control drug pricing—for allegedly squeezing pharmacies and driving up costs. Laws across a dozen states now aim to cap PBM payments, mandate minimum fees to pharmacists, and demand transparency. Small pharmacy owners like Lisa Gales in Kansas say they’re losing money due to skimpy reimbursements, even with new minimum fees. CVS, a major PBM owner, is fighting back with lawsuits—including one in Tennessee over pharmacy ownership bans—and has already paid $45 million in settlements elsewhere. While PBMs claim they’re lowering…
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