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States Target PBMs to Slash Drug Costs

States are launching aggressive new laws to curb prescription drug costs by targeting pharmacy benefit managers—powerful middlemen who control drug pricing and distribution. With at least a dozen states passing legislation this year, lawmakers are aiming to cap PBM fees, mandate fair pharmacist payments, and force transparency, including a Tennessee law banning PBM ownership of retail pharmacies by 2028. Big PBMs like CVS fiercely resist, spending millions on ads and lawsuits, claiming they’re cost-cutting heroes who boosted generics. Critics, especially independent pharmacists, argue PBMs…

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