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How much larger? That is a mystery, as a result of these rebates and reductions are shrouded in secret contracts. Drug producers typically accumulate lower than $60 for a drug with a listing price of $100, but solely the PBMs know where the rest of the money goes. They are saying that they pass on nearly all of the direct rebates to their shoppers—the employers and unions and government applications that sponsor well being-insurance plans—but the PBMs pocket further money through varied administrative charges,” service charges,” and inflation funds.” They revenue from arcane tactics like reclassifying a drug in order that they'll charge a shopper a higher worth than they pay for it.
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