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The Medicare Prescription Drug Rebate Rule

The Medicare Part D prescription drug benefit provides our nation’s seniors with affordable drug coverage, which is more important now than ever. The rebate rule clumsily attempts to eliminate the primary tool used by pharmacy benefit managers, or PBMs, to negotiate
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Drug Price Reporting Rules Foiled by Loopholes in Supply Chain

The PBM industry counters that it shouldn’t have to report anything. The Pharmaceutical Care Management Association, which represents PBMs, said in its comment letter that the rule goes beyond the agencies’ statutory authority and asked that “amounts retained by PBMs” be excluded. “As a form of PBM compensation, amounts retained by PBMs and not passed through to the plan have a net-zero impact on premiums,” it said.

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