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Lean MEJ, Astrup A, Roberts SB
In January, the two largest pharmacy benefit managers (PBMs) - Express Scripts and CVS Caremark - increased the numbers of drugs on their 2020 exclusion lists
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Its a measurable revenue cycle cost that compounds every month your practice doesnt have a structured PA workflow
Others cover them only when a secondary FDA-approved condition is present, like cardiovascular disease or sleep apnea
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