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Stephen Bent, a professor of medicine, epidemiology, and biostatistics at the University of California, San Francisco, told Healthline
[17] PBM reimbursement rates to independent pharmacies have fallen below acquisition cost for many commonly dispensed drugs, partly as a result of retroactive DIR fee clawbacks and partly because PBMs negotiate preferential reimbursement for their own affiliated pharmacies
2019;63:e1900521
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