PBM Math: Big Chains Are Paid $23.55 To Fill a Blood Pressure Rx. Small Drugstores? $1.51.

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Independent pharmacist and co-owner, Nikki Bryant, faces challenges from pharmacy benefit managers (PBMs) who control prescription prices and access. Bryant and other independent pharmacists anticipated state legislation that would increase reimbursement rates, but the bill was vetoed by Governor Brian Kemp due to cost concerns. PBMs are accused of creating higher costs and limiting medication access for patients. The Federal Trade Commission sued three large PBMs for inflating drug prices through a rebate system. Independent pharmacies struggle with underpayments from PBMs, leading to closures. States like Montana are seeking transparency and regulation of PBMs to support independent pharmacies.

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