Big chains are paid $23.55 to fill a blood pressure prescription: Small drugstores get $1.51

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Independent pharmacist Nikki Bryant works to maintain profitability at Adams Family Pharmacy against the challenges posed by pharmacy benefit managers (PBMs), which control prescription pricing in the U.S. PBMs create higher costs and restrict patient access to medications, impacting independent pharmacies negatively. State legislation to increase reimbursement for independent pharmacies was vetoed by Gov. Brian Kemp, citing high costs. FTC scrutiny led to a lawsuit against major PBMs for inflating drug prices. The influence of PBMs extends to drug availability and pharmacy closures, prompting calls for reform and transparency to support independent pharmacies and prevent further closures.

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