The politically-charged negotiationshave gone through various permutations in recent weeks.

The Biden administrations first major step toward imposing limits on the pharmacy benefit managers who act as the drug industrys price negotiators is backfiring.quality pharmacies in their network.

Misery for small pharmaciesUnder the current system.These behemoth companies have negotiating power with drugmakers that enables them to sell a diabetes drug like Ozempic (sold under the name Wegovy for weight loss).but hasnt responded to a June letter in which he asked the company to provide breathing space by imposing the 2023 clawbacks gradually over 12 months.

1 rule change was partly designed to relieve Medicare patients.Pharmacist groups supported the Medicare rule change.

said that to deal with the pending pinch her pharmacy was coming up with new ways to earn cash.

000 or so independent pharmacies had accepted its terms.both of which provide advice to Congress.

It accounted for less than 5% of health care spending in 2020 significantly less than the average spending by countries that are members of the Organization for Economic Cooperation and Development.so what Medicare pays is crucial.

It also triggered a tussle that highlights ongoing tension in Medicare physician payment rules.the United States has underinvested in primary care.