TikTok and X the social media platform formerly known as Twitter following in popularity.

If pharmacies refuse the contracts.PBMs sit at the center of the U.

where they say they negotiate lower prices for insurers including Medicare and for employers and their workers.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).One performance measure is patient adherence.

including charging patients for delivery services and starting an all-cash concierge clinic.pharmacies will face a double whammy.

Thats because their copays at the counter ended up being a higher percentage of the drugs final pharmacy price.

But the clawbacks have resulted in patients overpaying by hundreds of millions of dollars.and giving beneficiaries all available discounts at the pharmacy counter.

Misery for small pharmaciesUnder the current system.they risk losing Medicare customers likely to the same giant PBM conglomerates.

Sometimes pharmacists are dinged for the prescribing physicians mistakes.where they say they negotiate lower prices for insurers including Medicare and for employers and their workers.