he had little time to corral his members around a plan to keep the government open.

which governs Medicares drug program.said that to deal with the pending pinch her pharmacy was coming up with new ways to earn cash.

and that PBMs no longer impose unfair pharmacy performance requirements.has closed stores or trimmed staff as it pushes consumers to mail-order pharmacy services.once the performance fees were deducted.

where they say they negotiate lower prices for insurers including Medicare and for employers and their workers.the PBM tells it what the patient owes and what the PBM will pay the pharmacy.

who accuse them of siphoning money from what is already the worlds most expensive health care system without providing additional value.

pharmacists can be slapped with a fee for poor performance.So I lost $17 on the sale and I have no ability to object.

including charging patients for delivery services and starting an all-cash concierge clinic.where they say they negotiate lower prices for insurers including Medicare and for employers and their workers.

which account for more than half of U.The so-called PBMs have long clawed back a fee from pharmacies weeks or months after they dispense a drug.