com/eksfu9fPFw Dr Meganne Christian (@astro_meganne) November 5

Express Scripts said it was committed to reimbursing pharmacies fairly.Integrated PBM-insurance companies particularly UnitedHealth Group.

has closed stores or trimmed staff as it pushes consumers to mail-order pharmacy services.a law firm lobbyist representing the National Association of Specialty Pharmacy.who said she paid more than half a million dollars in PBM fees last year.

But the clawbacks have resulted in patients overpaying by hundreds of millions of dollars.a Salt Lake City pharmacist and consultant to other independent pharmacists.

That copay is based on the price the drug plan or PBM promises the pharmacy at the moment of sale.

Jolley said his drugstore expects to lose at least 100 customers after refusing a contract with a large PBM.Prime Minister Ariel Henry told reporters Monday afternoon as the storm approached.

many of whom have had to wait for medical help lying outside in wilting heat.Residents search for valuable metals in the rubble of a collapsed hotel in Les Cayes.

Graces rain and wind raised the threat of mudslides and flash flooding.Grace regained tropical storm strength early Tuesday and was dumping extremely heavy rains and causing flooding across parts of Haiti and the Dominican Republic.