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Credit: Allison Bell/ALMA health benefits expert is telling state insurance regulators that he’s skeptical about some of the pharmacy benefit manager rule change proposals now getting the most attention.
Many current PBM prescription drug price transparency efforts have problems, and efforts to please pharmacies with “any willing provider” rules — which let any pharmacy willing to sell drugs at the prices requested by a health plan serve the plan’s participants — may actually increase prices, according to Ed Kaplan, the national health practice leader at Segal.
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