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Most of us are confused and frustrated with the cost of medicine, and dont fully understand how the system works. Pharmacy Benefit Managers or PBMs are a big part of this complex system. PBMs are raking in huge profits at the expense of patients, scientists, health plans and pharmacies. But PBMs were initially created to reduce drug prices and pass along discounts and increase access to medicine, but lack of government oversight has allowed these Pharmacy middlemen to take advantage of the confusing drug distribution system and rake in billions of dollars, while consumers are forced to pay more for their prescriptions and pharmacies are shuttering. PBMs use something called direct and indirect remuneration fees or DIR fees to bill pharmacies for additional charges weeks or even months after prescriptions were purchased by patients. Pharmacies are forced to pay these extra fees. So imagine a produce distributor bought apples from a farmer then sold those apples to a grocery store for a
