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Published in:
2022 | OriginalPaper | Chapter
13. Looking Under the Hood: PBM Contracts
Author : Lawton Robert Burns
Published in: The Healthcare Value Chain
Publisher: Springer International Publishing
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Abstract
The prior chapter discussed the intertwined issues of rebates, administrative fees, and transparency in the relationships between pharmaceutical manufacturers and PBMs. The chapter also discussed the related issue of how these rebates and fees are passed along to health plan clients and how PBMs are compensated for their efforts. These upstream and downstream contracts (and funds flows) lie at the center of the controversy surrounding PBMs.