Question: How pharmacy benefit managers (PBMs) like CVS Caremark, Express Scripts, and OptumRx use their built-in software system to micromanage pharmacies and charge hefty fees like

How pharmacy benefit managers (PBMs) like CVS Caremark, Express Scripts, and OptumRx use their built-in software system to micromanage pharmacies and charge hefty fees like DIR/GER for not dispensing expensive drugs that bring them more profits as well as restrict patients from choosing which pharmacy they use and forcing them to use their own mail-order pharmacy or retail chain pharmacy for better reimbursement/profit.

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