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10/11/2016 PBM
https://www.gliffy.com/go/html5/11272855?%3D%3D= 1/2
   
PBM
Drug
Manuf.
Drug Rebates$
Lobbying for inclusion of formulary
Pharmacy A Pharmacy B Pharmacy C Pharmacy D
Reimbursement
$$
Mail Order
Pharmacy
Owned by PBM
Direct deal with manufacturers
Employer/Patient Has insurance MCO
Copay
$
ian/DoctorPhysic
Choice from MCO list On MCO list
Government
Regulates
FDA approval
$
HIGH
MEDIUM
LOW
10/11/2016 PBM
https://www.gliffy.com/go/html5/11272855?%3D%3D= 2/2

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PBM 2