Ohio Cracks Down on PBMs

ModernMedicine-6 hours ago

“For a medication used to treat severe vitamin deficiency, the pharmacy's cash price was $92. The pharmacy processed the claim and was told to charge the patient $115.19. The PBM later performed a $55.47 clawback. So in the end, the patient was overcharged $23.19, the pharmacy lost $32.28, and the PBM pocketed it ..