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In Florida, Spread Pricing Costs $8.64 Per Pharmacy Claim

By John Wilkerson / December 9, 2020 at 3:44 PM
It costs Florida pharmacy benefit managers an average $8.64 per claim when they use spread pricing, and it costs them much less, an average $1.45 per claim, when they use pass-through arrangements, according to a report funded by the Florida’s Agency for Healthcare Administration. However, the report says the cost to taxpayers is probably similar regardless of which arrangement is used. Spread pricing refers to the undisclosed share of money that pharmacy benefit managers keep from insurers when PBMs reimburse...


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