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In Florida, Spread Pricing Costs $8.64 Per Pharmacy Claim

By John Wilkerson / December 9, 2020 at 3:44 PM
"In Florida, it costs an average $8.64 per pharmacy claim when pharmacy benefit managers use spread pricing, compared to the average $1.45 cost for 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 pharmacies for dispensing drugs, typically generics...


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