The first mechanism that PBMs use is formulary leverage. Drug manufacturers that want preferred formulary placement—or to avoid exclusion from coverage—must offer better prices. That leverage for PBMs depends on a credible threat: lower your price or lose access to patients.
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这背后，是当地日益增长的医疗压力——老人的需求变复杂了，医院必须跟着升级，才能接住这些需求。