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flag Pharmacies struggle as PBMs underpay for prescriptions, prompting state reforms to protect access to medications.

flag Pharmacies across the U.S. are facing financial struggles due to pharmacy benefit managers (PBMs) underpaying for prescriptions, leading to closures and reduced access to medications. flag States like Iowa and Alabama are pushing legislation to reform PBM practices, aiming to prevent pharmacies from being reimbursed less than the drug's cost and to stop steering patients away from independent pharmacies. flag However, some warn that such reforms could raise drug prices for consumers. flag In Pennsylvania, nearly 200 pharmacies have closed since January 2024, and advocates are calling for more federal intervention to address pharmaceutical costs and PBM practices.

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