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A comment on Mark Cuban's pharmacy started with a cold email. Parent comment

Re:Mark Cuban's pharmacy started with a cold email by s1artibartfast on Monday February 14, 2022 @06:49AM (#30330908)
Yes for PBM because that is where the pharmacy buys the drug, not the manufacturer. Manufacturers usually can't sell direct to pharmacies.

You can usually pay cash at a pharmacy, skipping insurance

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Re:Mark Cuban's pharmacy started with a cold email by Scoundreller on Monday February 14, 2022 @11:08AM (#30333677)
The pharmacy will buy the drug from a distributor, not the PBM. The PBM manages the insurance.

These may all be standalone operations, or one corp with its hands in each pocket: PBM, pharmacy, insurer and distributor.

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Re:Mark Cuban's pharmacy started with a cold email by s1artibartfast on Monday February 14, 2022 @12:07PM (#30334490)
That is correct. My point was to highlight that there is a lot more to the supply chain than manufacturer to pharmacy, with intense negotiations and fake pricing at each step
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