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Alternative PBM Models: Pass-Through Pricing, GPO Disruption, and Market Challengers The Pass-Through PBM Model The alternative PBM category encompasses a range of business models that share a common claim: full pass-through of manufacturer rebates to plan sponsors, transparent pharmacy reimbursement equal to actual ingredient cost plus a disclosed dispensing fee, and no spread pricing

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Instead of jumping in 2.5mg increments, microdosing uses smaller steps, often 1mg or 1.25mg, over longer intervals