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[DOI] [PMC free article] [PubMed] [Google Scholar] 106.Cotton M.A., Ball C., Robinson P

Although a PBM may list the drug on their formulary, the decision to provide coverage for the medication still falls upon the plan sponsor. In addition, payers should: Review PBM formulary and utilization management systems to ensure that only clinically eligible patients get the drugs Negotiate lowest-net-cost PBM formulary changes to obtain the medications at the lowest prices Contract with a PBM that approves of manufacturer copay cards for non-specialty drugs, which can lower the cost burden on the payer The weight loss potential cannot be easily dismissed on either a clinical or financial basis, according to the guide

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Thus, it ensures medication safety and reliability

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