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The health care facility or clinic is notified of the prescription's completion electronically. As of 2019, the annual workload of all of the combined CMOPs was approximately 120 million prescriptions, fulfilling 80 percent of the prescriptions needed by VA Medical Center and the Community Based Outpatient Clinics. [2]
Prescription drug list prices in the United States continually are among the highest in the world. [ 1 ] [ 2 ] The high cost of prescription drugs became a major topic of discussion in the 21st century, leading up to the American health care reform debate of 2009, and received renewed attention in 2015.
In the United States, the average wholesale price (AWP) is a prescription drug term referring to the average price for medications offered at the wholesale level. [1] The metric was originally intended to convey real pricing information to third-party payers, including government prescription drug programs.
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They can also collect rebates from the manufacturer. Traditional PBMs do not disclose the negotiated net price of the prescription drugs, allowing them to resell drugs at a public list price (also known as a sticker price) which is higher than the net price they negotiate with the manufacturer. [16] This practice is known as "spread pricing". [17]
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The top 25 pharmacy chain stores represent about 38,000 pharmacy locations in the U.S. and employ about 149,000 on-staff pharmacists. California has 8,015 pharmacies, the most of any state. Texas, Florida, New York, and Pennsylvania round out the top five states for pharmacy locations. [1]
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