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Report

Reimagining a Pharmacy Care System Grounded in Transparency

Pharmacy spend is one of the largest and fastest-growing components of health plan costs, yet the pricing structures that govern it are notoriously opaque. This report examines the current state of pharmacy benefit management and makes the case for a transparency-first approach that aligns the interests of payers, plan sponsors, and members. It outlines the specific practices, contract structures, and data standards that define a transparent pharmacy care system and offers a framework for evaluating existing arrangements against that standard.