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First, the sample size was relatively small, and patients were selected only from outpatients in our university medical center and the Minnesota Fairview health care system

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There are a few potential things going on here

#healthcarereform #Medicarebychoice I wrote about how PBM reform paved the way for more aggressive, structural legislative reforms that would break up Big Medicine middlemen including the "Big Three" PBMs' parent insurance conglomerates and wholesale drug distributors that drive healthcare costs up, quality down, and independent providers out of business

The equivalent of an American size 14

Life Sci (2020) 260:118398