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The second tool for PBMs operates downstream. By encouraging patients to use more efficient, lower-cost pharmacies, PBMs have reduced dispensing costs, enhanced patient quality, and reinforced their negotiating leverage upstream. The ability to direct volume toward lower-cost, high-value providers creates bargaining power.

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第四十六条 本法第四十五条的规定不影响承运人在本章规定的承运人责任和义务之外,增加其责任和义务。

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