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Based on FTC findings, the Big 3 PBMs' affiliated pharmacies generated more than $7.3 billion in excess revenue on specialty generic drugs between 2017 and 2022all while plan sponsor and patient payments increased at double-digit annual rates

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The difference between adding 1mL and 2mL of bacteriostatic water does not change the total amount of peptide in the vial, but it dramatically changes how precisely you can measure each dose and how many weeks that vial will last in your refrigerator