A small mail-order pharmacy, which ships presorted packets of medicines to its customers, is waging a David-versus-Goliath battle with Express Scripts, the nation’s largest pharmacy benefits manager.
For the past two years, PillPack has been part of the Express Scripts network of pharmacies. As a PBM, Express Scripts negotiates prices for medicines on behalf of government agencies, companies, and unions, among others. And as part of its operation, Express Scripts contracts with pharmacies — big and small — where its clients can send their employees or members to have their prescriptions filled.
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