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A 2018 Ohio Medicaid audit found that PBMs retained $223.7 million in spread pricing on generic drugs over a single year, with some generics marked up by more than 1,000% over pharmacy acquisition cost

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The mechanism at play here is called orthostatic hypotension: a sudden drop in blood pressure in your torso and head when you stand, due to your hearts inability to pump blood upward fast enough to overcome gravity, causing lightheadedness and brain fog

This can lead to weight gain and a reversal of the progress you've made

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This is up $10 since we last reviewed the company