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Spread Pricing: The Hidden Revenue Mechanism That Payers Rarely See Spread pricing is the practice by which a PBM charges a health plan or employer a higher reimbursement rate for a dispensed drug than the PBM actually pays the dispensing pharmacy, retaining the difference the spread as undisclosed profit

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This represents more intelligent use than indefinite supplementation

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Due to the reduced food intake total carbohydrate ingestion is also reduced, which will further reduce glycemia