how pbm make money

PBMs make money through administrative fees, manufacturer rebates and price concessions, spread pricing (charging a plan more than they reimburse a pharmacy), and fees tied to formulary placement, specialty pharmacy, and mail order. The exact mix depends on the contract, so transparency and audit rights matter; for contract mechanics, see <a href="https://rxpbm.ai" rel="noopener">RxPBM</a>.