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The public comment period is now closed for a Department of Labor proposed rule for improving transparency in pharmacy benefit manager fees.

The Department of Labor opened comment on January 30 and closed it on April 15. The rule, designed to increase transparency for self-insured employer health plans, is on an accelerated timeline.

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In a survey of CFOs and financial leaders, 72% are reporting margins of 2% or lower, a razor-thin profit percentage more typical of high-volume grocery stores.

The financial challenges are led by reimbursement pressure and rising costs, according to the


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