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If you’ve heard otherwise, it’s likely tied to: An employer’s plan renewal A specific insurance carrier update Changes in a pharmacy benefit manager (PBM) formulary These updates can vary widely from plan to plan, which is why it may feel like “something changed” even though there’s no universal rule

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38 MaJ.ShiM.ZhangX.LiuX.ChenJ.ZhangR.et al (2018)