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How Insurer-Pharmacy Negotiations Set Generic Drug Prices in the U.S.

How Insurer-Pharmacy Negotiations Set Generic Drug Prices in the U.S.

  • February 2, 2026
  • Kiera Masterson

Generic drug prices are set through hidden negotiations between insurers, PBMs, and pharmacies-often leaving patients paying more than cash customers. Here's how the system works and what you can do about it.

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