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Tag: MAC lists

Pharmacy Reimbursement: How Generic Substitution Affects Pharmacies and Patients Financially

Pharmacy Reimbursement: How Generic Substitution Affects Pharmacies and Patients Financially

  • Olly Wehring
  • 8 January 2026
  • 8

Generic substitution sounds like a cost-saver, but how pharmacies get paid can turn savings into hidden profits for PBMs. Learn how reimbursement models like MAC lists and spread pricing impact what you pay and why pharmacies are struggling.

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