Who’s to blame for high drug prices? Most would probably point the finger at Big Pharma, but a group representing pharmacists say that a big part of the problem is middlemen empowered by insurance companies.

“Direct and indirect remuneration fees imposed on community pharmacies and increased costs for patients at the pharmacy counter through copay clawback fees” are the two main issues driving up the cost of meds at neighborhood drug stores, says a report from the Alexandria, Virginia-based National Community Pharmacists Association.

Both problems, says the group, are driven by pharmacy benefit management companies. Such companies are increasingly hired by health insurers to oversee their prescription drug benefits.

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