The war of words over pharmacy benefit managers has moved from Congress and regulatory agencies to the streets. Late last week, dozens of demonstrators protested outside the headquarters of Express Scripts in St. Louis.

Protestors waved signs, shouted slogans and gave speeches at a makeshift podium across the street from the nation's second-largest PBM. Protestors argued that patients are being harmed by PBM practices that prevent them from using their preferred pharmacies or require them to first try less-expensive drugs before approving the ones their physicians want to prescribe, even if those less expensive drugs are inappropriate.

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