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The Patients Before Monopolies Act prohibits pharmacy benefit managers (PBMs) and insurance companies from owning or controlling pharmacies, and vice versa. Entities in violation would have three years to divest their pharmacy operations. The bill authorizes the Federal Trade Commission, Department of Justice, HHS Inspector General, and state attorneys general to bring civil actions for violations, with remedies including divestment orders and disgorgement of revenues from pharmacy sales, which would be distributed to affected communities.
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