51.   The pharmacy benefit manager negotiates the complex arrangements behind that transaction.

52.   The pharmacy benefit managers are already connected electronically to pharmacies, using uniform software standards.

53.   The plaintiffs said the drug manufacturers denied them discounts offered to health management organizations, hospitals, pharmacy benefits managers and others.

54.   The plan can also help enrollees get lower drug prices by using private pharmacy benefit managers to deal with drug manufacturers on prices.

55.   The report detailed how pharmacy benefit managers, or PBMs, have entered the prescription drug business.

56.   The trend benefits managers like T. Rowe Price which have expertise managing stocks and bonds in the U.S. and overseas, he added.

57.   They want private pharmacy benefit managers to administer a drug benefit for Medicare beneficiaries.

58.   They said it would be open to all pharmacies, health plans and other pharmacy benefit managers.

59.   This often means the benefit managers, known as PBMs, use their influence to get a prescription changed to a lower-cost equivalent drug.

60.   While employers and HMOs praise the work of drug benefit managers, many doctors and pharmacists have had frustrating experiences.