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Since their inception in the late 1950s, PBMs have evolved from simply managing drug prices to becoming a significant player in the pharmaceutical supply chain, with deep involvement in evaluating and setting drug preferences for physicians. Figure 18 provides an overview of how PBMs function within the broader benefits marker and drug supply chain

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The company plans to hire more than 50 employees for manufacturing roles at the plant operated by American Snuff Co., the nations second-largest manufacturer of smokeless tobacco products

The companies political influence would also thwart the rise of non-smokers rights organizations seeking smokefree public places