The decision of General Motors to go with a closed pharmacy network for its 1 million employees and retirees is only the latest in a series of blows for prescription drug customers' freedom of pharmacy choice. Freedom to choose is also being eroded in less visible ways by managed care plans that use financial incentives, or rather disincentives, to push people into mail-order. Because mail-order companies can pay as little as 10 cents on the dollar for pharmaceuticals, compared with retail ...

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