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WASHINGTON — After 15 years at the helm of the lobbying group for pharmacy benefit managers, Mark Merritt’s parting gift was a stone blue baseball cap. “PCMA,” the group’s acronym, was embroidered in red on the front, “Merritt 15-0” in white on the back.

“15 years here and we haven’t had any significant losses,” explained Merritt, the group’s current CEO.

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Those on the outside question that record. PBMs, the companies that are hired to negotiate the prices of drugs, have had a tough run lately. Pharmacists and drug companies have framed them as grifters keeping drug prices high. President Trump has chided them for “dishonest double-dealing.” And a federal lawsuit accuses them of overcharging Medicare and pocketing the profits.

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