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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

For the most part, products that contain nicotine are tobacco products such as e-cigarettes, cigars, pipe tobacco , and chewing tobacco

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Just one package was marked as containing tobacco products, and only one required an adult signature for delivery