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When a PBM contract transition happens (as with the CalPERS example above), a patient's previously preferred pharmacy can change without either the prescriber or patient initiating anything worth a quick verification at the next visit for patients on maintenance medications, rather than assuming last year's pharmacy routing still applies

Bassareo V, Frau R, Maccioni R, Caboni P, Manis C, Peana AT, et al

For example, adolescents may have pain in weight-bearing joints like the knees as well as pain in the back, calves, and thighs

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