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The insurers who run Part D plans don’t like high drug prices, either. Even though their cost exposure is only 15 percent—remember, you pay 5 percent at most and Uncle Sam pays 80 percent—they would like it to be 15 percent of the smallest number possible. And it’s not Big Pharma that takes the calls and emails from unhappy Part D customers.
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Philip Moeller (Get What's Yours for Medicare: Maximize Your Coverage, Minimize Your Costs (The Get What's Yours Series))