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CounterRx · Insider Pulse

The monthly read on what's shifting.

PBM policy moves, CMS Part D changes, DIR fee updates, audit defense intelligence, and what it means for your independent pharmacy. Published the first of every month.

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Coming Soon
Issue 04 · August 1, 2026 · Coming Soon
Coming August 1
Specialty pharmacy carve-outs, narrow network strategy, and gold carding — what it helped and what it missed.
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Issue 03 · July 1, 2026
The Reform Passed. The Compliance Gap Is Yours to Close.
Electronic PA reform left a compliance gap pharmacies are absorbing alone. Medicaid unwinding AR damage is landing mid-2026. PBM audit defense priorities have shifted. Three things that changed — and what to do now.
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Previous Issues
Issue 02 · July 1, 2026
The Decisions Being Made Right Now Will Run Your Business Next Year.
2027 benefit design season is happening now. DIR math didn't change — the timing did. PBM audit targeting shifted from reactive to proactive. Three things to act on this month.
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Issue 01 · June 2026
The PBM Playbook Is Working. Here’s How to Stop Playing Into It.
PBM audits are targeted, not random. DIR fees adapted rather than disappeared. “Transparent PBM” is a marketing term. Three things shifting right now — and what to do about each.
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