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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

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As the main distributor of the Big 4 tobacco TMOs: Philip Morris International, British American Tobacco, Japan Tobacco International, and Imperial Brands, we distribute a wide selection of high-quality tobacco and Reduced-Risk products to airlines, airports, all-inclusive hotels, borders, ferries, port shops, ship handling facilities, and stores across North and South America