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Comments about the good, bad and ugly in pharmacy, PBMs, pharmacy benefits, drug therapy problems and much, much more. Thursday, January 09, 2014. Completely exclude medications even in a 3-tier plan? If those medications use co-payment coupons to circumvent your benefit design then I suggest the answer is yes. PBM Express Scripts was recently in the. For announcing that its 2014 formulary would exclude from all coverage.