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Although online demand for prescription drugs is growing rapidly, ePharmacy leaders are struggling with underdeveloped infrastructures. One reason is that although many insurers have relatively open retail pharmacy networks, most limit patients to a single mail-service provider to concentrate bulk-buying discounts. Additionally, delivery delays, often increased by time required to verify first-time and renewal scripts, encourage many patients to fill prescriptions with their offline pharmacies instead of buying them online. Finally, a fragmented regulatory system continues to cost online pharmacies resources for complying with divergent state regulations.

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