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North Dakotans are used to pharmacists like Schlecht and used to having pharmacies in small towns like Forman. In North Dakota, there are no Walgreens or Walmart pharmacies. Instead, North Dakotans get their medications from the 171 independent and locally-owned pharmacies throughout the state. This is no accident: It’s the result of a forward-thinking policy choice, the Pharmacy Ownership Law, that since 1963, has given North Dakotans pharmacy care that outperforms care in other states on every key measure, from cost to access.⁠ ⁠ In North Dakota, prescription drug prices are more affordable than in two-thirds of all states. Pharmacies are more plentiful, with more per capita than in neighboring South Dakota, Minnesota, or nationally, and they’re more broadly distributed; North Dakota’s rural areas are 51 percent more likely to contain a pharmacy than similarly-populated areas of South Dakota. And in general, independent pharmacies provide higher quality care, studies and surveys of c...

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