Please make an amutomated at least once monthly PubMed Linkout Utility Submission via Alma like this service presenty exists via 360 Link.
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Erin Montagu commented
Alma publishes to PubMed currently, but once a week. The publishing profile needs updating as PubMed will now only accept files once a month, otherwise they cancel your Linkout service.
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Alma does have an automated tool for publishing to PubMed. See here for more details:
https://developers.exlibrisgroup.com/blog/Setting-up-PubMed-LinkOut-tool-for-Alma
Alma Product Management