And PBMs are the middleman, generating huge profits for ??? - what you wrote plus what is nontransparent at the state level.
From my notes taken during the presentation of a local pharmacy owner:
Caremark is the pharmacy benefit management subsidiary of CVS.
Optum, including pharmacy benefit manager, is a subsidiary of UnitedHealthcare.
Express Scripts, another pharmacy benefit manager, is a subsidiary of Cigna.
Yep. “Managed Services” is the mantra. They are simply the middleman for the same company to take even more profits.