Money-grubbing middle men -Pharmacy Benefits Managers (PBMs): OptumRx, Express Scripts, and Caremark

The major PBMs are Caremark (CVS Health), ExpressScripts (Cigna), and OptumRx (United Health Group). They bring in large profits by demanding high percentages of the cost of medications as kickback payments from pharmaceutical companies for putting a drug on their preferred formulary lists. This limits patient and prescriber choice and manipulates the medication marketplace.

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