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I think that the issue is not that The PBMs can't negotiate low prices, but rather that The PBMs don't have a strong enough incentive to pass those on to the consumer( in the way that Costco does). More transparency and competition in the supply chain would help, as would improvements to Medicare Part D to enhance competition among plans.

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    Who said: "I'd form a alliance with the devil himself if helped defeat Hitler"?
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