03/12/2019
https://congress.gov...
"That is spread pricing. That is what is happening, because you are not increasing--you are not updating--the PBMs are not updating their MAC lists."
"And there are no two MAC lists that are the same. Each PBM generates their own separate list, correct?"
"But the point is, Mr. Merritt, that you are deciding what you are going to reimburse the dispenser for it, and you are deciding what you are going to charge the insurance company for it."
"Mr. Merritt, isn't it true that your organization, PBMs, pharmacy benefit managers, isn't it true that three of your member companies control over 75 percent of the PBM market?"