When the Federal Trade Commission in a 3-1 vote approved the controversial merger of two of the largest pharmacy benefit managers this week, critics cried foul. Express Scripts’ acquisition of Medco Health Solutions creates a duopoly, they said, with the combined entity and its largest competitor, CVS/Caremark, covering a whopping 240 million lives.
I had a conversation with Scott Wink, director of pharmacy for the Piggly Wiggly Carolina Co. about how mega-PBMs affect healthcare and the way community pharmacies do business....
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