[txmx2000]

> The Pharmaceutical Care Management Association, the industry’s lobbying group, claims that PBMs will save health plans $654 billion over the next decade.

That's about $16 per person per month. Not a very compelling argument for keeping your drug monopolies: eliminating them costs little more than a Netflix subscription.

[refurb]

Keep in mind that insurance companies make decisions based on a change in cost of only $0.05 per member. $16 per person is HUGE when you're talking about an insurer who covers 30M+ people.