[refurb]

Well yeah that's the problem. They dont pass the discount on to me. I pay full retail price, and they keep the discount. This is why Express Scripts is a $100 BILLION company. And that's for managing Formularies you say?

The discounts are passed through via lower insurance premiums. You don't really see that since your employer pays the premiums.

And yes, ESI is a $100B per year company with $3.4B in net income.[1] A stunning 3.4%. Not that different than a grocery store.

[1]http://financials.morningstar.com/ratios/r.html?t=ESRX

[attaboyjon]

Well no. I pay for it all out of pocket. My deductible is high enough that I pay for all that medication. It's about $6000/year. My insurance premiums are $1400 per month by the way. So no, there's no magical cost saving being passed back to me.