This will help you understand why the big PBMs are bad. You can go to http://lillydirect.com and buy a GLP1 for under $500 and falling. It's cheaper, because no PBM is involved Your company, uses a big PBM for your pharmacy benefits. It charges your company $1300 for a GLP1, which means you pay $1300 during your deductible phase. The PBM then gives the rebate it gets, from the money you paid, to your company. And it won't allow you to buy the GLP1 from lilly direct. No PBM < $500. Big PBM $1300 This is one of many reasons you should show this to your CEO and tell them to switch away from their PBM(Mark Cuban)