"Those deals between PBMs and pharma companies are secret." In some cases pharma co.'s created their own PBMs. There is a long and storied history of litigati

"Those deals between PBMs and pharma companies are secret." In some cases pharma co.'s created their own PBMs. There is a long and storied history of litigation on American drug pricing. If you want to understand the Rube Goldberg machine, I recommend searching the keywords "Average Wholesale Price" or "AWP". In terms of consumer protection, some states are better than others. Maine was a leader in this area. However it looks like the pharma industry has prevailed. https://www.policymed.com/2011/06/maine-set-to-repeal-unfair-prescription-drug-prices-act-and-end-pbm-discrimination.html https://www.policymed.com/2011/06/maine-set-to-repeal-unfair...