> It’s a scheme to extract as much money as possible from insurers. [...] The goal is to maximize the amount billed to insurance companies. A big part of the g

> It’s a scheme to extract as much money as possible from insurers. [...] The goal is to maximize the amount billed to insurance companies. A big part of the goal is being able to bill a profit, insurers generally require significant drug rebates for coverage. So you triple the sticker price of the drug, offer a 66% drug rebate which the insurer can advertise to their client under the guise of fighting for their access, and they cover your drug at essentially the price you wanted for it in the first place (modulo nonsense like prior authorization, and insurance kickbacks).