Oof.

I knew it was going to be bad before I sat down with Zack this morning. But even with low expectations, I wasn’t prepared for just how dirty the PBM scams really are.

Want to boast that you return 100% of rebates to your clients? Simple. Route the cash through a shadow intermediary in Europe, reclassify part of it as “appreciation dollars” or some other fictional nonsense, and voilà, you’ve technically returned 100% of “rebates” after you’ve siphoned off your tribute.

The greed and money laundering transpiring in the pharmacy game would make the creators of Ozark blush.

I needed a nap and a shower after this one.

Zach Robinson is the co-founder and CEO of DisclosedRx - a truly transparent, fully disclosed PBM.

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