Mark Cuban

It does. I mean, and the whole industry is an arbitrage, but we don't work inside the system. We work outside the system. And so we don't work with those biggest companies. The biggest companies with the most dominant control are You know, it's very insulated and very controlled, like you said. We work outside them. We won't work with them.

It does. I mean, and the whole industry is an arbitrage, but we don't work inside the system. We work outside the system. And so we don't work with those biggest companies. The biggest companies with the most dominant control are You know, it's very insulated and very controlled, like you said. We work outside them. We won't work with them.

And so because of that, we don't have access to every medication because they've told a lot of the big brand manufacturers that if they work with us, they'll take them off their formularies or change the rebate structure so that they won't be prescribed as much. Yeah, it is dark, but we'll get past that, right?

And so because of that, we don't have access to every medication because they've told a lot of the big brand manufacturers that if they work with us, they'll take them off their formularies or change the rebate structure so that they won't be prescribed as much. Yeah, it is dark, but we'll get past that, right?

And so because of that, we don't have access to every medication because they've told a lot of the big brand manufacturers that if they work with us, they'll take them off their formularies or change the rebate structure so that they won't be prescribed as much. Yeah, it is dark, but we'll get past that, right?

Because there's a downstream impact of all this in the rebates and the greediness of those big three PBMs. When you go to a local pharmacy here in Austin, right? And let's just say you have a friend here, right? That is on Medicare or Medicare Advantage. And they go to a local pharmacy and they get a drug that costs $600. Well, an insurance company, That's $600.

Because there's a downstream impact of all this in the rebates and the greediness of those big three PBMs. When you go to a local pharmacy here in Austin, right? And let's just say you have a friend here, right? That is on Medicare or Medicare Advantage. And they go to a local pharmacy and they get a drug that costs $600. Well, an insurance company, That's $600.

Because there's a downstream impact of all this in the rebates and the greediness of those big three PBMs. When you go to a local pharmacy here in Austin, right? And let's just say you have a friend here, right? That is on Medicare or Medicare Advantage. And they go to a local pharmacy and they get a drug that costs $600. Well, an insurance company, That's $600.

The pharmacy first buys that drug for probably that price minus 5%, so $570. Then there's probably a copay by the patient, and that's probably $20. So now the net investment that the pharmacy, the local pharmacy has for that brand medication is $550. Where it gets really fucked up is those big three PBMs, they're not reimbursing them $550 or more. they're reimbursing them $500 or less.

The pharmacy first buys that drug for probably that price minus 5%, so $570. Then there's probably a copay by the patient, and that's probably $20. So now the net investment that the pharmacy, the local pharmacy has for that brand medication is $550. Where it gets really fucked up is those big three PBMs, they're not reimbursing them $550 or more. they're reimbursing them $500 or less.

The pharmacy first buys that drug for probably that price minus 5%, so $570. Then there's probably a copay by the patient, and that's probably $20. So now the net investment that the pharmacy, the local pharmacy has for that brand medication is $550. Where it gets really fucked up is those big three PBMs, they're not reimbursing them $550 or more. they're reimbursing them $500 or less.

And literally those community pharmacies are eating that loss. And as a result, they're going out of business left and right. And the most insane part of it is, yes, with corporate employer insurance, that happens, but it happens more with Medicare Part D and Medicare Advantage. It happens all the time with those, almost with every script. So the government is complicit

And literally those community pharmacies are eating that loss. And as a result, they're going out of business left and right. And the most insane part of it is, yes, with corporate employer insurance, that happens, but it happens more with Medicare Part D and Medicare Advantage. It happens all the time with those, almost with every script. So the government is complicit

And literally those community pharmacies are eating that loss. And as a result, they're going out of business left and right. And the most insane part of it is, yes, with corporate employer insurance, that happens, but it happens more with Medicare Part D and Medicare Advantage. It happens all the time with those, almost with every script. So the government is complicit

and these community pharmacies going out of business. So how does that connect to Cost Plus Drugs and what we're doing and the big brands? The big brands know that if all these community pharmacies are going, tens of thousands of them are going to go out of business because of the way this pricing is, they're going to lose a connection

and these community pharmacies going out of business. So how does that connect to Cost Plus Drugs and what we're doing and the big brands? The big brands know that if all these community pharmacies are going, tens of thousands of them are going to go out of business because of the way this pricing is, they're going to lose a connection

and these community pharmacies going out of business. So how does that connect to Cost Plus Drugs and what we're doing and the big brands? The big brands know that if all these community pharmacies are going, tens of thousands of them are going to go out of business because of the way this pricing is, they're going to lose a connection

between their brand medications and grandma and grandpa and aunt Sally, and all that business is going to get transferred to the big companies. And they're going to have even less leverage. So they're working with us to come up with programs that are very supportive of independent pharmacies. And that's going to allow us to break the cartel.

between their brand medications and grandma and grandpa and aunt Sally, and all that business is going to get transferred to the big companies. And they're going to have even less leverage. So they're working with us to come up with programs that are very supportive of independent pharmacies. And that's going to allow us to break the cartel.

between their brand medications and grandma and grandpa and aunt Sally, and all that business is going to get transferred to the big companies. And they're going to have even less leverage. So they're working with us to come up with programs that are very supportive of independent pharmacies. And that's going to allow us to break the cartel.