already started that I think pharma and PBM may not know their death cascade for their
current model has already started. I'm hearing more and more frequently from patients this
drug is carved out. I can't get access here. And we can't have everybody in the United
States depending on free drug and yet at the same time there is going to be real resistance
from employers to continue to pay these prices where they can't say I've looked at this contract
I understand that it's reasonable I can I can go to court and say listen this is how
I made this decision and that impacts the PBM's too right because if pharma is continuing
to rely on the PBM's and they're continuing to be a black box fundamentally both of those
scenarios it's really problematic and I'm not a fan of importation I think that there's a lot
of risks involved at the same time I do understand why employers want to do it which is I see the
drug price I understand it I can purchase it at this match and so fundamentally I don't believe
it's 100% legal particularly for the medications where it's really important like the large cell
biologics I know it's excluded from any sort of importation agreement there but pharma has to
know that there are prices and there's more and more purchases in these other locations I mean
pharma knows this they contract drug no matter what assuming it's a legitimate product so I don't
I worry for them that in continuing to be in transcendent continuing to insist on these really
high prices that they are actually shooting themselves in the foot and they're going to see less
coverage more people going on pap that maybe they're erroneously denying because they're thinking
it's some sort of interloper but really it's just employer saying I can't afford this