Understanding Competition in U.S. Prescription Drug Markets: Entry and Supply Chain Dynamics
Currently the Pharmaceutical market in USA is going in directions where Only Big Chains like CVS, Walgreens and Their PBMS will Control Pharmaceutical market. They are buying small companies and creating Monopoly by limiting Narrow Preferred Network, where Customer has to use Big chain Pharmacies even though patients don't like to go to big chains Pharmacy. This big Merger like CVS with Aetna, gonna create monopoly and making impression in patients minds they have to use CVS pharmacy only because where their Insurance ( Aetna ) want to go there. Also mail order pharmacies owned by PBM, which is total Waste of Medications and Medicare money. Even though patients don't request Medication , they keep sending those medications to patients & eventually its waste of Medicare money. Mail order pharmacy has very high reimbursement rate for same for medication compared to Regular Retail Pharmacy because they are owned by Insurance company, where they can do whatever they want in numbers. Lesser Competiion between PBMS and Insurance Create monopoly for CVS/ Caremark, where patients consumers right will be lost and eventually its affects patient's health Outcome. CVS/ Aetna Merger will force many Independence Pharmacies close their door, where they get personal services and they are treated just like family members not like Numbers. I would request FTC not Allow merger of CVS and Aetna, to Save Small Family Owned Independent Pharmacies.