If you are pro-competition, why do your biggest members do everything possible to prevent brand manufacturers from offering rebates through @costplusdrugs like they do your members ? Why do you threaten to remove them from formularies if they deal with us ? Answer: you know that our 15 pct markups would collapse your margins on brand name meds. Just like we have down for specialty generics and biosimilars. You know that we would save taxpayers tens of billions of dollars. Because you know that plan premiums would drop as competitors used our pricing instead of yours. Patient co-insurance and out of pocket would drop as well. Hey @elonmusk , I got your @doge savings right here.