Sen. Warren laid it out plainly: Express Scripts reportedly billed the DoD ~$484 MORE per generic drug when it filled the script at its own pharmacy. The DoD official's response? "I'm not aware of the cost." Asked why 13,000 pharmacies have walked away from TRICARE? "The contractor is meeting its contractual requirements." Let that sink in. Here's one drug — Droxidopa, 90-day supply: 💵 Cash, no insurance: $180🏪 TRICARE pays an independent: $131🏬 TRICARE pays a big chain: $2,400🏴‍☠️ Express Scripts pays ITSELF: $9,700 Same pills. Same bottle. The only thing that changes is who's pocketing the spread — and it's the middleman, every time. And they don't stop at gouging pharmacies. They gouge patients too. That same drug at an Express Scripts pharmacy? $13 copay. At your local independent? $48 — even though the independent option saves the plan over $9,000. You read that right. They charge YOU more to steer you toward the option that costs the PLAN more. Because the friction is the point. Every closed pharmacy, every inflated price, every "I'm not aware" — it all feeds the same machine. This is why we fired Express Scripts and the PBM middlemen who profit by making your healthcare worse. No PBMs. No hidden fees. Just transparent cash pricing.