What's the expected outcomes of a transparent PBM? How does a fiduciary driven pharmacy benefit management company compare to the 3 largest PBMs in the country processing more than 76% of all the prescriptions per year in the United States. 

The PBM market is dominated by three major players, who together handled about 76 percent of all prescription claims in 2018, according to Drug Channels Institute.  

A breakdown of PBM market share, by total equivalent prescription claims managed in 2018:  

1. Caremark (CVS Health) / Aetna: 30 percent
2. Express Scripts: 23 percent  
3. OptumRx (UnitedHealth): 23 percent  
4. Humana Pharmacy Solutions: 7 percent  
5. MedImpact Healthcare Systems: 6 percent  
6. Prime Therapeutics: 6 percent  
7. All other PBMs + cash pay: 4 percent 

TrueScripts mission is to build lasting relationships. They provide prescription benefit management expertise at a personal and customized level to ensure optimum value at the lowest possible cost. The TrueScripts team of nurses, pharmacists, legal experts, data scientists, and care specialists work together as one to bring prescription benefit expertise and a level of service that far exceeds that of any industry standard. 

Today's guest is Nathan Gabhart RPh Founder & CEO of TrueScripts.