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CVS owns the 2nd largest prescription benefit management provider and is purchasing the 5th largest health insurance provider. They will be able to use differing co-pay levels to drive pharmacy business.

Walmart has been negotiating either a purchase or partnership with Humana. This may drive Walmart to be more agressive towards finalizing a deal or maybe even have them looking at a different potential target such as Cigna which has agreed the purchase Express scripts, the largest PBM.



I remember all the way back to when Merck spun out Merck Medco, which Express Scripts acquired (by that time, renamed Medco Health Solutions) to become the largest. Amazon is a guppy in an ocean with this acquisition. And yet Bezos owns WaPo, which is the basis for my statement.




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