I paid $13.18 for a 90 day prescription through Cost Plus. Walgreens charged $30 with insurance. Same drug. Same supply. This is what PBMs do to pricing and why transparency exposes the middlemen.

Express Scripts allegedly created a Swiss shell company to hide rebate money from employers and patients. Cigna's own CMO admitted they could "double, triple dip on fees." Now a RICO lawsuit threatens existential damages. Welcome to 2026: The Year of the Patient.

Mark Cuban walked into the Senate with spreadsheets and receipts. He called PBMs a cartel. He saved Medicare $2 billion. But math doesn't show up at town halls. Receipts don't vote. Here's the hole in his equation and an invitation to fix it.