indictment unsealed last month.

isset to take effect Jan.The clawbackshave balloonedfrom about $9 million in 2010 to $12.

they risk losing Medicare customers likely to the same giant PBM conglomerates.which owns one of the three leading PBMs.its adding to the woes of the independent drugstores it was partly designed to help.

000 or so independent pharmacies had accepted its terms.which will be potentially transferring patients away.

although they have no control over the patients actions.

Jolley said his drugstore expects to lose at least 100 customers after refusing a contract with a large PBM.who accuse them of siphoning money from what is already the worlds most expensive health care system without providing additional value.

a Salt Lake City pharmacist and consultant to other independent pharmacists.where they say they negotiate lower prices for insurers including Medicare and for employers and their workers.

PBMs sit at the center of the U.Express Scripts said that our reimbursement rates to pharmacies for brand drugs vary based on a number of factors.