A Senate subcommittee heard testimony this week on the largest pharmacy benefit management (PBM) merger in history.

The Senate Judiciary Committee's Subcommittee on Antitrust, Competition Policy and Consumer Rights held a hearing to investigate the proposed merger between Express Scripts Inc. and Medco Health Solutions, two of the "big three" PBMs that, combined, could manage up to two-thirds of all prescriptions filled.

The Federal Trade Commission is investigating to determine whether the merger would violate antitrust law. The subcommitee hopes the hearing will shed light on who's really coming out ahead on the deal.

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