Caremark narrows PBM field with purchase of AdvancePCS

Pharmacy benefit manager Caremark Rx has agreed to buy rival AdvancePCS. The deal leaves only three major PBMs in the industry, including Express Scripts and Medco Health Solutions. The acquisition is surrounded by controversy and potential complications, including the recent scrutiny of the industry's business practices and the effects of the proposed Medicare drug-benefit program on the PBM business.

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