Skip to main content

Cross-domain evidence graph

Observatory atlas

Follow documented connections between markets, firms, places, publications, and sources. A connection shows a recorded relationship, not that two measures describe the same market.

Live family topologyEnforcement

Current focusPBMs63 records / 3 family pairs

Enforcement topology centered on PBMsLine width represents declared relationship count. Line color identifies relationship layer. Circle size represents the number of canonical profiles in each family.Records to Named entities: 31 declared links. Enforcement 31.Markets to Records: 18 declared links. Enforcement 18.Records to Sources: 14 declared links. Enforcement 14.Markets12Markets: 12 canonical profiles, 18 links in Enforcement, 171 links overall. Documented antitrust and screening definitionsProducts55Products: 55 canonical profiles, 0 links in Enforcement, 85 links overall. Source-labeled market participantsOperators20Operators: 20 canonical profiles, 0 links in Enforcement, 32 links overall. Official product attributionsIndustries1,866Industries: 1,866 canonical profiles, 0 links in Enforcement, 5,408 links overall. Census hierarchy and screening contextIssues6Issues: 6 canonical profiles, 0 links in Enforcement, 28 links overall. Editorial competition research programsTopics8Topics: 8 canonical profiles, 0 links in Enforcement, 171 links overall. Institutional research subjects and exact evidence membershipsQuestions46Questions: 46 canonical profiles, 0 links in Enforcement, 104 links overall. Public research questions anchored to exact signals and indicatorsPlaces3,270Places: 3,270 canonical profiles, 0 links in Enforcement, 13,125 links overall. National context, bounded state and local screens, and international regulatory profilesIndicators30Indicators: 30 canonical profiles, 0 links in Enforcement, 8,105 links overall. Canonical measurement dossiersRecords14Records: 14 canonical profiles, 63 links in Enforcement, 63 links overall. Dated official enforcement recordsNamed entities21Named entities: 21 canonical profiles, 31 links in Enforcement, 37 links overall. Organizations named in official recordsPublications85Publications: 85 canonical profiles, 0 links in Enforcement, 413 links overall. Reports, data dispatches, and international evidence briefsSources45Sources: 45 canonical profiles, 14 links in Enforcement, 5,588 links overall. Public evidence custody
Enforcement compact topology centered on PBMsTap a family or weighted route to inspect its declared neighborhood, then use the dossier action below to open the complete record. Circle size represents canonical profile count.Records to Named entities: 31 declared links. Enforcement 31.Markets to Records: 18 declared links. Enforcement 18.Records to Sources: 14 declared links. Enforcement 14.Markets12Markets: 12 canonical profiles, 18 links in Enforcement, 171 links overall. Documented antitrust and screening definitionsProducts55Products: 55 canonical profiles, 0 links in Enforcement, 85 links overall. Source-labeled market participantsOperators20Operators: 20 canonical profiles, 0 links in Enforcement, 32 links overall. Official product attributionsIndustries1.9kIndustries: 1,866 canonical profiles, 0 links in Enforcement, 5,408 links overall. Census hierarchy and screening contextIssues6Issues: 6 canonical profiles, 0 links in Enforcement, 28 links overall. Editorial competition research programsTopics8Topics: 8 canonical profiles, 0 links in Enforcement, 171 links overall. Institutional research subjects and exact evidence membershipsQuestions46Questions: 46 canonical profiles, 0 links in Enforcement, 104 links overall. Public research questions anchored to exact signals and indicatorsPlaces3.3kPlaces: 3,270 canonical profiles, 0 links in Enforcement, 13,125 links overall. National context, bounded state and local screens, and international regulatory profilesIndicators30Indicators: 30 canonical profiles, 0 links in Enforcement, 8,105 links overall. Canonical measurement dossiersRecords14Records: 14 canonical profiles, 63 links in Enforcement, 63 links overall. Dated official enforcement recordsNamed entities21Named entities: 21 canonical profiles, 31 links in Enforcement, 37 links overall. Organizations named in official recordsPublications85Publications: 85 canonical profiles, 0 links in Enforcement, 413 links overall. Reports, data dispatches, and international evidence briefsSources45Sources: 45 canonical profiles, 14 links in Enforcement, 5,588 links overall. Public evidence custody
Canonical nodes5,4785433 public profiles
Declared edges19,193exact encoded links
Node families13bounded domains
Inferred links0name-only joins
Encoded hereProfile-to-indicator observations, issue-program scope, source custody, market participation, official attribution, declared industry context, publication scope, and dated policy relationships.
Never inferred hereSubstitutability, ownership, control, liability, causation, or comparability across unlike measures.
Read evidence standard

Graph census · Enforcement

Who the Atlas connects

Every lane is an exact family-pair contract in the active semantic lens, ranked by encoded edge count.

4 of 13families connectedTop 3 routes carry 100.0% of active-layer edges.

Active-lens edges
63
Enforcement
Family-pair routes
3
exact family contracts
Cross-family pairs
3
between unlike families
Self-family pairs
0
within one family
Open the complete relationship matrixScan all 91 possible family contracts by edge volume or source custody, including explicit structural zeros.
  1. 01RecordsNamed entitiesEnforcement layer · open complete contract dossier3149.2%
  2. 02MarketsRecordsEnforcement layer · open complete contract dossier1828.6%
  3. 03RecordsSourcesEnforcement layer · open complete contract dossier1422.2%
Bar length uses a logarithmic scale so low-volume lanes remain visible.Counts and shares describe encoded relationships, not economic importance, substitutability, control, liability, or antitrust harm.

Graph query

Build a declared relationship neighborhood

Network depth
MarketsU.S. pharmacy benefit managementEnforcement / 2 hops / all neighbors
Semantic classificationAll 39 relationship contracts remain distinctRead ontology

Choose one exact semantic contract to rebuild the topology, neighborhood, diagnostics, ledger, and public exports around only that declared edge type.

Focused evidence graph

PBMs

18 connected nodes in this bounded slice
Visible nodes
18
of 18
Visible edges
24
declared links
Direct links
4
from focus
Hidden nodes
0
plot cap only
Direct neighborhood4
Focused declared relationship network for U.S. pharmacy benefit managementNodes are placed by graph distance from the selected profile. Color identifies node type. Lines identify encoded relationships in the selected semantic lens.PBMsWithheldU.S. pharmacy benefit management: HHI status WithheldFTC files adminis...FTC files administrative complaint against the three largest PBMs: Official stage litigationFTC releases inte...FTC releases interim staff report on prescription drug middlemen: Official stage monitoringFTC announces pro...FTC announces proposed consent agreement with Caremark: Official stage remedyFTC announces pro...FTC announces proposed consent agreement with Express Scripts: Official stage remedyCaremark Rx, LLC: Named records 3Express Scripts, Inc.: Named records 3Ascent Health Services, LLC: Named records 2OptumRx, Inc.: Named records 2Zinc Health Services, LLC: Named records 2Emisar Pharma Services LLC: Named records 1Humana Pharmacy Solutions, Inc.: Named records 1MedImpact Healthcare Systems, Inc.: Named records 1Prime Therapeutics LLC: Named records 1Pharmacy Benefit Managers: The Powerful Middlemen Inflating Drug Costs and Squeezing Main Street Pharmacies: Access date 2026-05-16FTC Secures Landmark Settlement with Express Scripts to Lower Drug Costs for American Patients: Access date 2026-07-20FTC Secures Major Settlement with Caremark Resolving Antitrust Case Against Second Drug Middleman: Access date 2026-07-20FTC Sues Prescription Drug Middlemen for Artificially Inflating Insulin Drug Prices: Access date 2026-07-17
Markets12Products55Operators20Industries1866Issues6Topics8Questions46Places3270Indicators30Records14Named entities21Publications85Sources45
MarketsU.S. pharmacy benefit managementUnited States / 2023
HHI status
Withheld
Status
incomplete
Declared links
10
Latest year
2023

Pharmacy benefit management services profile based on FTC public findings. The FTC reports top-three and top-six aggregate shares but not enough individual PBM market shares in the public press-release record to compute HHI.

Open canonical profile
Analysis handoff2

No indicator row is keyed directly to this profile. These analytical contexts are one declared graph hop away.

Direct relationships4

Direct relationship fingerprint

How PBMs is declared in the Atlas

Enforcement / direct focus links / no composite score
Counterparties
4
Unique canonical endpoints
Encoded links
4
Exact focus edges
Source custody
100%
4 source-bearing links
Profile families
1
Direct counterparty types
Counterparty compositionDirect nodes by profile family
Unique endpoints / active layer
Records4 encoded edges
4
Declared counterpartiesCarry exact endpoints into deeper analysis
4 available
01
1 edge1 source-bearing
02
1 edge1 source-bearing
03
1 edge1 source-bearing
04
1 edge1 source-bearing
Direct layer mixMeasurement0Organization0Enforcement4Research0
Encoded confidencehigh0medium0bounded4low0

Relationship ledger

Every plotted line remains an inspectable record

24 edges survive the current focus, depth, node-type, layer, and semantic-type contract.

Enforcementrespondentnamed in record

The FTC administrative complaint names affiliated GPO Ascent Health Services as a respondent.

Exact official-record relationshipboundedSource
Enforcementremedy subjectnamed in record

The FTC settlement announcement identifies affiliated group purchasing organization Ascent Health Services among the entities subject to the proposed consent agreement.

Exact official-record relationshipboundedSource
Enforcementrespondentnamed in record

The FTC administrative complaint names Caremark Rx as a respondent.

Exact official-record relationshipboundedSource
Enforcementreport subjectnamed in record

The FTC interim report identifies Caremark Rx among the six PBMs that received Section 6(b) orders.

Exact official-record relationshipboundedSource
Enforcementremedy subjectnamed in record

The FTC settlement announcement identifies Caremark among the entities subject to the proposed consent agreement.

Exact official-record relationshipboundedSource
Enforcementrespondentnamed in record

The FTC administrative complaint names affiliated GPO Emisar Pharma Services as a respondent.

Exact official-record relationshipboundedSource
Enforcementrespondentnamed in record

The FTC administrative complaint names Express Scripts as a respondent.

Exact official-record relationshipboundedSource
Enforcementreport subjectnamed in record

The FTC interim report identifies Express Scripts among the six PBMs that received Section 6(b) orders.

Exact official-record relationshipboundedSource
Enforcementremedy subjectnamed in record

The FTC settlement announcement identifies Express Scripts among the entities subject to the proposed consent agreement.

Exact official-record relationshipboundedSource
Enforcementreport subjectnamed in record

The FTC interim report identifies Humana Pharmacy Solutions among the six PBMs that received Section 6(b) orders.

Exact official-record relationshipboundedSource
Enforcementreport subjectnamed in record

The FTC interim report identifies MedImpact among the six PBMs that received Section 6(b) orders.

Exact official-record relationshipboundedSource
Enforcementrespondentnamed in record

The FTC administrative complaint names OptumRx as a respondent.

Exact official-record relationshipboundedSource

Showing 8 of 24 exact relationships. The complete filtered ledger remains available in CSV.

12 additional exact edges are available in JSON and CSV.

Graph contract

Relationship families stay separate

The atlas joins routes through encoded custody and context, never through name resemblance or an inferred corporate, legal, or causal relationship.

The atlas exposes only relationships declared in the current public data. A link or issue grouping does not make unlike measures comparable, establish ownership or control, define an antitrust market, assign liability, or show that a policy event caused an economic outcome.

Reusable graph packet

Carry node and edge custody into analysis

The packet preserves node type, canonical route, relationship family, source link, evidence label, confidence, and edge-specific guardrail.