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Public source dossierAgency reportFederal Trade Commission

Pharmacy Benefit Managers: The Powerful Middlemen Inflating Drug Costs and Squeezing Main Street Pharmacies

FTC interim staff report and press release on PBM concentration and vertical integration.

This dossier follows one source through the observatory without widening its stated scope.

Evidence topology

Where this source enters the observatory

4/7 direct domains · 0 normalized indicators · 1 market · 2023-2026
Data
Encoded row volume · log scaleExact counts shown
2 high / 0 medium / 0 low
3 explicit zero states · Definitions + Observations + Policy records + Reports
  • Record identityftc-pbm-interim-2024Federal Trade Commission, 2024
  • Source classAgency reportAccessed May 16, 2026
  • Encoded scope4 active routes5 direct / 0 indicator rows
  • Permitted inferenceTrace + reproduceNo automatic endorsement or comparability

Evidence topology

Where this record enters the observatory

4 active routes / 4 not encoded

A zero means this source has no encoded row in that evidence domain. It is a boundary in the current observatory release, not a claim that the underlying institution publishes no relevant evidence. Indicator observations are shown as a separate normalized route and are not added to direct-domain totals.

Market context

Markets reached by this source

1 linked context

Measurement releases

Definitions, observations, and participant rows

2 encoded rows

Market definition / 2023

PBMs

agency defined / aggregate concentration

Product boundary
Pharmacy benefit management services represented by prescription processing
Geographic boundary
United States
Measurement basis
FTC-reported aggregate shares of prescriptions processed
Denominator
U.S. prescriptions processed by the PBMs covered in the FTC public findings

Release 2023

PBMs

1 observation / 0 participant rows / 0 aggregate

Observation

HHI Not published / incomplete

6.6 billion prescriptions dispensed / high confidence

Participants

No participant rows in this release.

Confidence labels describe the observatory's use of linked measurement and definition rows. They are not grades for the publisher or the source as a whole.

Official record chronology

Policy records backed by this source

1 official record

Research reuse

Public reports citing this record

2 citations

Published report

Jul 19, 2026

The U.S. Competition Landscape

A national briefing that aligns defined-market signals, industry structure, state and local geographic concentration screens, merger activity, and enforcement records without collapsing their different scopes.

2022 and 2017 U.S. Economic Census industry concentration tables, USDA ERS historical meatpacking CR4, KFF 2024 state individual-market HHI, FDIC 2025 statewide and county Summary of Deposits screens, the FY2025 FTC/DOJ HSR report, and source-backed market and enforcement records.

Read report

Published report

May 16, 2026

Where Public Market-Share Data Runs Out

An open report explaining why the observatory sometimes withholds HHI even when public facts indicate concentration.

BTS public airline market-share table and FTC PBM interim staff report materials.

Read report

Industry observatory

NAICS concentration evidence

0 industry rows

No NAICS industry rows encoded

This source does not back the Census national industry-concentration tables in the current release. Its other evidence-domain counts remain independently inspectable.

Inspect source row

Citation custody

The record behind the rows

Federal Trade Commission, FTC Releases Interim Staff Report on Prescription Drug Middlemen, July 9 2024.

FTC interim staff report and press release on PBM concentration and vertical integration.

Canonical source citation

Federal Trade Commission, FTC Releases Interim Staff Report on Prescription Drug Middlemen, July 9 2024. Available at https://www.ftc.gov/news-events/news/press-releases/2024/07/ftc-releases-interim-staff-report-prescription-drug-middlemen. Accessed May 16, 2026. Antitrust Radar source record ftc-pbm-interim-2024: https://antitrustradar.org/sources/ftc-pbm-interim-2024

BibTeXRIS

Publisher
Federal Trade Commission
Access date
May 16, 2026
License note
Public federal government report
Archive
No archive URL recorded

Source-scoped data packet

Reusable public endpoints

Data console
1

Source record

Citation, publisher, access, and license

1

Definitions

Product, geography, denominator, and limits

1

Observations

HHI, market size, status, and methodology

0

Participants

Firm shares, rank, aggregate flags, and custody

1

Official records

Dated enforcement and policy chronology

6

Named edges

Exact organization roles in official records

1

Event windows

Bounded pre, event-year, and post HHI context

2

Reports

Published observatory work citing this source

Interpretation boundary

Use the source at its encoded scope

A source dossier documents how this observatory uses one public record. It does not endorse every claim in that record, make unlike measures comparable, or extend the source beyond its stated product, geography, population, and vintage.

Evidence standard