Well the good news is that the Biden admin is currently trying to do something about the situation. The root cause is PBMs basically using their market power to squeeze everyone and redirect all the profit to themselves leaving nothing for the actual pharmacies. The FTC under Lina Khan has been investigating the issue for a while now and is currently starting litigation against the PBMs. It would be nice if we could get a functional congress that would pass good legislation to solve the issue instead of leaning on the limited power of regulators and unreliable and sometimes corrupt courts though.

Wow look at this fat cat over here who can afford to lose crumbs