News Room

Food Marketing Institute Urges Federal Trade Commission Scrutiny over Planned Prescription Benefits Manager Merger

September 1, 2011
Arlington, VA – September 1, 2011 – The Food Marketing Institute (FMI) pressed the Federal Trade Commission (FTC) today to carefully evaluate the proposed consolidation of Express Scripts (ESI) and Medco Health Solutions (Medco). In a letter to FTC Chairman Jonathan Leibowitz, FMI indicted that a merger would reduce competition resulting in a decrease of pharmacy patient care and an increase in health care costs to both consumers and to FMI members as employers.

If FTC approves the merger, 80 percent of the national prescription drug care market for large employers would be dominated by two prescription benefits managers (PBMs). The FMI argument is thus twofold:


  1. Harm to pharmacy operations in retail supermarkets: FMI believes the merger between ESI and Medco would reduce competition resulting in decreased patient care and increased health care costs. Highly restrictive pharmacy networks are likely to increase post-merger which will reduce patient choice, disrupt patient care, and diminish competition in drug distribution.

  2. Harm to FMI members as purchasers of PBM services: FMI members as employers provide pharmacy benefits for their employees and must purchase PBM services. With the absence of Medco in the bidding process, there would be a significant loss of competitive pressure on ESI and CVS Caremark to lower prices.

The letter appeals to the Commission to ensure competition in the marketplace is preserved: “FMI members are concerned about this acquisition because of the impact on their customers and employers. Customers appreciate the convenience of one-stop-shopping for both groceries and prescription drugs. And pharmacies in retail supermarkets have the unique ability to assist consumers with nutritional recommendations to accompany medication regimens.”

Food Marketing Institute (FMI) conducts programs in public affairs, food safety, research, education and industry relations on behalf of its nearly 1,250 food retail and wholesale member companies in the United States and around the world. FMI’s U.S. members operate more than 25,000 retail food stores and almost 22,000 pharmacies with a combined annual sales volume of nearly $650 billion.  FMI’s retail membership is composed of large multi-store chains, regional firms and independent operators. Its international membership includes 126 companies from more than 65 countries. FMI’s nearly 330 associate members include the supplier partners of its retail and wholesale members. 

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