MEGAN THOMPSON:

Jacobson showed us a recent transaction for the diabetes drug Metformin. It cost him $1.61 to acquire the prescribed amount of the drug. He says, if the patient paid out of pocket, he would have sold it to them for $4.00. His profit would have been $2.39. But the patient used an insurance plan, and there was a middleman- the PBM. It told Jacobson to charge a $10.84 copay it let him keep $1.93. And it took $8.91 for itself.

So you could sell it to them for four dollars. Instead they paid a ten dollar and four cent copay.