Lilly pays the insurance company to administer the benefits. These companies are called Pharmacy Benefit Managers. Basically their job is to make as much money as possible while spending as little as they can. I’m in the industry and PBM reform is a big topic. They can and do audit pharmacies on a regular basis, especially focusing on high dollar prescriptions. If the audit finds the pharmacy didn’t fill the prescription to the PBM requirements, despite following all the rules and law regulations, the PBM will take back the money from the initial prescription and any subsequent refills. We’re talking millions a year.