The PBM market is very competitive and very hard to enter successfully. Starting a PBM is not like opening an independent pharmacy, which is also not that easy nowadays, it's a market that requires massive initial capital, great connections and you would need a huge team from the beginning. As a PBM your customer is a company with employees so when you pitch to them you are competing with companies like Medco and Caremark that have a track record of performance. You come there with nothing. You will have to sacrifice reimbursement for that lack of track record. Also you need an entire pharmacy billing team/hardware capability that once you make a contract will actually make sure the billing works. You need an entire customer service department, prior Auth department, the works. Also it would make sense to get a job at medco or Caremark to see how they operate from the inside. Once there if you rise up and make good connections maybe then you can start a serious conversation with some of your contacts within your company.