Three Middlemen Dominate U.S. Drug Market

Updated: 2026.10.29 1H ago 1 sources
Mark Cuban (on the Build or Break podcast) claims three pharmaceutical middlemen control roughly 85% of drug distribution, concentrating pricing power and insulating supply‑chain markup. If true, that concentration helps explain high retail drug prices and points to targeted antitrust or regulatory levers. — This frames drug‑price politics as a market‑structure problem that midterm‑level policymakers (state attorneys general, Congress) could act on, shifting debates from generic 'too expensive' complaints to concrete regulatory and antitrust responses.

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Mark Cuban interview quoted in the article claiming three middlemen control 85% of medications.
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