coming in the marketplace, howmarketplace, how do you think you will adapt utilization management strategies, getting the right drug to the right patient at the right time and minimizing the untoward effects mac. >> so many variables, but it is drug specific. give it to someone that is asymptomatic. that really pushed the price.upward. we don't see the danger of abuse around that. you don't see the issues with adherence. it is something we are much more comfortable with. >> let's go to you and talk about employers and what they view as their most effective set of tools, tools,tools, not necessarily there tools but tools that they ask others they work with whether they be pharmacy benefit managers or insurers and others to engage in. they have tried a lot of strategies for mail order to formularies as we move in to the specialties in particular. most effective purchasing utilization strategies. >> the business strategy, so it varies. >> well, what is available and what i referenced earlier, the program appropriate. so far the guidelines and ensuring safety, there are different formulary optio