lauren wood is our acting city attorney on behalf of jennifer donnelly, so i just wanted to make sure you recognize and welcome. >> welcome. >> pharmacy, high cost drugs discussion item and will be presented by vice president of pharmacy service south side with aon. >> welcome. >> good afternoon. we'll be discussing what is happening in the market with genetic and other medication that's are impacting your cost as well as across the nation for all of us. >> can you please speak closer to the microphone. >> yes. >> thank you. >> is it better now? >> yes. >> i'm hearing myself a little louder than and you are i guess. my name is ammas and the agenda is to look at the manufacturing and the approval process that we see in the market. we are not the one step and complex and we'll go over it in more detail. and the resent fda approval as astro nom cal in cost and thought, it would be a good agenda item to discuss and look over. is there any other solutions or what other impact out there. disease states that have not been treated to prior. or those treated prior but newer drugs that will tre