it all together and then we use mckessen to buy these pharmaceuticals but mckessen does not negotiate prices with the manufacturer. is that correct? >> so our drug prices are determined through a different mechanism, not through mckessen? and i can explain that, if you're interested. >> i think what we would like to know here on this mea committeew are we guaranteed, then, that we are actually purchasing them at the most cost effective price? >> so the buckets that we purchase drugs from are through the contracts which was eluded to here, the gpo. the other main bucket is through a federal drug pricing firearm, called the 340b program, a federal program and with that program, because we are a safety net institution, then we are actually able to access federal pricing, which is some of the lowest pricing in the nation across the board. and the third bucket is called wholesale acquisition which is not determined by mckessen so we choose the lowest of the prices and purchase based on eligible location and the lowest price. >> and are we purchasing generic drugs, then? >> over 80% office

it all together and then we use mckessen to buy these pharmaceuticals but mckessen does not negotiate prices with the manufacturer. is that correct? >> so our drug prices are determined through a different mechanism, not through mckessen? and i can explain that, if you're interested. >> i think what we would like to know here on this mea committeew are we guaranteed, then, that we are actually purchasing them at the most cost effective price? >> so the buckets that we purchase drugs from are through the contracts which was eluded to here, the gpo. the other main bucket is through a federal drug pricing firearm, called the 340b program, a federal program and with that program, because we are a safety net institution, then we are actually able to access federal pricing, which is some of the lowest pricing in the nation across the board. and the third bucket is called wholesale acquisition which is not determined by mckessen so we choose the lowest of the prices and purchase based on eligible location and the lowest price. >> and are we purchasing generic drugs, then? >> over 80% office

it all together and then we use mckessen to buy these pharmaceuticals but mckessen does not negotiate prices with the manufacturer. is that correct? >> so our drug prices are determined through a different mechanism, not through mckessen? and i can explain that, if you're interested. >> i think what we would like to know here on this mea committeew are we guaranteed, then, that we are actually purchasing them at the most cost effective price? >> so the buckets that we purchase drugs from are through the contracts which was eluded to here, the gpo. the other main bucket is through a federal drug pricing firearm, called the 340b program, a federal program and with that program, because we are a safety net institution, then we are actually able to access federal pricing, which is some of the lowest pricing in the nation across the board. and the third bucket is called wholesale acquisition which is not determined by mckessen so we choose the lowest of the prices and purchase based on eligible location and the lowest price. >> and are we purchasing generic drugs, then? >> over 80% office

it all together and then we use mckessen to buy these pharmaceuticals but mckessen does not negotiate prices with the manufacturer. is that correct? >> so our drug prices are determined through a different mechanism, not through mckessen? and i can explain that, if you're interested. >> i think what we would like to know here on this mea committeew are we guaranteed, then, that we are actually purchasing them at the most cost effective price? >> so the buckets that we purchase drugs from are through the contracts which was eluded to here, the gpo. the other main bucket is through a federal drug pricing firearm, called the 340b program, a federal program and with that program, because we are a safety net institution, then we are actually able to access federal pricing, which is some of the lowest pricing in the nation across the board. and the third bucket is called wholesale acquisition which is not determined by mckessen so we choose the lowest of the prices and purchase based on eligible location and the lowest price. >> and are we purchasing generic drugs, then? >> over 80% office