without a patient thissen wouldn't despise without an employer financing this, this couldn't exist. this is what we have today. there is a system that emerged over decades. it may be inefficient but is the system we have today. the employer may be eligible for rebates. there is another intermediary here because for sfhf it is the carriers dealing with the pbm. as we have heard in conversations today these rebates potentially on quarterly basis flow back to this group right here. that is the highest level that i can keep it at without getting too entertaining or too complex. come complex. >> the carrier gets the rebates or kickbacks? >> they are supposed to be passed back to you. there was a conversation earlier today about that? >> how much? all of i it may not bet back. >> it can be millions. >> for instance last month in the blue shield presentation a lot of information on various aspects of the total claims and fees but within that we show the pharmacy rebates and if i recall correctly approximately $6.2 million in pharmacy rebates paid back to hsf in 2018. if you recall we talke