On his first day as governor of California Monday, Gavin Newsom issued an executive order intended to strengthen the state's bargaining power when negotiating prescription drug prices by creating the largest-scale single-purchaser system for prescription drugs in the U.S. The order directs California state agencies to purchase prescription drugs together, replacing the current fragmented negotiations with drug companies conducted by various public and private purchasers for Medi-Cal, the state's largest purchaser of pharmaceutical services.