The Truth About Pharmacy Benefit Managers

In this episode, hosts Laura Beth and Heather Matchett dive into the complexities of the American healthcare and pharmacy systems, discussing personal experiences, the impact of political decisions, and the challenges faced by healthcare professionals. They explore the role of pharmacy benefit managers (PBMs), the rising costs of medications, and the accessibility issues that many patients encounter. The conversation is filled with humor, personal anecdotes, and a candid look at the flaws within the system, emphasizing the need for change and advocacy in healthcare. In this conversation, Laura Beth and Heather Matchett delve into the complexities of pharmacy coverage, the role of pharmacy benefit managers (PBMs), and the challenges faced by healthcare workers. They discuss the impact of Mark Cuban's Cost Plus Drug Company on drug pricing and the systemic issues that contribute to high medication costs. The conversation highlights the disconnect between healthcare providers and patient needs, the struggles of healthcare workers, and the importance of advocacy in the healthcare system.

References:

https://www.americanprogress.org/article/following-the-money-untangling-u-s-prescription-drug-financing/

https://www.uspharmacist.com/article/the-impact-of-pharmacy-deserts

https://www.canadianpharmacyservice.com/drug/eliquis

https://www.protectourcare.org/greed-watch-bristol-myers-squibb-brought-in-more-than-45-billion-in-2023/#:~:text=Bristol%20Myers%20Squibb%20brought%20in%20$12.2%20billion%20in%202023%20from,launching%20the%20drug%20in%202012.

https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2820562

https://info.rxsafe.com/blog/pbms-make-money-infographic#:~:text=PBMs%20own%20retail%20and%20mail%20order%20pharmacies%2C,mail%20order%20and%20purchase%20exclusively%20from%20them.