About this podcast
Pharmacy benefit managers were created as middlemen to reduce administrative costs for insurers, validate a patient’s eligibility, administer plan benefits, and negotiate costs between pharmacies and health plans. Over time, PBMs have been allowed to operate virtually unchecked. A lack of transparency in PBM practices has led several states to implement licensure/registration, fair pharmacy audit, or generic drug pricing legislation to try to level the playing field for pharmacies and patients.…
60 episodes · news
PBM Reform Podcast
About this podcast
Pharmacy benefit managers were created as middlemen to reduce administrative costs for insurers, validate a patient’s eligibility, administer plan benefits, and negotiate costs between pharmacies and health plans. Over time, PBMs have been allowed to operate virtually unchecked. A lack of transparency in PBM practices has led several states to implement licensure/registration, fair pharmacy audit, or generic drug pricing legislation to try to level the playing field for pharmacies and patients.…
Recent episodes
- TRICARE and the Fight for Military Pharmacy Access | PBM Reform with APCI17 Aug · 53 min
- Pharmacists Fight Back: Federal PBM Reform Advances | PBM Reform with APCI31 Jul · 46 min
- Transparency, Auditing, and the PBM Shell Game | PBM Reform Podcast with APCI2 Jun · 48 min
- Tennessee PBM Reform Win | PBM Reform with APCI30 Apr · 34 min
- PBM Reform Updates, Next steps, from CPhA | PBM Reform with APCI5 Mar · 45 min
- Bagging Better Benefits: The Grocery PBM Disruptor | PBM Reform23 Feb · 40 min
- Pharmacists Fight Back! Live on Capitol Hill | PBM Reform with APCI18 Dec 2025 · 41 min
- U.S. Congressman Jake Auchincloss | PBM Reform with APCI15 Dec 2025 · 42 min
- Don't Get Paid Below Your Cost Anymore! | PBM Reform12 Dec 2025 · 31 min
- Cutting Through the Noise: A nuanced discussion on MFN, Rebates, and Premiums | PBM Reform with APCI13 Nov 2025 · 55 min
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