April 1, 2022

How PBMs Raise Costs for Patients + Pharmacies

How PBMs Raise Costs for Patients + Pharmacies

One reason behind high costs at the pharmacy counter? Pharmacy benefit managers. PBM practices, like clawbacks and spread pricing, not only hurt patients but also impact community pharmacies that serve rural and underserved populations. 

In this episode, the Patients Rising team gets into community pharmacies with Ronna Hauser and Matthew Seiler of the National Community Pharmacist Association (NCPA). They detail the challenges that face pharmacists, how they trickle down to impact patients at the counter, and what an FTC investigation into PBM actions could reveal. 

Plus, April kicks off World Autism Month! Field correspondent Kate Pecora speaks with Mason Milne on how he advocates for the autistic and Crohn’s disease communities.

Hosts: 

Terry Wilcox, Executive Director, Patients Rising

Dr. Robert Goldberg, “Dr. Bob,” Co-Founder and Vice President of the Center for Medicine in the Public Interest

Kate Pecora, Field Correspondent

Guests: 

Ronna Hauser,  SVP of Policy and Pharmacy Affairs at NCPA

Matthew Seiler, VP and General Counsel at NCPA

Mason Milne, Podcast Host, Crohn’s and Autism Awareness Advocate  

Elisa Comer, Patient Correspondent

Links: 

Independent Pharmacists Blanket Congress with Letters on Pharmacy DIR Reform | NCPA

Community Pharmacy Makes Goal Line Push to Eliminate PBM Spread Pricing | NCPA

PBM Resources | NCPA

Crohn's & Autism Awareness Advocate | iHeart

Leadership Team | NCPA

Making healthcare options more accessible on Search

Public Comments | Federal Trade Commission

Michigan Gov. Signs Laws To Combat Opaque PBM Practices | InsideHealthPolicy.com

Gov. Whitmer Signs Bipartisan Bills to Lower Prescription Drug Costs for Michiganders

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The views and opinions expressed herein are those of the guest(s)/ author(s) and do not reflect the official policy or position of Patients Rising.