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. by the NCPA https://www.ncpanet.org/advocacy/state-advocacy/pbm-reform This Podcast is focusing on discussions & interviews about PBM Reform & those ”Business of Pharmacy” professionals leading this much needed reform.
PBM Reform Podcast
Claim This Podcastby Pharmacy Podcast Network
3.7(3 reviews)
57 episodes
Updated Bi-weekly
Accepts GuestsHas SponsorsLocation 🇺🇸
18
Podcast Authority
BetaPoorBased on show quality, social media presence, reviews, charts, and more
Quality10
Social0
YouTube0
Engagement67
Podcast Overview
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. by the NCPA https://www.ncpanet.org/advocacy/state-advocacy/pbm-reform This Podcast is focusing on discussions & interviews about PBM Reform & those ”Business of Pharmacy” professionals leading this much needed reform.
Language
🇺🇲
Publishing Since
12/16/2019
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18
Podcast Authority
BetaPoorBased on show quality, social media presence, reviews, charts, and more
Quality10
Social0
YouTube0
Engagement67
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Episode Length
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Every 43 days
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Recent Episodes
June 2, 2026
Transparency, Auditing, and the PBM Shell Game | PBM Reform Podcast
Host Greg Reybold interviews Josh Golden as they dissect PBM financial models, revealing how transparency and auditing expose the industry's complexities and impact on drug costs.
April 30, 2026
Tennessee PBM Reform Win | APCI PBM Reform
Tennessee lawmakers have passed a major pharmacy reform bill aimed at pharmacy benefit managers, or PBMs, by barring companies from owning both a PBM and a pharmacy. The legislation is widely seen as targeting CVS Health, which owns Caremark and operates pharmacies across the state.Supporters say the bill is designed to curb vertical integration, restore fair competition, and protect independent pharmacies from reimbursement practices they view as harmful to patient access and community pharmacy survival.CVS has pushed back hard, warning that the new law could force it to shut down its 134 Tennessee pharmacy locations and trigger a legal challenge. The company argues the measure would reduce access for patients and does not directly address broader PBM issues like pricing or formularies.This Tennessee fight reflects a larger national battle over PBM reform, pharmacy ownership, market power, and the future of prescription drug access.
March 5, 2026
PBM Reform Updates, Next steps, from CPhA | PBM Reform Podcast
Susan Bonilla and Dr. Sean Kim discuss California's PBM reform progress and its national implications in this interview.
57 total episodes available with 4 transcripts
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- What is PBM Reform Podcast?
- How often does this podcast release new episodes?
This podcast updates bi-weekly.
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This podcast is available on 8 platforms including Apple Podcasts, Spotify, and more. You can also use the RSS feed directly.
- Does this podcast accept guests?
No, this podcast does not typically feature guests.
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