EP. 215: I sat down with Brad Hart, owner of Forest Park Pharmacy in Fort Worth, to expose the shocking truth behind pharmacy benefit managers (PBMs) and how they’re driving up drug prices. What I learned about vertical integration in the healthcare system, where insurers own the PBMs and the pharmacies, honestly left me furious.
Brad breaks it all down, from Medicare waste to the skyrocketing cost of specialty drugs, and we talk about real solutions like compounding pharmacies and direct-to-consumer options. This is a must-listen if you’ve ever wondered why your medications cost so much—and who’s really profiting.
Topics Discussed:
What are pharmacy benefit managers (PBMs) and how do they increase drug prices?
How are health insurance companies profiting from vertical integration in the pharmacy system?
Why are independent and rural pharmacies struggling to stay open?
What impact do PBMs have on Medicare spending and prescription drug costs?
How can consumers save money on medications without relying on insurance?
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On This Episode We Cover:
00:00:00 - Introduction
00:04:34 - History of PBMs
00:09:02 - Insurance & Pharmacy Ties
00:12:17 - UnitedHealthcare’s Role
00:15:59 - Pharmacy Kickbacks
00:18:01 - Emergency Med Access
00:23:11 - Rural Pharmacy Crisis
00:26:20 - How Insurance Works
00:30:05 - Compounding Pharmacies Explained
00:35:19 - How Pharmacies Save Money
00:37:14 - Arkansas PBM Bill
00:39:12 - Trump’s Drug Pricing Executive Order
00:42:37 - Direct-to-Consumer Drugs
00:43:40 - Wegovy, Eli Lilly, & Changing Costs
00:46:27 - Medicare Waste
00:48:25 - Medicare Price Negotiation
00:49:58 - Specialty Drug Cost
00:54:18 - Brad’s Pharmacy Model
Further Listening:
The Fight For Affordable GLP1s & The Truth About Big Pharma | Dave Knapp
Check Out Brad:
https://www.forestparkpharmacy.com/
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