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PBM Reform Podcast

Pharmacy Podcast Network
Pharmacy Benefit Managers
Drug Pricing
Patient Care
Prior Authorization
Healthcare Reform
American Medical Association
Drug Pricing Transparency
PBM Reform
Community Pharmacies
Bipartisan Legislation
Drug Pricing Reform
Pharmacy Benefit Manager
Arizona Pharmacy Association
Independent Pharmacies
Test and Treat Legislation
Healthcare Access
Pharmacy Benefit Management
Rebates
American Economic Liberties Project
Most Favored Nation Policy

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,... more

PublishesMonthlyEpisodes57Founded5 years ago
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Artwork for PBM Reform Podcast

Latest Episodes

In this episode of the PBM Reform Podcast, host Greg Reybold, Vice President and General Counsel at APCI, welcomes Josh Golden, Senior Vice President of Strategy at Judi Health and a nationally recognized voice in Pharmacy Benefit Manager reform.

Wi... more

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 oper... more

In this episode, listeners get to know the leadership of the California Pharmacists Association (CPhA), exploring their professional journeys, personal backgrounds, and the experiences that shaped their commitment to advancing the pharmacy profession... more

How Kroger does PBM and the future of community pharmacy is clinical encounters.

American Pharmacy Cooperative, Inc. (APCI) called on Congress on Thursday, December 11, 2025 to pass the reintroduced Pharmacists Fight Back Act, two coordinated pieces of federal legislation designed to reform pharmacy benefit manager (PBM) practice... more

In this episode, Greg Reybold speaks with Jake Auchincloss, U.S. Congressman of Massachusetts 4th District.

This week on the PBM Reform Podcast, Breck L. Rice takes listeners inside a major new software upgrade designed to integrate directly with state-level PBM complaint and reporting systems. Breck also recounts his recent meetings with state Insurance C... more

Dr. Robert Popovian is a pharmacist, and economist with a deep background in research and public policy. In this episode we have a nuanced discussion on policy impacting pharmacy including PBMs, President Trumps Most Favored Nation Executive Order, R... more

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Recent Guests

Josh Golden
Senior Vice President of Strategy
Capital Rx
Episode: Transparency, Auditing, and the PBM Shell Game | PBM Reform Podcast
Anthony Pudlow
Executive director, CEO of the Tennessee Pharmacist Association
Tennessee Pharmacist Association
Episode: Tennessee PBM Reform Win | APCI PBM Reform
Susan Benea
CEO of the California Pharmacists Association
California Pharmacists Association
Episode: PBM Reform Updates, Next steps, from CPhA | PBM Reform Podcast
Sean Kim
Pharmacist and expert on PBM reform implementation
California Pharmacists Association
Episode: PBM Reform Updates, Next steps, from CPhA | PBM Reform Podcast
Dr. Jim Kirby
Chief Commercial Officer for Kroger Health
Kroger Health
Episode: Bagging Better Benefits: The Grocery PBM Disruptor | PBM Reform
Chris Ray
Healthcare industry professional with over 15 years of experience, focused on Pharmacy Benefit Managers
Pharmacy Marketplace
Episode: Don't Get Paid Below Your Cost Anymore! | PBM Reform
Dr. Robert Popovian
Expert in pharmaceutical economics and policy.
Conquest Advisors
Episode: Cutting Through the Noise: A nuanced discussion on MFN, Rebates, and Premiums | PBM Reform
Dr. Bobby Makamala
Acting president of the American Medical Association
American Medical Association
Episode: PBM Reform and the AMA | PBM Reform
Conor Sheehey
Long-time listener and first-time guest, working for Levitt Partners.
Levitt Partners
Episode: Behind the Policy: PBMs, Drug Pricing & Telehealth with Conor Sheehey | PBM Reform

Hosts

Greg Reybold
Host associated with PBM Reform Podcast and related networks; frequently engages on PBM reform, pricing transparency, and regulatory topics.
Breck Rice
Host with deep involvement in PBM reform discussions; coalitions, state legislation, and practical pharmacy economics are recurrent themes.

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Talking Points

Recent interactions between the hosts and their guests.

Don't Get Paid Below Your Cost Anymore! | PBM Reform
Q: What do you see as the future of federal reform in relation to state laws?
State laws can serve as a tipping point for broader federal reform, encouraging pharmacies to advocate more at the state level for better practices.
Don't Get Paid Below Your Cost Anymore! | PBM Reform
Q: How many states have adopted this new rule?
About 15 states have strong enforceable laws against PBMs reimbursing pharmacies below acquisition costs, though some lack enforcement.
Don't Get Paid Below Your Cost Anymore! | PBM Reform
Q: What does the new application do for community pharmacies?
It streamlines and automates the process of appealing underpayments from PBMs, allowing pharmacies to recover lost revenue effectively.
PBM Strategies for the State of Arizona | PBM Reform
Q: What are some specific PBM initiatives that you've discussed?
We're not running a specific PBM bill this session but will continue supporting important legislation.
PBM Strategies for the State of Arizona | PBM Reform
Q: How did you get connected with the Arizona Pharmacy Association?
Arizona had a need for a new chief executive officer, and I saw an opportunity to make a difference.

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Frequently Asked Questions About PBM Reform Podcast

What is PBM Reform Podcast about and what kind of topics does it cover?

PBM Reform Podcast offers in-depth conversations about PBM reform, pricing transparency, and the evolving role of pharmacy benefit managers in healthcare. Across recent episodes, the focus centers on state-level reforms, enforcement challenges, and legislative efforts to curb anti-competitive practices like spread pricing, MFN rebates, and non-discriminatory network pricing. Guests range from state association leaders and policymakers to industry executives and advocates, often highlighting practical implementation, coalition-building, and patient access. The show's distinctive angle is its combination of policy rigor with real-world pharmacy implications, including live Capitol Hill discussions and cross-state comparisons, making it a valu... more

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Which podcasts are similar to PBM Reform Podcast?

These podcasts share a similar audience with PBM Reform Podcast:

1. The Diary Of A CEO with Steven Bartlett
2. Relentless Health Value
3. The Daily
4. Self-Funded

How many episodes of PBM Reform Podcast are there?

PBM Reform Podcast launched 5 years ago and published 57 episodes to date. You can find more information about this podcast including rankings, audience demographics and engagement in our podcast database.

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What guests have appeared on PBM Reform Podcast?

Recent guests on PBM Reform Podcast include:

1. Josh Golden
2. Anthony Pudlow
3. Susan Benea
4. Sean Kim
5. Dr. Jim Kirby
6. Chris Ray
7. Dr. Robert Popovian
8. Dr. Bobby Makamala

To view more recent guests and their details, simply upgrade your Rephonic account. You'll also get access to a typical guest profile to help you decide if the show is worth pitching.

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