Pharmacy Podcast Network

PBM Reform Podcast

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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 d...

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Latest episode

Jun 2, 2026

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Episodes

Transparency, Auditing, and the PBM Shell Game | PBM Reform Podcast 02.06.2026

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. With more than 20 years of healthcare consulting experience, Golden brings deep expertise in vendor procurement, contract negotiation, plan design, and b...

Tennessee PBM Reform Win | APCI PBM Reform 30.04.2026

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...

PBM Reform Updates, Next steps, from CPhA | PBM Reform Podcast 05.03.2026

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. Susan Bonilla, CEO of the California Pharmacists Association, joins Dr. Sean Kim, PharmD, Vice President of Practice & Professional Development...

Bagging Better Benefits: The Grocery PBM Disruptor | PBM Reform 23.02.2026

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

Pharmacists Fight Back! Live on Capitol Hill | PBM Reform; Presented by APCI 18.12.2025

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) practices. The Pharmacy Podcast Network provides exclusive coverage of the event held on Capitol Hill.

U.S. Congressman Jake Auchincloss | PBM Reform 15.12.2025

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

Don't Get Paid Below Your Cost Anymore! | PBM Reform 12.12.2025

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 Commissioners—where he presented this breakthrough technology while PBM lobbyists pushed back in real time, leaving community pharmacy with only one vo...

Cutting Through the Noise: A nuanced discussion on MFN, Rebates, and Premiums | PBM Reform 13.11.2025

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, Rebates, and insurance premiums.    Links to resources referenced in discussion: • Pioneer Institute, 340B tool:  https://pioneerinstitute.org/340babus...

PBM Reform and the AMA | PBM Reform 05.09.2025

In this episode, we sit down with the President of the American Medical Association to discuss PBM reform and its impact on patients, physicians, and the future of healthcare. From drug pricing transparency to ensuring access to needed medications, this conversation explores why PBM reform is at the center of today’s healthcare policy debates.

Behind the Policy: PBMs, Drug Pricing & Telehealth with Conor Sheehey | PBM Reform 03.09.2025

Join our co-hosts Todd Eury and Greg Reybold in this exclusive interview with Conor Sheehey, who most recently served as senior health policy advisor to U.S. Senate Finance Committee Chair Mike Crapo (R-ID). In this role, he advised the Committee on a range of health care policy issues, including prescription drug pricing, telehealth, AI, provider coverage and reimbursement, fraud and abuse, medic...

Cracking the Concentration: PBMs, Power, and the Fight for Fairness | PBM Reform Podcast 19.06.2025

In this relaunch of the PBM Reform Podcast, Greg Reybold returns with a powerful and timely conversation exploring how concentrated economic power—particularly in the form of Pharmacy Benefit Managers (PBMs)—is undermining fair access to prescription medications, driving up drug costs, and crushing independent pharmacies. Greg is joined by Emma Freer, Senior Policy Analyst with the American Econom...

Certifying the Future: Dr. William Soliman and the Rise of Medical Affairs | PBM Reform 12.06.2025

Dr. William Soliman is the founder and CEO of the Accreditation Council for Medical Affairs (ACMA). The ACMA is America’s leader in life sciences accreditation, certification & training.  Soliman is a former pharmaceutical executive who worked in leadership roles at Merck, Abbvie, Gilead and more. He is considered a pharma industry futurist and has been featured on NewsNation, Fox News, Newsma...

PBM Transparency, Is It Real? | PBM Reform Podcast 15.04.2025

An insider’s look at the games PBMs play to hid fees and tack profits for community pharmacies. What a true transparent PBM should look like and why it matters.   

PBM Strategies for the State of Arizona | PBM Reform 27.01.2025

Interview with the new CEO of the Arizona Pharmacy Association, Garet Turner

Patients Before Monopolies Act | PBM Reform Podcast 20.12.2024

In this critical episode of the PBM Reform Podcast, we are joined by two influential voices leading the charge against abusive pharmacy benefit manager (PBM) practices: State Representative Jake Auchincloss – Congressman from Massachusetts’ Fourth District Greg Reybold – Vice President of Healthcare Policy & General Counsel, American Pharmacy Cooperative, Inc. Topics Discussed: The "Pharmacist...

PBM Reform at the State Level | PBM Reform 13.12.2024

An update from NDPhA and PBM Reform initiatives.   

Coverage is not Care with David Balat | PBM Reform Podcast 23.10.2024

Openness. Competition. Transparency. Unmask the twisted economics of the American health care system. Price discovery — prior to care — allows patients to shop for care in a competitive market. It empowers them with the information they need to reduce their healthcare costs. And it encourages providers and insurers to compete for their business. Report: Free2Care’s Rx for Reforming America’s Preda...

Pennsylvania Moves Forward with PBM Reform | PBM Reform Podcast 26.08.2024

Pharmacy owner Tom DePietro, PharmD and Pennsylvania State Representative Jessica Behnam join the PBM Reform Podcast to discuss the major win for Pennsylvania tax payers and Pharmacy Care.  HB 1993 is the result of bipartisan efforts – led by state Rep. Jess Benham (D-36) – to ensure that Pennsylvanians are no longer being screwed and that access to local, independent pharmacies is maintained. Gov...

Broken Insurance & the Loss of a Son | PBM Reform Podcast 05.06.2024

Special Guests:  Shanon Schmidtknecht & Loretta Boesing  Cole Schmidtknecht was a 22-year-old young man living in Appleton, Wisconsin who loved video games and sports. His parents Bil and Shanon described him as an inspirational free spirit with a love for being heard. Cole was diagnosed with severe asthma at only a year old. He had just recently moved out on his own with opportunities to chas...

If You Can't Beat Them, Don't Join Them? | PBM Reform 26.04.2024

The PBM Reform Podcast on the Pharmacy Podcast Network, with your host, Breck Rice! Breck has had the privilege of being around and working with pharmacies for over 20 years! He loves community pharmacies and will do everything in his power to help them be successful. It’s a privilege to be involved in reforming the industry he loves. Today's guest is Kyle McCormick, owner of Blue Berry Pharmacy,...

The Role PBMs has in Driving Up Drug Costs for Patients | PBM Reform 08.04.2024

Interview with Howard Danzig, President of Employers Committed to Control Health insurance Costs.

What is Congress doing to help with PBM Reform? | PBM Reform 07.03.2024
Are the PBMs a threat to Public Health? | PBM Reform Podcast| PBM Reform Updates 06.03.2024

Anthony V. Minniti, RPh FACA joins the PPN on the PBM Reform Podcast to talk about why the PBMs, in their current state need to be removed from pharmacy care. As drug prices soar, the White House is taking action by hosting a pivotal listening session on Monday, aiming to dissect and potentially reform the practices of pharmacy benefit managers (PBMs). This roundtable will unite federal representa...

The Volunteer State takes a Stand on PBMs | PBM Reform 02.11.2023

Featuring Tennessee State Senator & Pharmacist Shane Reeves "The Volunteer State"  has been a Tennessee nickname since the 19th century but wasn't officially voted on until February 2020. Tennessee sent 1,500 volunteer soldiers during the War of 1812, and the nickname stuck. Requiring PBMs to contract with rural independent pharmacies: In Tennessee, there are 70 counties considered rural out o...

PBM Reform Efforts Stalled in Congress | PBM Reform 19.10.2023

In the Senate, there are 3 committees that have advanced legislation on PBM reforms, with leadership supporting a floor vote before the end of 2023. In the House, a consolidated bill was released in September and although there are plans for a full House vote, they are stalled due to the current issues in Congress. There are 3 key jurisdictions and proposed plans of the Senate that focused on in t...

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