Scott welcomes guest Brenda Motheral, owner of Epiphany Rx, a pharmacy benefits manager based in Nashville, Tenn. She and other former PBM executives formed Epiphany after saw how their industry was profiting through a massive cost shift. And the cost-shift was taking place in complete secrecy. Scott and Brenda talk about how PBMs were intended to serve their clients; how they instead serve themselves in a quest for greater and greater profits; and what Epiphany is doing to put the client’s needs first. For one thing, she says, Epiphany is committed to transparency, and makes 100 percent of its revenue from client fees -- not from rebates, spread, or discounts.