The "PBM Princess" joins me again on Self-Funded with Spencer on the road, this time in St. Louis at the most recent True Captive Summit, held at Busch Stadium.

In this mini-episode, Rachel highlights the convoluted supply chain in Pharmacy Benefit Management.  So many different entities have a hand in the Rx supply chain, from payers, wholesalers, contracts with PBM's, marketing firms, insurance companies, etc, which makes it very difficult to uncover why prescription drug trends continue to increase at a rapid rate.

This had led to further scrutiny of PBMs, especially with the question "How does my PBM get paid"?

Thank you again to David Voorhees of True Captive for inviting me to this industry-leading event to deliver my podcast on the road.