Part 1 of a 2-part conversation with state and national leaders in the battle against Pharmacy Benefit Managers (PBMs) and their predatory practices which are harming patients and pharmacies throughout the country, especially in rural areas such as West Virginia! Panelists Include: Douglas Hoey, CEO of National Community Pharmacists Association Antonio Ciacca, CEO of 46brooklyn Research and APhA - American Pharmacists Association Joni Cover ,VP of Strategic Initiatives at National Alliance of State Pharmacy Associations (NASPA) Lynne Fruth, President and Chairman of Fruth Pharmacy Heidi Romero, Pharmacist and Advocate at Griffith & Feil Pharmacy in Kenova, WV

Resources for more education:

PBM Accountability Project pbmaccountability.org

How PBMs Make Money: PBM Practices & Profits https://info.rxsafe.com/blog/pbms-make-money-infographic Pharmacy Benefit Manager: Market Landscape and Strategic Imperatives https://www.hirc.com/system/files/public/MM_PBM%20Landscape_2022.pdf Getting to the Root of High Prescription Drug Prices July 10, 2017 https://www.commonwealthfund.org/publications/issue-briefs/2017/jul/getting-root-high-prescription-drug-prices Pharmacy Times White Paper: DIR Fees Simply Explained October 25, 2017 https://www.pharmacytimes.com/view/white-paper-dir-fees-simply-explained Pharmacy Benefit Managers and Their Role in Drug Spending April 22, 2019

https://www.commonwealthfund.org/publications/explainer/2019/apr/pharmacy-benefit-managers-and-their-role-drug-spending

How Have Diabetes Costs and Outcomes Changed Over Time in the US? November 15, 2019 https://www.healthsystemtracker.org/chart-collection/diabetes-care-u-s-changed-time/#health-spending

From Benefit Cards to Billions in Profits: The Evolution of the Modern PBM March 17, 2020 https://www.withmehealth.com/newsroom/from-benefit-cards-to-billions-in-profits-the-evolution-of-the-modern-pbm How State Medicaid Programs Are Managing Prescription Drug Costs Pharmacy Benefit Administration 2019 April 28,2020 https://www.kff.org/report-section/how-state-medicaid-programs-are-managing-prescription-drug-costs-pharmacy-benefit-administration/ Drug Channels: August 11, 2020 Five Top Drugmakers Reveal List vs. Net Price Gaps (Plus: The Trouble With Insulin Prices) https://www.drugchannels.net/2020/08/five-top-drugmakers-reveal-list-vs-net.html Promarket: February 19,2021 How the FTC Protected the Market Power of the Pharmacy Benefit Managers https://www.promarket.org/2021/02/19/ftc-market-power-pharmacy-benefit-managers/ NCPA: June 3, 2021 It's not a Typo: 91,500% Increase in Fees Heaped on Pharmacies https://ncpa.org/newsroom/news-releases/2021/06/03/its-not-typo-91500-increase-fees-heaped-pharmacies

Pharmaceutical Spending Up 77% Over 10 Years, Yet Out-of-Pocket Prescription Drug Costs Have Fallen in Same Period February 28, 2022 https://www.valuepenguin.com/pharmaceutical-spending-study#:~:text=According%20to%20data%20from%20the,to%20%2452%20billion%20in%202015