The Benefit Whisperer

The Billion Dollar Drug Scam (Ep. 8)


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Why Are Prescription Drugs So Expensive? The Truth About PBMs, Spread Pricing & What Employers Can Do

In this eye-opening episode of The Benefit Whisperer, host Ralph Weber sits down with pharmacist and reform advocate Benjamin Jolley to expose the hidden forces behind America’s skyrocketing prescription drug costs. 💊

From shocking stories of $1,800 bills for $140 drugs to the disturbing influence of pharmacy benefit managers (PBMs) and their spread pricing schemes, this conversation breaks down complex systems with clarity—and urgency.

🔥 Highlights include:

  • Why the U.S. pays more for drugs than almost any other nation
  • How a New Jersey benefits plan saved $1 BILLION just by rewriting its contract
  • The dangerous power of vertically integrated PBMs like CVS Caremark
  • The recent bipartisan push by 39 state Attorneys General to break up monopolies
  • How employers and CFOs can protect themselves from being held personally liable
  • If you’re an employer, benefits administrator, policymaker—or just someone wondering why your prescriptions are so expensive—this is a must-watch.

    📌 Chapters:

    0:00 – Welcome + Prescription Drug Teaser
    0:41 – Meet Benjamin Jolley
    1:00 – Why Prescription Costs Are So High
    4:00 – What Is Spread Pricing? (Shocking Example)
    8:00 – Silencing Critics: Non-Disparagement and Audits
    13:00 – What Should Employers Be Paying Per Member?
    17:40 – 39 Attorneys General Demand PBM Reform
    21:00 – New Jersey’s $1B Savings by Rewriting a PBM Contract
    25:00 – Closing Thoughts + How to Reach Benjamin

    ...more
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    The Benefit WhispererBy Ralph Weber

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