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Description

In this episode, we explore the evolution and future of the Pharmacy Benefit Management (PBM) industry with insights from two seasoned pharma managed care executives. We discuss the early role of PBMs, their acquisition by pharmaceutical companies, and subsequent industry consolidation. We examine how vertical integration of the PBMs transformed their business model, including the restricted formularies that gave rise to rebates. We also address evolving PBM-manufacturer relationships, the effects of public scrutiny, and predictions for key trends. Join us for a comprehensive look at the past, present, and future of PBMs, focusing on the changes needed to better serve patients.


Steve Stefano, Managing Director, ReprizioRx 


Steve.Stefano@repriziorx.com


Bill Leonard, Managing Director, ReprizioRX


wjl@repriziorx.com


ReprizioRX


PBMs


IPA model HMO


Medco


Metro Containment Services


Medicare Catastrophic Coverage Act of 1988


Merck


SmithKline Beecham


Eli Lilly


340B


NDC blocks


Group Purchasing Organizations (GPOs) 


Medicare


United Healthcare


FTC


CostPlusDrugs



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