State Solutions, National Impact: Reforming PBMs to Save Patients and Pharmacies | Locked on Pharmacy

In this episode of the Locked On Pharmacy podcast, we dive deep into the "End Harmful Practices of PBMs" campaign, recently launched in fall 2024 by the American Pharmacists Association (APhA). This critical initiative aims to accelerate pharmaceutical benefit manager (PBM) reform across the nation. Join us as we explore the importance of state and federal collaboration to address the pressing issues surrounding PBM practices that impact both pharmacies and patients.

Our distinguished guests, including Representative Rob Nousse and Brian from the Oregon State Pharmacy Association, and Dr. Michael Murphy PharmD – Senior Advisor for State Government Affairs with APhA, share insights into the legislative battles and reform strategies aimed at curbing PBM practices like spread pricing and clawbacks, which contribute to pharmacy closures and hinder patient access to essential medications—particularly in rural communities.

Key Topics Discussed:

The Role of State Lawmakers in PBM Reform

• Why state-level engagement is essential to shaping a broader, unified approach to PBM reform.
• Messages for federal legislators considering crucial PBM-related bills such as S. 2973, S. 3430, and S. 127, which could significantly alter the regulatory landscape.

Oregon's Legislative Efforts on PBM Reform

• Representative Nousse details the key legislative measures being introduced or passed in Oregon to address PBM practices.
• The real-world impact of PBM tactics on patient access, particularly in rural Oregon where pharmacy closures pose a significant challenge.

Advocacy and Mobilization Efforts by the Oregon State Pharmacy Association

• Brian shares how the Oregon State Pharmacy Association has been active in supporting these legislative efforts and the strategies proven effective in rallying pharmacists and lawmakers.

National Implications of State-Level Reform

• Michael discusses the broader impact of state-level efforts on the national landscape of pharmacy practice and patient care, emphasizing how Oregon’s experiences reflect common challenges seen across the country.

Challenges in Passing PBM Reform Legislation

• Representative Nousse talks candidly about the obstacles faced when pushing for PBM reform, including resistance from PBM lobbyists.
• The importance of overcoming these challenges to protect patient access to medications and support the sustainability of community pharmacies.

Join us in this powerful discussion to understand the challenges and progress in the fight against harmful PBM practices, and how these reforms can shape the future of pharmacy care for patients across the U.S.

Guests:
Brian Mayo – Executive Director, Oregon State Pharmacy Association
Rob Nosse – Oregon State Representative District 42
Dr. Michael Murphy PharmD – Senior Advisor for State Government Affairs, American Pharmacists
Association

Tune in to this episode of Locked On Pharmacy to stay informed on the progress and next steps in PBM reform!