Healthcare Happy Hour

The Complexity of Pricing Transparency

June 12, 2025  |  By: NABIP
Pharmacy Industry

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In this episode of Healthcare Happy Hour, sponsored by RxBenefits, host David Saltzman speaks with Whitney Reboulet, Senior Vice President of Account Management at RxBenefits. They discuss Whitney's journey into the pharmacy benefits management space, the challenges of pricing transparency, the importance of data in decision-making, and the impact of specialty drugs like GLP-1s. The conversation also covers formulary design, pharmacy network options, and the ongoing legislative trends affecting the industry.

Takeaways

  • Whitney Reboulet's journey into pharmacy benefits management was unconventional.
  • Pricing transparency remains a significant challenge in the industry.
  • Data management is crucial for actionable insights in pharmacy benefits.
  • Specialty drugs, particularly GLP-1s, are a growing concern for plan sponsors.
  • Formulary design is key to managing costs and ensuring member access.
  • There are various pharmacy network options available to plan sponsors.
  • Legislative changes at the state level are impacting pharmacy management.
  • Unintended consequences of legislation can complicate the pharmacy landscape.
  • Ongoing communication with brokers is essential for navigating changes.
  • The healthcare industry must adapt to consumer demands for lower medication costs.

Sponsored by:

 


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