Latest / Pharmacy Podcast Network / Winning Hearts, Minds, and Policy with Strategic Communications | PBM Reform
Transcript
- 0:05Speaker 1: You are listening to the global network of podcasters dedicated
- 0:09Speaker 1: to the pharmacy profession. Welcome to the Pharmacy Podcast Network.
- 0:33Speaker 1: Welcome to the PBM Reform Podcast, where we dive deep
- 0:37Speaker 1: into the world of pharmaceutical benefit management, cutting through the
- 0:41Speaker 1: noise to uncover the truth. Since twenty nineteen, we've been
- 0:45Speaker 1: your go to source for the latest on how PBMs
- 0:48Speaker 1: impact patient care, drug pricing, and the very future of pharmacy.
- 0:54Speaker 1: Here we champion the role of pharmacists, the most knowledgeable
- 0:58Speaker 1: advocates for medication safety and expertise. Join us as we
- 1:03Speaker 1: expose and generate discussions that are reshaping healthcare and explore
- 1:07Speaker 1: how we build a better payment system which focuses on
- 1:10Speaker 1: advancing pharmacy care.
- 1:19Speaker 2: Welcome to another episode of the PBM Reform Podcast here
- 1:22Speaker 2: on the Pharmacy Podcast Network. My name is Brett Rice
- 1:25Speaker 2: and I've been a community pharmacy advocate now for about
- 1:29Speaker 2: twenty three years. Love the industry, and on today's episode,
- 1:33Speaker 2: we're going to discuss one of the most important challenges
- 1:36Speaker 2: facing community pharmacy. Now across the country, independent pharmacies, state
- 1:41Speaker 2: pharmacy associations, and patient advocates are fighting for greater transparency,
- 1:46Speaker 2: fair reimbursements, and policies that protect patient access of care.
- 1:52Speaker 2: But winning legislative battles requires more than just facts and data.
- 1:57Speaker 2: It requires effective community. So joining us today on the podcast,
- 2:03Speaker 2: we have Maurice Retail with Reese call a farm d
- 2:07Speaker 2: retail pharmacist and expert in crafting messages, influencing stakeholders, and
- 2:13Speaker 2: building public support through social media. So welcome to the show. Maurice.
- 2:19Speaker 2: How are you.
- 2:20Speaker 3: I'm good. I'm good. I'm excited to be here.
- 2:22Speaker 4: I was very happy when you reached out to me,
- 2:24Speaker 4: so I'm glad we were able to set this up
- 2:25Speaker 4: pretty quickly.
- 2:26Speaker 3: Yeah.
- 2:26Speaker 2: Well, you're on fire with your social media posts, and
- 2:31Speaker 2: that's where I found you and said, hey, we've got
- 2:33Speaker 2: to get you on You're singing to the same tune
- 2:40Speaker 2: that I preach to community pharmacy, and so I thought, man,
- 2:43Speaker 2: we've got to get together and get you on the
- 2:45Speaker 2: PBM Reform podcast. And I think, man, you're up to
- 2:49Speaker 2: over thirty seven thousand followers now on TikTok, so you're
- 2:53Speaker 2: doing a tremendous job there.
- 2:55Speaker 3: Yeah, thank you.
- 2:56Speaker 4: I've been trying to grow on TikTok. I've been trying
- 2:58Speaker 4: to grow on Instagram, on YouTube and Facebook as well.
- 3:02Speaker 4: Those have been kind of new YouTube and Facebook. But
- 3:05Speaker 4: we're at fifteen thousand on Instagram, twelve thousand on Facebook,
- 3:09Speaker 4: and eleven thousand on YouTube, so we're trying to grow
- 3:13Speaker 4: across all platforms. So it's been it's been fun.
- 3:16Speaker 2: Yeah, that's excellent. That's that's a tremendous following. I didn't
- 3:20Speaker 2: realize your YouTube following was that large, So you're probably
- 3:22Speaker 2: in one of the top one or two percent of
- 3:26Speaker 2: YouTubers now and there's a big drop off between the
- 3:30Speaker 2: mister beasts that have millions of hoos, but now one
- 3:34Speaker 2: thousand is a lot. Congratulations on that. So well, before
- 3:38Speaker 2: we get into today's interview, I want our listeners to
- 3:43Speaker 2: learn a little bit more about you personally, Maurice. So,
- 3:46Speaker 2: where did you grow up? I know you practice a
- 3:48Speaker 2: pharmacy there in Tennessee. You're in the Nashville area. Did
- 3:52Speaker 2: you grow up in Nashville?
- 3:54Speaker 4: No, So I am originally from Wisconsin, Lacrosse, Wisconsin. If
- 3:58Speaker 4: you're familiar with the area, that's where I grew up.
- 4:01Speaker 4: My parents met out there and my mom, she is
- 4:04Speaker 4: a nurse, So that's kind of how I got into healthcare.
- 4:06Speaker 3: But my dad, when I.
- 4:08Speaker 4: Was in about second or third grade, he was diagnosed
- 4:12Speaker 4: with a brain tumor. He passed away from it a
- 4:15Speaker 4: few short years after that, and so we moved to
- 4:18Speaker 4: Nashville or the Nashville area because my mom's family was
- 4:22Speaker 4: in this area. So that's kind of how I made
- 4:24Speaker 4: my migration in Nashville. And with her being a nurse
- 4:27Speaker 4: and honestly going to the hospital a bunch for his
- 4:30Speaker 4: visits and his treatments, I kind of became used to
- 4:35Speaker 4: that setting. And so I knew from a very young
- 4:38Speaker 4: age that I was going to go into healthcare. I
- 4:40Speaker 4: just didn't know what until I got a little bit older,
- 4:43Speaker 4: did some research and thought pharmacy sounded the most interesting.
- 4:47Speaker 4: So being in Tennessee, I went to the University of
- 4:51Speaker 4: Tennessee College of Pharmacy in Memphis.
- 4:54Speaker 3: Did my four years there.
- 4:56Speaker 4: I was an intern at a hospital, which is kind
- 4:59Speaker 4: of interesting because I was an intern at an outpatient
- 5:02Speaker 4: pharmacy in hospital, and so I saw I got to
- 5:05Speaker 4: experience probably some of the best things in pharmacy.
- 5:09Speaker 3: Because of that, we always had.
- 5:12Speaker 4: We had so many technicians, we had just a plethora
- 5:15Speaker 4: of technicians. We had multiple pharmacists working with overlap. We
- 5:19Speaker 4: had about maybe six to ten interns, and we weren't
- 5:25Speaker 4: even We were filling a lot of prescriptions, but not
- 5:27Speaker 4: anything crazy, to be honest. And so when I left there,
- 5:31Speaker 4: I moved back to Nashville. I moved back to Nashville
- 5:34Speaker 4: because that's where I'm from, and I got my first
- 5:37Speaker 4: job at a retail pharmacy, and I had never really
- 5:42Speaker 4: had experience working in the community pharmacy outside of that.
- 5:45Speaker 3: Hospital, so it was kind of a culture shock.
- 5:47Speaker 4: One pharmacist, no chairs, limited technician help, not what I
- 5:52Speaker 4: was used to, and so I just kept it wasn't
- 5:56Speaker 4: where I wanted to be, and so I just you know,
- 6:00Speaker 4: up to work on time, was friendly to the technicians,
- 6:03Speaker 4: was friendly to my co workers, it was easy to
- 6:06Speaker 4: work with, and I leveraged that to get new positions,
- 6:09Speaker 4: which ultimately led me to the where I'm at right now,
- 6:13Speaker 4: which is an outpatient pharmacy in a hospital, just like
- 6:15Speaker 4: I started in pharmacy school. So it's kind of comfortable
- 6:17Speaker 4: circle and I'm glad I ended up there. But that
- 6:20Speaker 4: is how my pharmacy journey's panned out. It's spent about
- 6:23Speaker 4: five years since I've since I've graduated.
- 6:26Speaker 2: Okay, wow, So still in that short amount of time
- 6:30Speaker 2: five years, you've done quite a bit, accomplished quite a bit,
- 6:33Speaker 2: and you experience behind the bench at a true community pharmacy,
- 6:39Speaker 2: you know, retail setting and now in outpatient pharmacy setting
- 6:44Speaker 2: as well, which you admitted that's where you started originally.
- 6:48Speaker 2: So you know, I do have to ask the question
- 6:51Speaker 2: how old were you when you moved from Wisconsin down
- 6:54Speaker 2: because you know that was you know, moving from north
- 6:57Speaker 2: of the Mason Dixon line. So that's a big deal
- 6:59Speaker 2: to people in Tennessee.
- 7:02Speaker 3: Oh yeah, yeah, I was ten turning eleven when.
- 7:06Speaker 4: I moving to to Tennessee, and it was definitely a
- 7:10Speaker 4: culture shock for sure. I don't have I don't think
- 7:14Speaker 4: I have much of an accent from Tennessee. I say
- 7:16Speaker 4: things like you all, so you can kind of pinpoint
- 7:19Speaker 4: me in the South when I talk like that. But overall,
- 7:22Speaker 4: I think my my cadence comes from living in Wisconsin.
- 7:26Speaker 2: Okay, yeah yeah? And how many times have people blessed
- 7:30Speaker 2: your heart there in Tennessee? Oh? Bless his heart?
- 7:33Speaker 3: So every day, every day?
- 7:35Speaker 2: Excellent? What got you interested in social media? How did
- 7:39Speaker 2: you get started.
- 7:40Speaker 4: There, so I have been It's funny, I don't I
- 7:44Speaker 4: didn't start getting on TikTok really until I started posting
- 7:48Speaker 4: on social media.
- 7:50Speaker 3: I've always had an Instagram.
- 7:51Speaker 4: I've always loved watching content on YouTube, not pharmacy based content,
- 7:56Speaker 4: really like movies and video games, things I'm I'm into
- 8:00Speaker 4: outside of work. And then on TikTok I started to
- 8:05Speaker 4: scroll on there a little bit more than the past
- 8:08Speaker 4: about two years ago, and I saw pharmacy content creators,
- 8:12Speaker 4: and I saw a lot of things that were being
- 8:14Speaker 4: talked about that I agreed with, and I felt that
- 8:18Speaker 4: there were also parts that, you know, I had a
- 8:21Speaker 4: voice about as well, that I was not saying being
- 8:23Speaker 4: talked about. I also saw an angle where nobody was
- 8:28Speaker 4: talking about, you know, how to succeed in a retail pharmacy,
- 8:34Speaker 4: what you should do once you get hired, how you
- 8:36Speaker 4: should treat your staff, how you should treat people you
- 8:38Speaker 4: work with, how you pivot to different positions. Because my
- 8:42Speaker 4: career has been full of changing jobs, I've had about
- 8:45Speaker 4: five jobs in five years, which I don't think is
- 8:48Speaker 4: too typical, So I thought that I could leverage that
- 8:51Speaker 4: and teach people about how to transition in that sense.
- 8:55Speaker 4: But what my social media's turned into now was never
- 8:59Speaker 4: the original plan. I never planned on talking about PBM reform.
- 9:03Speaker 4: I never planned on talking about work conditions, none of that.
- 9:06Speaker 3: Now. It wasn't because I didn't believe in it. I
- 9:08Speaker 3: just wasn't. I really didn't think about it.
- 9:12Speaker 4: I thought that my thoughts that I had about it
- 9:15Speaker 4: were my own thoughts. I wasn't sure what the rest
- 9:18Speaker 4: of the world thought about it until I made one
- 9:21Speaker 4: singular post about the conditions at my first job, which
- 9:25Speaker 4: was Walgreens. And I basically start off with we spend
- 9:28Speaker 4: all this time advocating in pharmacy school and pharmacy and
- 9:32Speaker 4: advocating for provider status and advocating for expanding our roles
- 9:37Speaker 4: as pharmacists and all these things, and crazy I walk
- 9:40Speaker 4: into to a pharmacy and all of a sudden, I
- 9:42Speaker 4: don't have a chair to sit in. I'm not taking
- 9:44Speaker 4: lunch breaks, like very basic human decency things that we
- 9:49Speaker 4: just didn't discuss. And that video was like my first
- 9:52Speaker 4: video that blew up, and I was like, okay, people, okay,
- 9:55Speaker 4: people agree with me. So it kind of snowballed from
- 9:58Speaker 4: there and then yeah, that's kind of like how I
- 10:01Speaker 4: got to where I'm at.
- 10:02Speaker 2: But at least you were at a box store that
- 10:04Speaker 2: had other technicians so that you didn't have to hang
- 10:08Speaker 2: up a little sign that says I'll be back in
- 10:10Speaker 2: five minutes just to have a bio break. So, yeah,
- 10:13Speaker 2: a lot of the you know, some of our grocery
- 10:15Speaker 2: store change where it's you know, it's a one man
- 10:19Speaker 2: showback there trying to run things.
- 10:21Speaker 4: Yeah, and my wife, she's a pharmacist as well, and
- 10:25Speaker 4: she worked retail when she first started, and she she
- 10:29Speaker 4: had it worse than me. She was a pharmacy manager
- 10:31Speaker 4: and she oftentimes was battling with her corporate about staffing.
- 10:37Speaker 4: They wanted her to staff so many times, like they
- 10:40Speaker 4: wanted her to staff a lot by herself or give
- 10:43Speaker 4: for just one technician with zero overlapping technician hours throughout
- 10:47Speaker 4: the day.
- 10:48Speaker 3: And they had a walk.
- 10:49Speaker 4: Up window, they had, you know, everything that the pharmacy has,
- 10:51Speaker 4: and you just can't operate that way. And I watched
- 10:54Speaker 4: her fight and fight with her with her with the
- 10:57Speaker 4: corporation essentially about now. So I'm not scheduling myself with
- 11:01Speaker 4: no help on Saturday. It's just not happening. And she didn't,
- 11:04Speaker 4: she never did, but it was it was a battle
- 11:06Speaker 4: every single week. And so I take that into account too,
- 11:10Speaker 4: because I luckily I had I've been in some bad spots,
- 11:14Speaker 4: but I never had to experience that side of it.
- 11:17Speaker 2: Yeah, so that one post went viral, and that's what
- 11:21Speaker 2: kind of launched your pathway into social media saying, well,
- 11:26Speaker 2: I guess this is an important topic and more people
- 11:29Speaker 2: want to hear about it. And that's usually what happens,
- 11:32Speaker 2: you know, it's just that one post that they get
- 11:35Speaker 2: some traction, people start commenting, which then more people see,
- 11:39Speaker 2: and then more comments and then more people see it.
- 11:41Speaker 2: So congratulations on that. And you know, many pharmacy leaders
- 11:46Speaker 2: are focusing on the legislative and lobbying in side, But
- 11:50Speaker 2: why do you think strategic communication like you're doing on
- 11:53Speaker 2: social media is equally as important.
- 11:57Speaker 4: Well, it's a a lot of people get their information
- 12:02Speaker 4: from social media these days. And I think the best
- 12:06Speaker 4: example I can give is the Fair Pharmacy Act in Tennessee.
- 12:11Speaker 3: When that was being pushed through before it.
- 12:13Speaker 4: Got approved, they're you know, I don't know the companies
- 12:18Speaker 4: that were funding this, but you can probably imagine that
- 12:23Speaker 4: they were having influencers post pro PBM propaganda essentially, and
- 12:29Speaker 4: they would hire all these people and they had about.
- 12:33Speaker 2: You don't need to mention any any names, but you
- 12:35Speaker 2: know initials like CBS are okay, you could.
- 12:39Speaker 3: Yeah, right, And you have all these people.
- 12:42Speaker 4: You have young people in their thirties who have kids
- 12:46Speaker 4: and have relatable families and have followings of you know,
- 12:51Speaker 4: half a million to a million followers, and they are
- 12:55Speaker 4: posting about how Tennessee is looking to shut down local farmacies.
- 13:00Speaker 4: My kids are not going to be able to get
- 13:02Speaker 4: their medicine after going to the er, and my dad's
- 13:05Speaker 4: a veteran and veterans aren't going to have access.
- 13:07Speaker 3: So they use these buzzwords. And so.
- 13:10Speaker 4: While legislation like there are so many people tennesseees so great.
- 13:14Speaker 4: I love TPA and what we're doing here, what they're
- 13:16Speaker 4: doing here, I guess we I remember, And they did
- 13:22Speaker 4: so much work with getting the information available, like making
- 13:27Speaker 4: it readily available, and so I was able to take
- 13:30Speaker 4: that information and help amplify it, and I was able
- 13:33Speaker 4: to tag these people who were making these these videos
- 13:38Speaker 4: about this propaganda and say, hey, look this is not
- 13:40Speaker 4: actually the truth. What's actually happening is that this is
- 13:44Speaker 4: a good thing PBMs and CVS owning a PPM and
- 13:48Speaker 4: the pharmacy is actually leading to pharmacies being shut down,
- 13:52Speaker 4: it's leading to prices being inflated, it's leading to all
- 13:55Speaker 4: these things.
- 13:56Speaker 3: And everybody's getting.
- 13:58Speaker 4: Their information from social media at this point, so it
- 14:01Speaker 4: made it pretty easy to amplify once I'm able to
- 14:04Speaker 4: grab it and post stats and post data and post
- 14:09Speaker 4: real information for people to digest. And so that is
- 14:13Speaker 4: how I have found that it has been helpful. I
- 14:18Speaker 4: recently found out probably only thing. I didnt talk about
- 14:21Speaker 4: this too much, but I recently found out that the
- 14:24Speaker 4: things that I was posting about made an impact on
- 14:28Speaker 4: the decision to get that passed through here in Tennessee.
- 14:33Speaker 4: And I'm not even saying that to say that, like,
- 14:36Speaker 4: you know, pat myself on the back, but it really
- 14:37Speaker 4: just goes to show that, you know, if you have
- 14:40Speaker 4: a voice and you can get it out there, that's
- 14:43Speaker 4: just it doesn't take much other than that. And you know,
- 14:47Speaker 4: everybody who had been talking about it, even if they
- 14:49Speaker 4: weren't getting hundreds of thousands of views on their videos
- 14:52Speaker 4: or tens of thousands, even just you know, one hundred
- 14:55Speaker 4: views or two hundred views. Other people see that and
- 14:57Speaker 4: people take from that and help amplify that, and it
- 15:00Speaker 4: just snowballs into what the message became. And eventually, because
- 15:05Speaker 4: I made so much posts about it, other people who
- 15:09Speaker 4: had been reached out to buy this company to make
- 15:12Speaker 4: videos reached out to me and said, hey, this is
- 15:14Speaker 4: exactly what they sent me. They're paying me ten thousand
- 15:18Speaker 4: dollars or ten to fourteen thousand dollars to post it.
- 15:21Speaker 4: They're telling me I have like twenty four hours to
- 15:23Speaker 4: respond to this or they're not going to work with me.
- 15:25Speaker 4: And when you're offering people that kind of money up
- 15:28Speaker 4: front to say, oh, yeah, like pharmacies are being closed down,
- 15:31Speaker 4: like that's an easy cash grap They spent probably half
- 15:34Speaker 4: a million to a million dollars just on advertising through
- 15:37Speaker 4: social media. So long winded way to say that social
- 15:41Speaker 4: media is just so important and that is where a
- 15:43Speaker 4: lot of people are getting their information these days.
- 15:46Speaker 2: Yeah. Now, for our listeners that are across the country
- 15:50Speaker 2: may not be familiar with this Tennessee Act that has
- 15:54Speaker 2: just been passed. To give a brief.
- 15:57Speaker 4: Explanation, Yeah, so the Fair Pharmacy Act is essentially a
- 16:03Speaker 4: way to stop pharmacy or PBMs pharmacy benefit managers from
- 16:08Speaker 4: also owning pharmacies. And the reason that that is important
- 16:12Speaker 4: is because they're the ones who negotiate prices. So if CVS,
- 16:18Speaker 4: just for example, they have care Mark, and so if
- 16:21Speaker 4: care Mark is negotiating prices with their own entity, which
- 16:25Speaker 4: is CVS, and they're also negotiating prices with let's say
- 16:30Speaker 4: I had a pharmacy, Maurice's pharmacy, they have been found
- 16:35Speaker 4: to have been giving more, better reimbursements, better pricing for themselves.
- 16:43Speaker 4: And so when you aren't profiting as a pharmacy, you
- 16:48Speaker 4: can't afford your overhead, you shut down. And when you
- 16:52Speaker 4: shut down, patients are left to have to use CVS
- 16:57Speaker 4: for example, or even just PBMs make them use it
- 17:00Speaker 4: just because of contracts.
- 17:01Speaker 3: But it drives down competition.
- 17:04Speaker 4: And when you drive down competition, the working conditions not
- 17:09Speaker 4: only I guess the working conditions for the people working
- 17:12Speaker 4: those pharmacies, there's no incentive to improve them. And then
- 17:15Speaker 4: just as a consumer, there's no incentive for you to
- 17:17Speaker 4: get a better product.
- 17:18Speaker 3: And that's essentially the problem that I have with it.
- 17:22Speaker 2: Yeah, yeah, and you explained that very well. Thank you
- 17:26Speaker 2: for covering that. In addition to the unfavorable reimbursements to
- 17:32Speaker 2: an independent and more favorable reimbursement to the prebon PBM's
- 17:38Speaker 2: own pharmacy. They were also directing patients, right, so directing
- 17:44Speaker 2: making the patient feel like the only pharmacy they could
- 17:47Speaker 2: go to was their pharmacy, and they were doing that
- 17:49Speaker 2: through their networks. And in addition, if somebody's on a
- 17:54Speaker 2: maintenance medication, so maybe they're on a statent or something
- 17:57Speaker 2: that they're going to take month after month, they're getting
- 18:01Speaker 2: sent a letter from their PBM, their pharmacy benefit manager
- 18:04Speaker 2: that makes it look like it's mandatory for them to
- 18:08Speaker 2: get their refills through where the PBM's own mal order pharmacy. Yeah,
- 18:15Speaker 2: so yeah, thanks for covering that. So what separates a
- 18:18Speaker 2: successful advocacy campaign utilizing social media versus an unsuccessful one
- 18:25Speaker 2: in your opinion.
- 18:27Speaker 4: With social media at least in twenty twenty six and
- 18:31Speaker 4: just how people consume media in general, the biggest thing
- 18:37Speaker 4: that you have to do is not only get to
- 18:42Speaker 4: the point as quick as possible, but give people a
- 18:46Speaker 4: reason to care about it in the opening as well.
- 18:50Speaker 4: And so that is that's the tricky part, because it's
- 18:56Speaker 4: talking about PBM reform and the nuts and bolts of it.
- 19:01Speaker 4: It's a very it's a lot to digest, and the
- 19:03Speaker 4: average person is not going to want to listen to that.
- 19:06Speaker 4: But if you can somehow get them to care about
- 19:10Speaker 4: the message within the first five seconds or the first
- 19:12Speaker 4: ten seconds, and then slowly expand on it, you can
- 19:17Speaker 4: you can retain viewers, and those viewers are going to
- 19:20Speaker 4: be able to learn what you're talking about. And I
- 19:22Speaker 4: think that's just like the that's the hardest part because
- 19:25Speaker 4: there's people out there that I'm sure have have the
- 19:29Speaker 4: best information in the world. But if you're not able
- 19:32Speaker 4: to have people listen through it, then it's not reaching anybody.
- 19:37Speaker 2: Yeah, that's that's really great point. I mean, we we're
- 19:42Speaker 2: a microwave society. We want everything instantly, and tension spans
- 19:47Speaker 2: are short, and if you don't catch the attention right
- 19:49Speaker 2: up front, then they're scrolling. You know, you're going to
- 19:51Speaker 2: scroll right by and not get the important information they
- 19:56Speaker 2: might be shared there. So you know, one other big
- 19:59Speaker 2: hur we have on educating the general public is better
- 20:03Speaker 2: understanding pharmacy benefits and how they work in general. I
- 20:09Speaker 2: was asked to go speak to a group of business
- 20:13Speaker 2: owners here in the Phoenix area, and no one even
- 20:18Speaker 2: knew what a pharmacy benefit manager was. These were CEOs
- 20:21Speaker 2: of corporations. They had no idea what a PBM was
- 20:26Speaker 2: or how they were involved in their cost for their
- 20:30Speaker 2: own company and their own employees. So how should pharmacies
- 20:37Speaker 2: help explain that issue better to the general public? And
- 20:42Speaker 2: I guess also just to make sure that the patients
- 20:46Speaker 2: understand how they're affected by the PBM rules that are
- 20:52Speaker 2: in place that are not positive today.
- 20:58Speaker 4: That is, that's like the million dollar question, because it's
- 21:02Speaker 4: so complicated, and it's it's so it's purposely confusing and
- 21:10Speaker 4: vague and opaque, and it's purposely meant to where you
- 21:14Speaker 4: can't really track where rebates are going and where cost
- 21:18Speaker 4: saving metrics are going, and so it's really hard. It's honestly,
- 21:22Speaker 4: I don't know if I know the answer to that.
- 21:26Speaker 4: I think the best way for me and the way
- 21:29Speaker 4: I try to just relate it as much as possible,
- 21:33Speaker 4: is that there is one thing that every single person
- 21:36Speaker 4: has in common I think in the country, is that
- 21:39Speaker 4: going to the pharmacy is just not a fun experience.
- 21:42Speaker 3: Is it's not a fun.
- 21:43Speaker 4: Experience, and when you are when your prices are high,
- 21:48Speaker 4: that's what we complain about when your insurance coverages constantly change,
- 21:53Speaker 4: when you're forced to go to a specific pharmacy, and
- 21:56Speaker 4: when a pharmacy doesn't have the resources to properly service you.
- 22:00Speaker 3: That is how you That's how I try to get
- 22:02Speaker 3: people to care.
- 22:04Speaker 4: And I tie it back to that one issue, which
- 22:06Speaker 4: is PBM reform.
- 22:08Speaker 3: So that's that's that's how I that's how I try
- 22:11Speaker 3: to do it.
- 22:12Speaker 2: Yeah. I think the pharmacist over Forest Park Pharmacy, who
- 22:17Speaker 2: I also follow on TikTok, does a good job bringing
- 22:21Speaker 2: it down to the patient level because of the cost. Right,
- 22:25Speaker 2: so if by you know, their approach is to kick
- 22:29Speaker 2: out the PBM so that there isn't a metal man
- 22:32Speaker 2: which can help bring the cost of the of the
- 22:34Speaker 2: medication down. So I think everyone can relate with where
- 22:38Speaker 2: it's hitting them in their wallet, right. Yeah. Strategies around
- 22:42Speaker 2: communicating that to you know, the general public is probably
- 22:47Speaker 2: pretty good efficient.
- 22:49Speaker 4: Yeah, I mean, it's it's it's hard because I mean
- 22:52Speaker 4: I have conversations like this daily.
- 22:54Speaker 3: We have at our hospital.
- 22:56Speaker 4: We have a cash plan for our medications, and and
- 23:00Speaker 4: let's say you're getting m lodopene on our cash plan
- 23:03Speaker 4: it's four dollars, four dollars to get it from US.
- 23:07Speaker 4: I bill your insurance, it's twelve dollars. Why is it
- 23:10Speaker 4: more expensive with my insurance? Why does my insurance make
- 23:13Speaker 4: it go up? That's you know, it's a million dollar question.
- 23:16Speaker 2: Yeah, yep, exactly. And then remember when they had gag clauses
- 23:20Speaker 2: in place, that phomacy benefit managers had these gag clauses
- 23:23Speaker 2: so you couldn't tell them that their cash price was
- 23:26Speaker 2: less than the insurance copay. So so at least we're
- 23:30Speaker 2: making some progress there, right, removing some of those, you know,
- 23:34Speaker 2: those tricks of the industry. So if the wallet is
- 23:39Speaker 2: important to the patient, what do you think the message
- 23:42Speaker 2: is most important to the voters or legislators?
- 23:47Speaker 4: The message, definitely, it's definitely access. It's definitely access because
- 23:56Speaker 4: you want to have choice, you want to have petition.
- 24:00Speaker 3: In general, competition I think is good for any industry.
- 24:04Speaker 2: You want to support small business.
- 24:06Speaker 4: Yeah, small businesses, you don't see those anymore because of PBMs.
- 24:13Speaker 2: Lott Healthcare. I mean you're pretty close to to you know,
- 24:18Speaker 2: a large metropolitan area. Right you go fifteen miles east
- 24:23Speaker 2: of you, it's very rural, go thirty miles west of you.
- 24:28Speaker 2: It's extremely rural, you know, so what about that, you know,
- 24:32Speaker 2: the rural health initiatives If all these independents are put
- 24:36Speaker 2: out of business because the only place a patient can
- 24:40Speaker 2: go now to get access is a chain m Yeah, yeah, okay.
- 24:47Speaker 2: Can you give us an example of a message that
- 24:50Speaker 2: community pharmacies they could use speaking to a lawmaker? Might
- 24:56Speaker 2: be you know, a I guess you could take a
- 24:59Speaker 2: short form video from that and make, you know, a
- 25:02Speaker 2: social media post. What would be a good example that
- 25:04Speaker 2: would be beneficient to a lawmaker.
- 25:06Speaker 3: Would probably be just the access. It's just the lack
- 25:11Speaker 3: of the lack of choice.
- 25:14Speaker 4: I think one thing that that I think everybody can
- 25:17Speaker 4: agree on is nobody, for one wants to be told
- 25:20Speaker 4: where they have to go fill their medications at. And
- 25:25Speaker 4: when you don't have as many pharmacies, when mom and
- 25:27Speaker 4: pop pharmacies are closing down, independent pharmacies are disappearing and
- 25:32Speaker 4: they're not able to compete because of those reimbursements. You
- 25:35Speaker 4: get put into a funnel where you have to go
- 25:37Speaker 4: to certain places. And as we see just on social
- 25:42Speaker 4: media or every single day, nobody wants to go to
- 25:45Speaker 4: a Walgreens. Nobody wants to go to a CBS, and.
- 25:51Speaker 3: I think just reinforcing that.
- 25:54Speaker 4: The biggest thing here in Tennessee was that if they
- 25:58Speaker 4: have to choose between a PBM and a pharmacy, pharmacies
- 26:02Speaker 4: are going to shut down. That was the big, the
- 26:05Speaker 4: big talking point, and it was really the opposite. It
- 26:08Speaker 4: was pharmacist saying no, if if these other pharmacies have
- 26:13Speaker 4: to close down because of because of this law, because
- 26:18Speaker 4: they can't be a PBM and own them as.
- 26:20Speaker 3: Well, others will pop up.
- 26:22Speaker 4: Other pharmacists will finally be able to have their own
- 26:26Speaker 4: pharmacies and they'll be able to expand. In that notion,
- 26:29Speaker 4: I mean, I know there's plenty of pharmacists that I
- 26:30Speaker 4: know that the only thing holding them back is the
- 26:33Speaker 4: reimbursement aspect. They have a business plan and the strategy.
- 26:36Speaker 4: It's just that they can't reliably make money off of
- 26:42Speaker 4: medications that they're buying and billing. So I think it's
- 26:46Speaker 4: it's really just that increased access to care essentially. But yeah,
- 26:55Speaker 4: I think that's that would be the biggest talking point.
- 26:58Speaker 2: Good deal now is there? Obviously there's benefit to unifying
- 27:03Speaker 2: a state pharmacy association to have a similar I guess
- 27:11Speaker 2: unified approach to communication. Is there anything that you're doing
- 27:16Speaker 2: in your state association to kind of get eli independent
- 27:20Speaker 2: pharmacies on the same page with what they're either posting
- 27:25Speaker 2: or talking to their legislative slats about or taking interviews.
- 27:29Speaker 2: Is there any effort to unify a message at the
- 27:33Speaker 2: state pharmacy association level.
- 27:37Speaker 3: Not that I'm aware of.
- 27:40Speaker 4: Like I said, I just started getting into this side
- 27:44Speaker 4: of pharmacy. I never planned on talking about these things,
- 27:48Speaker 4: and I'm glad that I am. I really am, because
- 27:51Speaker 4: I like talking about how to improve pharmacies and just
- 27:55Speaker 4: overall patient care in general. I know personally, I've actually
- 27:59Speaker 4: started working towards getting a community of Nashville area pharmacy
- 28:05Speaker 4: professionals to get together in network in a more casual setting,
- 28:09Speaker 4: because I found that in those casual settings that's when
- 28:12Speaker 4: we can really talk a little bit more freely. And
- 28:14Speaker 4: so that is what I've been trying to do here locally,
- 28:17Speaker 4: is just gather a community of pharmacy professionals that are
- 28:21Speaker 4: on the same page and understand, you know, what what
- 28:26Speaker 4: we have to deal with every day.
- 28:28Speaker 2: Yeah, I think that could be very, very helpful, because
- 28:32Speaker 2: I there might be a lot of pharmacists are more
- 28:37Speaker 2: reserved and and they may be you know, they might
- 28:43Speaker 2: have a little bit of a feel uncomfortable speaking to
- 28:46Speaker 2: somebody in the media, And so what would be some
- 28:48Speaker 2: suggestions that you would have to help them be more
- 28:52Speaker 2: effective in you know, in in an interview or even
- 28:56Speaker 2: covering a topic like PBM reform with their with their
- 29:00Speaker 2: local media.
- 29:02Speaker 4: I think just pulling from personal experience, you are the
- 29:06Speaker 4: expert in your field. You are the expert in handling
- 29:12Speaker 4: the negativity or the negatives with dealing with PBMs, and
- 29:19Speaker 4: you're the best person to talk about it because we
- 29:21Speaker 4: experience it every single day in the pharmacy. We see
- 29:23Speaker 4: its impact not only as a pharmacy employee and a
- 29:27Speaker 4: pharmacy worker, but we see what it does to patients
- 29:30Speaker 4: and how they fall behind in care as well. And
- 29:33Speaker 4: so it's I think you just need to have a
- 29:35Speaker 4: little bit more confidence and understand that it's not as
- 29:39Speaker 4: complex as it sounds. It's something that we live every
- 29:42Speaker 4: single day, and you just have to talk about your
- 29:43Speaker 4: experience and that's the best way to translate it.
- 29:46Speaker 2: Yeah, I'm glad that you talked about personal experience because
- 29:49Speaker 2: people still listen to stories right, And every pharmacy has
- 29:55Speaker 2: a story about a patient that couldn't get their medication
- 29:58Speaker 2: or something that was held up for that patient and
- 30:04Speaker 2: having access to something that they needed because of a
- 30:09Speaker 2: pharmacy benefit manager. So I think I think stories, personal
- 30:13Speaker 2: stories really can catch the media attention and help move
- 30:18Speaker 2: a PBM reform in the right direction. So what role
- 30:23Speaker 2: does social media play in influencing policy makers today?
- 30:28Speaker 4: So when we were going through the Fair Pharmacy Act
- 30:31Speaker 4: here in Tennessee and these other corporations had their influencers
- 30:38Speaker 4: talking about what was going on. Eventually, because of what
- 30:42Speaker 4: I was saying, I got that email with what they're
- 30:45Speaker 4: being offered and the stipulations and the basically the paid
- 30:49Speaker 4: advertisement like in writing inverbatim writing. And because I posted
- 30:56Speaker 4: it online, I saw other policy makers resharing it on
- 31:00Speaker 4: Twitter and resharing it in other places. So even something
- 31:04Speaker 4: as small as that, they're using that as a resource
- 31:07Speaker 4: when they're going and talking talking to lotmakers and everything
- 31:10Speaker 4: about you know, why this is important.
- 31:13Speaker 3: And even just having a video explaining.
- 31:20Speaker 4: How this impacts patients and how this impacts Tennessee in
- 31:24Speaker 4: general or whatever state or our country in general. When
- 31:27Speaker 4: you have somebody else who's here's the video, Like, watch
- 31:30Speaker 4: this video right here.
- 31:31Speaker 3: This is explaining everything better than I can.
- 31:33Speaker 4: You know, or this echoes all the calls and letters
- 31:38Speaker 4: and emails that we've been getting. This is look at
- 31:40Speaker 4: the comment sections, look at the shares, look at the likes.
- 31:43Speaker 4: Like everybody here agrees, you can't. The thing about social
- 31:47Speaker 4: media too, is that the comment section. You can't fake
- 31:51Speaker 4: people's responses. You know, you you either have a positive
- 31:55Speaker 4: or negative backlash or whatever, but you can see how
- 31:58Speaker 4: everybody feels about a topic if you go into the
- 32:01Speaker 4: comment section. And so that is just an easy way
- 32:04Speaker 4: to show that there is support and things behind these
- 32:08Speaker 4: policies that we want changed in social media for better
- 32:12Speaker 4: or for worse is a big.
- 32:14Speaker 2: Proponent absolutely, So how can pharmacy leaders like yourself then
- 32:20Speaker 2: build a broader coalition? You know, are there other groups
- 32:24Speaker 2: like physicians or even employer groups that you could tap
- 32:29Speaker 2: into to help build the coalition?
- 32:32Speaker 4: Honestly, I do not know. I have no idea. I
- 32:37Speaker 4: know personally I've made it early New Year's resolution, but
- 32:44Speaker 4: to go to more pharmacy meetings and to get more
- 32:48Speaker 4: involved in my profession outside of going to work and
- 32:53Speaker 4: talking about it like, I want to try and get
- 32:56Speaker 4: in those rooms and really see how these things actually move.
- 33:01Speaker 4: And so that has been one of my goals. I
- 33:03Speaker 4: don't know of any other groups or what that looks like.
- 33:07Speaker 4: But the biggest thing is that as pharmacists and people
- 33:13Speaker 4: who work in the pharmacy, we can only our voices
- 33:17Speaker 4: can only do so much. Where it's going to take
- 33:20Speaker 4: much more than us talking about these things. It's going
- 33:23Speaker 4: to take patients, it's going to take physicians who deal
- 33:26Speaker 4: with pharmacies and prior. You know, you can get into
- 33:30Speaker 4: all of it, but you know, it's going to take
- 33:32Speaker 4: every part of the healthcare workflow process for a patient
- 33:37Speaker 4: to really make people care. And so pharmacies and pharmacists
- 33:42Speaker 4: can't be the only ones talking about this because this
- 33:45Speaker 4: affects literally every single person, everybody absolutely.
- 33:49Speaker 2: That's the point of making is that it would seem
- 33:52Speaker 2: to me that you know, pharmacy should build that coalition
- 33:56Speaker 2: by go into chambers of commerce, you know, going to
- 33:59Speaker 2: patient advacy advocacy groups, you know, labor groups, employers, it all,
- 34:05Speaker 2: it affects you know, everyone, Like you said, employers are
- 34:10Speaker 2: you know paying more than they need to to a PBM.
- 34:13Speaker 2: That's not getting passed on to the pharmacy, the pharmacies
- 34:16Speaker 2: earning less, but the payer, the employer's paying more. Where
- 34:20Speaker 2: is that money going? Yeah, yeah, yeah, I mean figure
- 34:24Speaker 2: that out. How can healthcare costs more today than it
- 34:29Speaker 2: has ever ever costs and pharmacies are making less than
- 34:33Speaker 2: they've ever made on drugs, you know, not just the coverage,
- 34:36Speaker 2: but just on the drug spind It's cost the employers
- 34:39Speaker 2: more than it's ever cost them, and pharmacies are making
- 34:42Speaker 2: less than they ever made. So there's a spread in
- 34:45Speaker 2: there somewhere, and it's not going to pharmacies. It affects,
- 34:48Speaker 2: It affects physicians. I had doctor Malcolmala, the president of
- 34:54Speaker 2: the a m A, on the podcast just last year.
- 34:57Speaker 2: I encourage everybody to go back and listen to that
- 34:59Speaker 2: episode of is fascinating. He's personally affected by PBM and
- 35:05Speaker 2: whether or not what medication he can you know, have
- 35:08Speaker 2: and at what costs he can have it? So it
- 35:10Speaker 2: does affect everyone. I appreciate you mentioning that. So as
- 35:16Speaker 2: PBM reform effects you know, continue to to you know,
- 35:21Speaker 2: continue to cross over the country. What's happened there in Tennessee,
- 35:27Speaker 2: you know, in Arkansas there are places that are making
- 35:30Speaker 2: some of these amazing reform come to life. What do
- 35:37Speaker 2: you you know, what do you hope for in the
- 35:40Speaker 2: next twelve months.
- 35:42Speaker 3: I hope that more states join in.
- 35:46Speaker 4: And I think that the fear of more states joining
- 35:49Speaker 4: in is that it becomes a federal mandate instead of
- 35:53Speaker 4: at the state level, and so I just hope that
- 35:56Speaker 4: more states join in.
- 35:57Speaker 3: I hope that more people keep talking about it.
- 35:59Speaker 4: I hope that people in you know, Florida, people in Louisiana,
- 36:03Speaker 4: people in I don't know, Oklahoma, see what Tennessee did,
- 36:08Speaker 4: sees how Tennessee handled it, and see that like, yes,
- 36:12Speaker 4: this is something that can be passed through. Now. Obviously
- 36:15Speaker 4: these PBMs are trying everything they can to stop this,
- 36:20Speaker 4: even even with the with it being passed. But I
- 36:24Speaker 4: think as more join in, it's it's going to become
- 36:29Speaker 4: more of a more of a reality. So I just
- 36:32Speaker 4: hope to see more states opt into trying to tackle
- 36:35Speaker 4: this problem, because every state's affected by it absolutely.
- 36:41Speaker 2: Well, Maurice, do you have any you know, any advice
- 36:44Speaker 2: for pharmacy associations across the country, all over America on
- 36:49Speaker 2: a communications strategy that they could implement immediately, maybe maybe
- 36:54Speaker 2: every association needs Maurice on the on the payroll created
- 36:59Speaker 2: content for him, because you're doing a great job.
- 37:02Speaker 4: Honestly, I think that I think that it would be
- 37:08Speaker 4: a I don't see too many of this, too many
- 37:11Speaker 4: of this stuff happening, but I do think it would
- 37:14Speaker 4: be advantageous to try and partner with people who already
- 37:17Speaker 4: have a platform and talk about these things, because I
- 37:20Speaker 4: do see other associations post valuable, very valuable information, but
- 37:28Speaker 4: they just don't have the reach. And so I think
- 37:31Speaker 4: that in this age of social media, there are already
- 37:36Speaker 4: people not just talking about myself, but there are other
- 37:39Speaker 4: content creators in the pharmacy space that can help amplify messages,
- 37:44Speaker 4: and I think it's it would be a very good
- 37:47Speaker 4: idea to try and work with them in some capacity
- 37:52Speaker 4: to help get these messages out there, because I see
- 37:55Speaker 4: a lot of the information that I get is from
- 37:57Speaker 4: this stuff, and I see the engagement and it's very low,
- 38:01Speaker 4: and I'm like, dang, like this is such good information.
- 38:04Speaker 4: Everybody needs to see this, but they don't see it.
- 38:08Speaker 4: So I just think that the best way, at least
- 38:12Speaker 4: right now for information to get out is I think
- 38:15Speaker 4: it would be a great idea to work with people
- 38:18Speaker 4: in the space that are creating content and do have
- 38:23Speaker 4: a lot of experience with amplifying messages, especially when you're
- 38:27Speaker 4: talking to people who also have an invested interest in
- 38:29Speaker 4: this as well, not just from a let's just find
- 38:32Speaker 4: a paid actor to talk about this like, no, like,
- 38:34Speaker 4: we need to find people who care and want to
- 38:37Speaker 4: talk about this.
- 38:38Speaker 3: And want to see change.
- 38:39Speaker 4: And I think most pharmacists who are I want to say,
- 38:42Speaker 4: all pharmacists who are posting on social media and sharing
- 38:46Speaker 4: content and who have built audiences, they want to see
- 38:49Speaker 4: pharmacy change for the better. And you know, working together
- 38:54Speaker 4: in that regard would be a lot of help.
- 38:58Speaker 3: I truly believe that.
- 39:00Speaker 2: Yeah, are you optimistic about the future of community pharmacy.
- 39:05Speaker 4: I'm optimist. I am, well, I'm optimist. I'm scared of AI.
- 39:09Speaker 4: I'm not gonna lie, not necessarily of AI just replacing pharmacists,
- 39:13Speaker 4: but I think AI in general that's probably a different conversation.
- 39:17Speaker 4: But outside of that, I am pretty optimistic.
- 39:21Speaker 3: I think that.
- 39:23Speaker 4: I'm be honest, I didn't think that Tennessee would the
- 39:26Speaker 4: Fair Pharmacy Act would work. I really didn't. I did
- 39:29Speaker 4: not think that it would get past, and so that
- 39:34Speaker 4: was eye opening for me. That was the moment of Okay,
- 39:39Speaker 4: people are listening and people are tired of dealing with this.
- 39:45Speaker 3: So I'm very optimistic.
- 39:47Speaker 2: I am good, excellent. All right, some fun facts about
- 39:52Speaker 2: your rapid fire.
- 39:53Speaker 1: Right.
- 39:54Speaker 2: Are you more of an early bird or a night out?
- 39:56Speaker 4: I am an early bird. I get up about four
- 39:59Speaker 4: thirty every morning.
- 40:00Speaker 2: Wow. Man, do you prefer the mountains or the beach?
- 40:03Speaker 3: I prefer the mountains. I love the mountains.
- 40:06Speaker 2: Okay, you get over to the Smokies.
- 40:09Speaker 4: Yes, I went to Smokey's and I also went to
- 40:12Speaker 4: to a Yellowstone two times, the Tetons and out to
- 40:15Speaker 4: Montana and out to Denver, like I love going out west,
- 40:19Speaker 4: like that's my my favorite vacation is going out West
- 40:23Speaker 4: and just yeah, being out.
- 40:24Speaker 2: These are incredible. But there's nothing in comparison to the
- 40:27Speaker 2: Rockies for sure.
- 40:28Speaker 3: Yeah, they've they've ruined the smokeyes for me, fortunately.
- 40:33Speaker 2: And do you prefer coffee, tea or something else?
- 40:37Speaker 3: Something else? I'm an energy drink person.
- 40:39Speaker 4: I drink coffee because it's more readily. My wife drinks coffee,
- 40:45Speaker 4: so it's easy for me to just make some coffee.
- 40:47Speaker 4: But if I'm being honest.
- 40:48Speaker 3: I don't like it. I like energy drinks.
- 40:50Speaker 2: Okay, all right, I'll have to have a chat about
- 40:53Speaker 2: that offline. But but today we've learned that you know
- 40:58Speaker 2: that successful prebium ref isn't just about legislation. It's about communication.
- 41:03Speaker 2: It's storytelling, it's coalition building and public engagement. And for
- 41:08Speaker 2: community pharmacies and state pharmacy associations, the ability to clearly
- 41:12Speaker 2: communicate how PBM practices affect patients may be one of
- 41:17Speaker 2: the most powerful tools available to driving meaningful change. So
- 41:22Speaker 2: thank you so much for joining us today and sharing
- 41:25Speaker 2: your expertise with us. Maurice. It's great to get to
- 41:27Speaker 2: know you a little better, and thanks for being our guest.
- 41:31Speaker 2: And I want to remind all of our listeners that
- 41:35Speaker 2: you are listening to the PBM Reform podcast on the
- 41:39Speaker 2: Pharmacy Podcast Network, and be sure and share this episode
- 41:44Speaker 2: with someone that needs to hear it, any community pharmacist
- 41:48Speaker 2: that is dealing with either a legislator or a policy
- 41:52Speaker 2: maker in their own community. Again, thank you, Maurice, and
- 41:57Speaker 2: until next time, stay in all, stay positive, and stay
- 42:01Speaker 2: in for
- 42:08Speaker 3: H