Dr. Chrystian Pereira
👤 PersonAppearances Over Time
Podcast Appearances
Yeah, no, let's talk about it. I have personal opinions on this and I have like, but let's talk about just the logistics or kind of like the basics of these terms. So a pharmacy benefits manager is an organization that works through, like works on behalf of insurance companies to negotiate prices and to kind of negotiate formulas, formulas and prices.
Yeah, no, let's talk about it. I have personal opinions on this and I have like, but let's talk about just the logistics or kind of like the basics of these terms. So a pharmacy benefits manager is an organization that works through, like works on behalf of insurance companies to negotiate prices and to kind of negotiate formulas, formulas and prices.
So there's always been a drive for any kind of business or health institution that has medication that's using therapies to dispense medications. You have to have like,
So there's always been a drive for any kind of business or health institution that has medication that's using therapies to dispense medications. You have to have like,
a pool of medication that you use right so a hospital decides these are the drugs that we're going to use or an insurance company says these are going to be the drugs that we're going to use and that's what we call formulary right but this topic is really broad like drugs are really broad and complicated from anything from chemotherapy to like common cold medication to opioids to NSAIDs like or ibuprofens or over-the-counter products so the the
a pool of medication that you use right so a hospital decides these are the drugs that we're going to use or an insurance company says these are going to be the drugs that we're going to use and that's what we call formulary right but this topic is really broad like drugs are really broad and complicated from anything from chemotherapy to like common cold medication to opioids to NSAIDs like or ibuprofens or over-the-counter products so the the
The complexity is huge. So as things have evolved in the insurance world, in the business world, these were kind of like specialized into a group. And these are pharmacy benefits managers. Now, these pharmacy benefits managers are an offshoot of the insurance company.
The complexity is huge. So as things have evolved in the insurance world, in the business world, these were kind of like specialized into a group. And these are pharmacy benefits managers. Now, these pharmacy benefits managers are an offshoot of the insurance company.
And then really kind of like, you know, when I remember it coming up, like it's like, oh, that's where they were kind of pulling all the smartest pharmacists to kind of work for these guys, work for these organizations to really kind of create a good formulary that that's going to make sense for the insurance company.
And then really kind of like, you know, when I remember it coming up, like it's like, oh, that's where they were kind of pulling all the smartest pharmacists to kind of work for these guys, work for these organizations to really kind of create a good formulary that that's going to make sense for the insurance company.
as time has gone on this has become a big player in how drugs and the movement of medications and the movement of which products are being used a lot of people call them like a middleman saying like there's an insurance company and then there's a middleman the pbms and then there's the whoever you know, sells the pharmacy front lines like a pharmacy or a hospital. And that that's true.
as time has gone on this has become a big player in how drugs and the movement of medications and the movement of which products are being used a lot of people call them like a middleman saying like there's an insurance company and then there's a middleman the pbms and then there's the whoever you know, sells the pharmacy front lines like a pharmacy or a hospital. And that that's true.
But I kind of like my point is, is that like it's still part of the it comes from the health insurance like world.
But I kind of like my point is, is that like it's still part of the it comes from the health insurance like world.
But but the pharmacy benefits manager is like that, that middle person, that middle organization that's now kind of like dedicated to kind of understand how the drugs, which drugs should be used or per the per the contracts that they're kind of like negotiating for or understanding and who and what the prices are going to be.
But but the pharmacy benefits manager is like that, that middle person, that middle organization that's now kind of like dedicated to kind of understand how the drugs, which drugs should be used or per the per the contracts that they're kind of like negotiating for or understanding and who and what the prices are going to be.
uh for those uh reimbursements when someone does go through that through that company so so clearly stated it's just kind of like that that middle organization in the in the insurance kind of cascade of money does that
uh for those uh reimbursements when someone does go through that through that company so so clearly stated it's just kind of like that that middle organization in the in the insurance kind of cascade of money does that
no no okay but but if if you don't mind i'll tell this story about yeah go ahead in in the in 2000 all schools of pharmacy in the united states decided to change their their degree to a doctorate degree so i am Very proud that in 2001, I earned a PharmD degree at the College of Pharmacy at the University of Minnesota. And so I have a doctorate of pharmacy. We didn't invent it at that time.
no no okay but but if if you don't mind i'll tell this story about yeah go ahead in in the in 2000 all schools of pharmacy in the united states decided to change their their degree to a doctorate degree so i am Very proud that in 2001, I earned a PharmD degree at the College of Pharmacy at the University of Minnesota. And so I have a doctorate of pharmacy. We didn't invent it at that time.