Episode Details

Crystal McEntire juggles a cattle ranch and two pharmacies in rural Texas, where independent pharmacists face a crisis due to low profits and PBM control. Texas has a growing pharmacy desert problem, with sixty percent of counties lacking a local pharmacy. Independent owners blame PBMs for selling drugs at a loss, leading to skipped doses, worsening chronic illnesses, and poor health outcomes. Pharmacists like McEntire fight back by diversifying their businesses, while lawmakers call for transparent flat-fee reimbursements. PBM giants insist on fair pricing, but the squeeze continues, highlighting the need for solutions to keep rural pharmacies afloat.

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