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Why are GLP1 Drugs So Expensive? The Complex World of PBMs with Josh Sanders, PharmD In this episode of the GLP1Hub podcast, host Ana Reisdorf, a registered dietitian and GLP-1 user, dives deep into the real reasons why GLP-1 medications are so expensive. Joined by Josh Sanders, a pharmacist and Director of Pharmacy at On-site RX, they explore the hidden mechanics behind drug pricing, beyond just pharmaceutical companies. This insightful conversation uncovers how Pharmacy Benefit Managers (PBMs) influence costs, the role of rebates, insurance coverage issues, coupon/copay cards, and the legal gray area around compounding pharmacies. The episode also discusses Medicare coverage for weight loss drugs and whether prices might come down in the future. Ana and Josh stress the importance of being your own advocate in a complex healthcare system and provide realistic advice on navigating insurance approvals and pharmacy systems. 📌 In This Video, You'll Learn: ✅ Why GLP-1 medications are so expensive ✅ How PBMs (Pharmacy Benefit Managers) influence pricing and access ✅ How rebate and discount deals really work behind the scenes ✅ The truth about coupon/copay cards and how to use them ✅ The legal risks and reality of compounding pharmacies ✅ If Medicare will cover GLP-1s for weight loss ✅ How to advocate for yourself to get necessary medications ✅ What’s coming next in GLP-1 drugs and pricing 🕒 Timestamps: 0:00 – Intro & overview 0:33 – Today’s guest & episode theme 0:38 – Sponsor Calocurb introduction 1:31 – GLP1Hub on TikTok & a warning for followers 2:04 – Website resources for beginners 3:36 – How Calocurb works as a supplement 4:01 – Meet Josh Sanders, the guest pharmacist 5:00 – What are PBMs and how do they affect prices 7:10 – Behind-the-scenes of rebates and formulary deals 11:00 – How copay cards and discounts function 13:00 – Legal status of compounding pharmacies 16:00 – Removing prior authorizations – will it lower costs? 20:22 – Will new GLP-1 pills lower drug prices? 24:00 – Drug safety concerns & misuse in higher-income areas 29:28 – Medicare and the future of weight-loss drug coverage 31:00 – Why you must be your own health advocate 33:11 – Wrap-up & sponsor message #glp1cost #pharmacybenefitmanager #weightlossdrugs #glp1hub Visit https://www.Calocurb.com and use the code ANA10 for 10% off Visit https://www.Gruns.co and use the code GLP1HUB for 52% off Visit https://www.Hero.co and use the code GLP1HUB for 10% off Visit our GLP-1 Hub store: https://www.glp-1hub.com Get our FREE 7-day meal plans for GLP-1: 7-Day Meal Plan: https://glp1hub.myflodesk.com/7daymealplan Plant-based 7-Day Meal Plan: https://glp1hub.myflodesk.com/plantbasedplan Want to connect more with GLP-1 Hub? Instagram: https://www.instagram.com/glp1hub Tiktok: https://www.tiktok.com/glp1hub YouTube: https://www.youtube.com/glp-1hub Weekly newsletter with weight loss tips and podcast updates: https://glp1hub.myflodesk.com/rn9j3lxjpp
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