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The Dr. Tyna Show

Exposing PBMs: How Pharmacy Middlemen Are Raising Your Drug Costs | Brad Hart

The Dr. Tyna Show

Dr. Tyna Moore

Alternative Health, Health & Fitness

4.91.4K Ratings

🗓️ 5 June 2025

⏱️ 60 minutes

🧾️ Download transcript

Summary

EP. 215: I sat down with Brad Hart, owner of Forest Park Pharmacy in Fort Worth, to expose the shocking truth behind pharmacy benefit managers (PBMs) and how they’re driving up drug prices. What I learned about vertical integration in the healthcare system, where insurers own the PBMs and the pharmacies, honestly left me furious. Brad breaks it all down, from Medicare waste to the skyrocketing cost of specialty drugs, and we talk about real solutions like compounding pharmacies and direct-to-consumer options. This is a must-listen if you’ve ever wondered why your medications cost so much—and who’s really profiting. Topics Discussed:  What are pharmacy benefit managers (PBMs) and how do they increase drug prices? How are health insurance companies profiting from vertical integration in the pharmacy system? Why are independent and rural pharmacies struggling to stay open? What impact do PBMs have on Medicare spending and prescription drug costs? How can consumers save money on medications without relying on insurance? Sponsored By: Qualia | Go to qualialife.com/DRTYNA for up to 50% off your purchase and use code DRTYNA for an additional 15% Maui Nui Venison | Head to mauinuivenison.com/DRTYNA to secure your access now.  LMNT | Get your free Sample Pack with any LMNT purchase at drinkLMNT.com/drtyna BIOptimizers | Go to bioptimizers.com/tyna and use promo code TYNA10 to order Masszymes now and get 10% off any order Sundays | Get 40% off your first order of Sundays. Go to sundaysfordogs.com/DRTYNA and use code DRTYNA at checkout. Relax Tonic | Go to https://store.drtyna.com/products/relaxtonic and use code and use DRTYNASHOW to save 10% On This Episode We Cover:  00:00:00 - Introduction  00:04:34 - History of PBMs 00:09:02 - Insurance & Pharmacy Ties 00:12:17 - UnitedHealthcare’s Role 00:15:59 - Pharmacy Kickbacks 00:18:01 - Emergency Med Access 00:23:11 - Rural Pharmacy Crisis 00:26:20 - How Insurance Works 00:30:05 - Compounding Pharmacies Explained 00:35:19 - How Pharmacies Save Money 00:37:14 - Arkansas PBM Bill 00:39:12 - Trump’s Drug Pricing Executive Order 00:42:37 - Direct-to-Consumer Drugs 00:43:40 - Wegovy, Eli Lilly, & Changing Costs 00:46:27 - Medicare Waste 00:48:25 - Medicare Price Negotiation 00:49:58 - Specialty Drug Cost 00:54:18 - Brad’s Pharmacy Model Further Listening:  The Fight For Affordable GLP1s & The Truth About Big Pharma | Dave Knapp  Check Out Brad:  https://www.forestparkpharmacy.com/ Instagram TikTok YouTube Disclaimer: Information provided in this podcast is for informational purposes only. This information is NOT intended as a substitute for the advice provided by your physician or other healthcare professional, or any information contained on or in any product. Do not use the information provided in this podcast for diagnosing or treating a health problem or disease, or prescribing medication or other treatment. Always speak with your physician or other healthcare professional before taking any medication or nutritional, herbal or other supplement, or using any treatment for a health problem. Information provided in this blog/podcast and the use of any products or services related to this podcast by you does not create a doctor-patient relationship between you and Dr. Tyna Moore. Information and statements regarding dietary supplements have not been evaluated by the Food and Drug Administration and are not intended to diagnose, treat, cure, or prevent ANY disease.

Transcript

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0:00.0

90% of prescriptions are cheap generics and the U.S. has the cheapest generics. So we could

0:06.0

definitely get by without using insurance on these low-cost medications and we wouldn't have to pay

0:11.5

these insane fees to the PBMs. They collect 40% of the cost on low-cost generics goes to the PBMs.

0:19.1

If we cut them out, the costs come down,

0:22.1

people appreciate what the cost of the medication is

0:24.7

and they can actually afford what they need.

0:26.7

You are tuned into the Dr. Tina Show with Dr. Tina Moore.

0:29.8

For more, visit Dr. Tina.com.

0:32.7

On this episode of the Dr. Tina show,

0:34.8

I'm sitting down with Brad Hart, who is a pharmacy owner. He owns

0:37.8

Forest Park Pharmacy in Fort Worth, Texas, and I have been following him on Instagram for a while.

0:42.3

This man is on to something. This man could save Doge a ton of money. Here's what we talked about.

0:48.2

Pharmacy benefits manager. These are the middlemen who actually are driving up the drug costs in the United States.

0:55.8

It's crazy.

0:56.9

The story is crazy and is going to blow your mind.

0:59.4

And it left me feeling infuriated and frustrated even more.

1:03.1

There's something insidious going on with this vertical integration that I have no idea how it's legal,

1:07.7

but the health insurance company that you're paying your premiums to

1:11.1

owns the pharmacy benefits manager, owns the pharmacies, and ultimately is dictating the prices

1:16.5

that you pay on your drugs. And in some cases, extremely jacking up the prices. And in many cases,

1:23.1

this is costing Medicare a fortune and it's costing you potentially a fortune.

1:28.1

So let's jump in without further ado.

...

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