
This panel discussion brought together experts to dissect the core issues, focusing on how pharmacy benefit manager (PBM) practices—such as DIR fees and spread pricing—significantly undermine pharmacy financial stability and complicate the delivery of essential services like MTM and chronic disease management. The panelists analyzed effective strategies for legislative advocacy, exploring how pharmacists can strengthen their negotiation power and foster collaboration within the health care ecosystem. Ultimately, the discussion provided insight on how community pharmacies must pivot their business models to prioritize value-based care and integrate new, reimbursable clinical service lines to ensure long-term sustainability and the expansion of the pharmacist's vital role in patient care.

