Viewpoints

Today’s pharmacist is much more than a healthcare professional who oversees the distribution of drugs. Pharmacists can be and often are the patient’s first-line healthcare educator and risk manager.

Over the course of a career, errors are inevitable. For pharmacists, who never forget that lives are at stake, the prospect is chilling. Yet close calls still happen. This was one.

Two agendas interfere with the delivery of appropriate healthcare services by pharmacists and physicians, and patients take it in the neck.

Pharmacists swear an oath to do no harm. But what about patients? Should they be responsible for their behavior toward us?

The urge to amass wealth is a great motivator in the making and selling of commodities. But for delivery of healthcare services? Maybe not so much.

Three of the most heavily invested players in the pharmaceutical industry are at odds. Pharma manufacturers need to recoup R&D costs and demonstrate accountability to leadership and shareholders, keeping drug prices as high as possible before their patents expire. PBMs are responsible for driving down costs for their plan sponsors, frequently engaging in hard negotiations with manufacturers. Pharmacists are often afterthoughts to the conversation, even though they are arguably the healthcare providers with more ability to influence patient outcomes and maximize the value of high-cost medication therapies than any other member of the care continuum.