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In Under the Counter, insider Greg Baker goes against the grain of his own industry by exposing the corrupt practices of Pharmacy Benefit Managers (PBMs) to explain why prescription drugs cost so much—and what you can do about it.
Like an experienced tour guide, Baker leads you through the complex and frustrating world of PBMs and how they operate. Like a mafia organization straight out of The Godfather, these companies—the three largest ones in particular—demand outrageous rebates from drug manufacturers while failing to pass on those discounts to consumers. But Under the Counter is not a dry textbook—rather, it’s a story-driven, fast-paced, compelling narrative that fills in the blanks for people like you who know something just doesn’t add up when it comes to high drug prices.
Under the Counter is essential reading for everyone who cares about the health of their family and is not willing to be a victim of corrupt PBM practices any longer. It’s also a timely call to action for anyone who believes that access to affordable medication should be a right for every American.
Greg Baker is the CEO of AffirmedRx. A pharmacist by training, Greg brings a strong clinical focus to pharmacy benefit management. Throughout his thirty-year career, he has been a leader in direct pharmacy services with a focus on optimizing patient outcomes. Greg has genuine care and concern for the wellbeing of patients. His commitment to improving patient outcomes led him to AffirmedRx. Greg values honesty, integrity and clarity in business practices. These values, paired with the operational knowledge and insight of an industry insider, position him to be a positive force for change in the health care industry.
Introduction: Why Do My Drugs Cost So Much?
Part I: The Rise of Pharmacy Benefits Managers
Chapter One: Secret Origins: How Did Pharmacy Benefits Managers Become So Powerful?
Chapter Two: Power Players: Why PBMs are the Mafia of the Healthcare World
Chapter Three: Sharks in Suits: Inside the PBM Business Model
Chapter Four: Prescription for Profit: How PBMs Contribute to Skyrocketing Drug Costs
Part II: The Impact of PBMs on Healthcare
Chapter Five: Access Denied: How PBM Restrictions Harm Real Families
Chapter Six: Mind Games: PBMs and the Mental Health Crisis
Chapter Seven: The Doctor’s Dilemma: How PBMs Influence Treatment
Chapter Eight: Your Shrinking Wallet: The Economic Toll of PBM Practices
Chapter Nine: A Maze of Confusion: Current Efforts to Regulate PBMs
Part III: Legislative Solutions for Reform
Chapter Ten: The Road to Reform: Proposals for Transparency and Accountability
Chapter Eleven: Reimagining Healthcare: New Models That Actually Work
Chapter Twelve: We Can Make a Difference: How You Can Help Change the System
Conclusion: Building a Better Future