We will continue on the second and final part of our Pharmacy In Peril: What’s Really Happening Behind the Counter Series as now we will learn from a front line pharmacist how these fees and reimbursement models from drug insurance companies, in particular the pharmacy benefit managers otherwise known as PBMs, are causing pharmacy services to suffer and overall your safety as the patient is at risk! Today we bring back Dr. Patrick Devereux, pharmacy manager and company president of Family Medical Services, Inc. which is comprised of four independent pharmacies in central AL as he gives us an unfortunate update how the current payment structure from PBMs mostly related to DIR fees are doing since the last time he spoke with us in 2020 and showcases to us what the DIR hangover of 2024 is all about. These fees have only gotten worse and continue to rob pharmacies of services and rob patients of appropriate care.