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Index/Finance/The Buyout Show with Fexingo
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How Private Equity Is Buying Up Pharmacy Benefit Managers

The Buyout Show with Fexingo · 2026-07-08 · 9 min

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Topics in this episode

Private equitypbmhealthcare consolidationpharmacy benefit managerdrug pricing

Episode notes

Private equity has quietly consolidated a huge chunk of the pharmacy benefit management industry. In this episode, Lucas and Luna unpack the economics of PBMs, the vertical integration wave, and a specific case: how firms like Madison Dearborn and Hellman & Friedman have rolled up multiple PBMs into a single giant. They walk through the 80-20 rule in drug pricing, the spread between what PBMs charge and what they pay pharmacies, and why regulators are starting to ask questions. If you've ever wondered why your prescription costs what it does, this episode explains the middleman you've never heard of. #PharmacyBenefitManagers #PBMs #PrivateEquity #HealthcareConsolidation #MadisonDearborn #HellmanAndFriedman #DrugPricing #VerticalIntegration #ExpressScripts #CVSHealth #OptumRx #BusinessPodcast #Finance #Healthcare #FexingoBusiness #MergersAndAcquisitions #RollUps #PrescriptionDrugs Keep every episode free: buymeacoffee.com/fexingo

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  • 43: Organisational Health as a Growth Engine: The Q5 Approach with Olly PurnellThe Consulting Growth Podcast · on Private equity79 / 100
  • How Private Equity Is Rolling Up Emergency Room StaffingPrivate Equity Conversations with Fexingo · on Private equity78 / 100

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