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Antonio Ciaccia
President of 3 Axis Advisors and architect of Ohio’s Medicaid pharmacy overhaul. He uncovered hidden costs in the pharmaceutical system.
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Jul 15, 2025
• 47min
The PBM Hitman
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Antonio Ciaccia, President of 3 Axis Advisors and architect of Ohio’s Medicaid pharmacy overhaul, joins Benjamin Jolly, a pharmacist and advocate at the American Economic Liberties Project. They discuss Ohio's groundbreaking initiative to eliminate pharmacy benefit managers from Medicaid, saving $140 million in two years. Ciaccia reveals how he uncovered hidden costs in the pharmaceutical system, while Jolly shares insights into the benefits of this transparent model that’s gaining traction nationwide, despite the challenges facing independent pharmacies.
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