The Grifters and the Builders: Pharmacy’s Gray Market, AI Prescribing, and the Medvi Meltdown | Otto Sipe, CEO and Co-founder at Photon Health

Blake Madden
Blake Madden
April 14, 2026

I sat down with Otto Sipe, co-founder of Photon Health, for what turned into one of the most wide-ranging Claims Denied conversations we’ve had.

We riffed on the Medvi debacle, why the NYT whiffed on due diligence, the entire arc from Hims to Cerebral to vibe-coded pill mills, and Otto’s vision for AI prescribing modeled after self-driving cars.

Otto’s April Fool’s satire about AI-powered peptide prescriptions literally came true the next day. You can’t make this stuff up.

For anyone thinking about DTC telehealth, pharmacy economics, PBM reform, or where AI meets clinical care, this one’s a must-listen!

To learn more about Photon Health, check them out at https://photonhealth.com/ 

Follow Otto Sipe on LinkedIn: https://www.linkedin.com/in/ottosipe/ 

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Blake Madden
Blake Madden