Brian Gamble

922 posts

Brian Gamble

Brian Gamble

@BSGPharmD

Pharmacist, sports fan, husband

North Carolina Katılım Mart 2013
222 Takip Edilen277 Takipçiler
Brian Gamble
Brian Gamble@BSGPharmD·
@HogPrescription @Humana Since dropping @ExpressScripts (great decision), @Humana is by far our biggest issue now. Tied in with our state retirees of course so not an easy decision with them. Tried to re-negotiate terms and was of course given "take it or leave it"
English
0
0
1
54
Prescription Hog
Prescription Hog@HogPrescription·
PBMs never change. @Humana removed generic Farxiga from their formulary THE day it lost exclusive manufacturer rights which resulted in a 95% price DECREASE. $350 drug yesterday=covered (with brand copay.) Same drug today $10= pt go find something else for diabetes/heart failure
English
7
20
49
2.6K
Carolina Hurricanes
Carolina Hurricanes@Canes·
A little token of our appreciation ❤️ Reply with your favorite #Canes player, and we’ll select a few Caniacs at random to win a signed puck from your fav!
English
1.9K
57
1.4K
84.7K
Brian Gamble
Brian Gamble@BSGPharmD·
@DukeManiacs They may have to mute the audio feed the entire game but still worth it...
English
0
0
2
270
Duke Basketball
Duke Basketball@DukeManiacs·
ESPN, ACC, and SEC... If you want ratings... go ahead and book LSU @ NC State in the next ACC vs SEC Challenge. Put the game in the Lenovo Center and watch your ratings explode... LOL
Duke Basketball tweet media
English
53
91
1.2K
134.6K
Brian Gamble
Brian Gamble@BSGPharmD·
@BarackObama And while we all have access to insurance, none of us can afford to use it....I love that everyone has access to healthcare but hate that we gave blank checks to insurance companies to take advantage of both the government and the citizens of America
English
0
0
1
13
Barack Obama
Barack Obama@BarackObama·
The day the Affordable Care Act passed was one of my proudest moments as president, because it meant that millions of Americans would have access to health care, some for the first time. The ACA also prevented insurance companies from denying people with pre-existing conditions coverage, allowed young people under the age of 26 to remain on their parents’ plan, expanded Medicaid, and so much more. But the ACA was always meant to be a first step. We still have to do more to expand access and make health care more affordable for everyone.
English
35.5K
22.1K
203.8K
65.8M
Brian Gamble
Brian Gamble@BSGPharmD·
@SenWarren How long have you been in office? You are one of the people that have allowed this to happen by not curbing vertical integration in the healthcare space when you had the opportunity. Democrats and Republicans alike are responsible for our healthcare crisis.
English
0
0
0
9
Elizabeth Warren
Elizabeth Warren@SenWarren·
The nation’s biggest health care companies own: - Your pharmacy - Your doctor - Your insurance company - The middleman between your insurance company and pharmacy And they charge you at every turn. That's why today, I introduced a bipartisan bill to Break Up Big Medicine.
CBS News@CBSNews

Sens. Elizabeth Warren and Josh Hawley are teaming up on legislation aimed at addressing a couple of the biggest political issues heading into the midterm elections: health care and affordability. cbsn.ws/4r8r5Bo

English
1.1K
964
4.3K
173.4K
Brian Gamble
Brian Gamble@BSGPharmD·
If you want to know why your independent pharmacy can't supply your brand name drug, just know that @mcuban and CostPlus also arent able. Competition is not allowed in the marketplace
Mark Cuban@mcuban

Want to know why Costplusdrugs.com doesn't have more brands? With a few exceptions (already has a generic, not on formularies, soon to have a generic), CPD , and every pass through smaller PBM , can't buy branded meds that have a rebate, at a competitive price. No one is asking for rebates equal to the big 3 PBMs. We can't even get a " walk in off the street price." We actually had one brand say in a meeting they would give us a "walk in off the street price", then all the sudden they couldn't I asked the CEO of a best selling branded med how many lives we would need to have covered before they would sell to the GPO we created, or to us in any manner, he said "half". They couldn't sell to us until we covered half the lives the big 3 cover. He would lose placement on formulary tiers merely for offering us rebates. He couldn't afford to do business with us This is not an efficient market. The big PBMs have threatened brands with loss of formulary positioning for their entire portfolios This is why brand pricing continues to be high for employers @PamBondi @AFergusonFTC

English
0
1
6
344
Brian Gamble
Brian Gamble@BSGPharmD·
@mcuban @mcuban how can CostPlus partner with the independent PSAOs to form a GPO large enough to get this kind of volume? If that is the number they say we need to figure out how to make it happen.
English
0
0
0
59
Mark Cuban
Mark Cuban@mcuban·
Want to know why Costplusdrugs.com doesn't have more brands? With a few exceptions (already has a generic, not on formularies, soon to have a generic), CPD , and every pass through smaller PBM , can't buy branded meds that have a rebate, at a competitive price. No one is asking for rebates equal to the big 3 PBMs. We can't even get a " walk in off the street price." We actually had one brand say in a meeting they would give us a "walk in off the street price", then all the sudden they couldn't I asked the CEO of a best selling branded med how many lives we would need to have covered before they would sell to the GPO we created, or to us in any manner, he said "half". They couldn't sell to us until we covered half the lives the big 3 cover. He would lose placement on formulary tiers merely for offering us rebates. He couldn't afford to do business with us This is not an efficient market. The big PBMs have threatened brands with loss of formulary positioning for their entire portfolios This is why brand pricing continues to be high for employers @PamBondi @AFergusonFTC
English
57
135
722
147.9K
Brian Gamble
Brian Gamble@BSGPharmD·
@UPS is a disaster right now in NC. Have a package for 5 days straight "Out for Delivery". Driver came by to deliver a package last night and told me "Yeah its sitting at the facility backlogged". They are delivering small packages to get more volume out but not large ones.
English
16
0
3
136
Brian Gamble
Brian Gamble@BSGPharmD·
@mcuban It clearly depends on how much you use healthcare. For those of us that are relatively healthy, visit the doctor once a year for a checkup and labs, and have an occasional sick visit, it's hard to stomach the $800 a month premium. As a pharmacist, I pay cash for my meds.
English
1
0
0
62
Mark Cuban
Mark Cuban@mcuban·
If you have corporate health insurance in 2026, which is a more painful financial expense
English
256
17
78
154.4K
Brian Gamble
Brian Gamble@BSGPharmD·
@JoeCarloLaw Only $10-20?? Wow....seems more like $30-$40 for me every day, especially on the GLP medications.
English
0
0
0
16
Joe Carlo
Joe Carlo@JoeCarloLaw·
An owner told me that a certain plan was "one of the better ones" because it only averaged $3-$4 losses on brand names rather than $10-$20. Brand names are far more expensive to order and carry high audit risk. Either margins must improve or pricing appeals need to work.
English
3
3
20
1.1K
Brian Gamble
Brian Gamble@BSGPharmD·
@Pharmassists I wonder if it has something to do with what Part B reimburses for Dexcom? Dexcoms are typically a good thing for me outside of PartB and Humana
English
0
0
3
57
Pharmassists
Pharmassists@Pharmassists·
Anybody know why Humana advantage plans pay for Dexcom as a "MAC" reimbursement at wac minus 20%? Am I doing something wrong in the billing?
English
6
2
7
1.1K
Brian Gamble
Brian Gamble@BSGPharmD·
@SharylAttkisson At an independent pharmacy they will work with you on cost without giving GoodRx an unnecessary piece of the pie...oftentimes even cheaper than the goodrx price, I do it all the time.
English
0
0
1
10
Sharyl Attkisson 🕵️‍♂️💼🥋
Sharyl Attkisson 🕵️‍♂️💼🥋@SharylAttkisson·
Picking up my mom’s medicine they said it would be $135, insurance didn’t cover. I remembered to ask “what’s the good Rx price?” Boom! $30… (and they still make a profit). We’re being radically overcharged in order for the PBMs and insurers to claim they got us a discount, and then get a piece of the action. More on an upcoming edition of @FullMeasureNews
English
227
1.6K
7.7K
107.4K
Brian Gamble
Brian Gamble@BSGPharmD·
@Amgen thanks to predatory PBM practices, I am underpaid on Repatha more than any other drug in the pharmacy. It's a great medication and I hate to have to stop dispensing it, please work with independent pharmacies to figure out a way to bridge this gap! The loss is~$50/script
English
0
0
2
67
Brian Gamble
Brian Gamble@BSGPharmD·
This is why veterans on @TRICARE are unable to get their medications at some many pharmacies. @ExpressScripts wants nothing more than to shut down brick and mortar pharmacy and force you to use their mail order system....then they charge even more.
InsuranceOligopoly@InsOligopoly

Hey America: Veteran pays pharmacy $0.90 and $0.52 for two blood pressure medications. This is the total, the total paid to pharmacy. For medication, dispensing, counseling. Record keeping. Everything! Simultaneously, the pharmacy benefits manager, who pays nothing, bills and is paid $34 ($17 each prescription) from the @SecWar Does this seem fair?

English
0
1
2
76
Brian Gamble
Brian Gamble@BSGPharmD·
@SenatorBerger @hughhewitt Unless you an independent pharmacist....you have done everything you can to protect the PBMs and not help the people giving back to your community.
English
0
0
2
60
Pharmageddon 💊⚛️💪
Pharmageddon 💊⚛️💪@sterlingkoonce·
This is why PBM laws passed without real teeth just to say “we passed PBM legislation” (like NC) does not help us. It only gives the legislators a talking point and keeps their PBM masters happy and the money flowing to their campaigns. So sick of this.
Marion E Mass, M.D. #patientsfirst #scrubsnotsuits@mass_marion

Yoohoo, @GovernorShapiro remember how you crowed about the PBM law Pa passed? Turns out it's NOT WORKING. Hundreds more independent pharmacies have closed. A loss of access for Pa patients, especially rural ones. 1/4 🧵 timesleader.com/news/1725900/p…

English
4
6
21
1.2K
Brian Gamble retweetledi
Pharmassists
Pharmassists@Pharmassists·
The pharmacy business model is great. You get to buy a product from 1 of the 3 designated wholesalers. Then an insurance company pays you less than that. Then 2 years later you get audited and might have to give all the money back.
English
9
13
123
13.4K
Brian Gamble
Brian Gamble@BSGPharmD·
@kpharmd12 And thats what they want, especially @cvspharmacy . Once they are all that's left standing either 1) everyone goes to mail order and they make bank or 2) they have a complete monopoly of the retail pharmacy space and totally change the reimbursement model
English
0
1
6
85
KP, Pharm.D.
KP, Pharm.D.@kpharmd12·
This is the reality of your neighborhood pharmacy. When the people who could “ease the financial woes” fail to help us, we are forced into drastic measures. A GoFundMe page for a local pharmacy to continue operating? I’ve seen everything now. I know I’m shouting into the void on here most days, but what the actual fuck? Pretty soon, our only options are going to be Amazon pharmacy or mail order. Mark my words.
IndyRxVoice@IndyRxVoice

It’s gotten so bad that pharmacies are creating GoFundMe to stay open. When will anything be done ? boston25news.com/news/local/bos… @MaSenateDems @WhipKClark @SenWarren @SenMarkey @MassHealth

English
5
7
32
3.2K

Keşfet

@pcmanet @HogPrescription @Humana @ExpressScripts @Canes @DukeManiacs @BarackObama @SenWarren