Jeff

Not having malpractice insurance doesn’t shield insurance companies from liability for denying care. The ERISA law does. Congress can and should change this and allow patients to sue in state court if their insurance company wrongly denies them care.

Another independent pharmacy closes and sends customers to CVS. | @monroenews ow.ly/PMss50YYefA

"A dollar spent on medication is a dollar spent, regardless of where the purchase occurs. There is no sound policy reason to punish patients for finding better deals outside their insurer’s network." Read more here: washingtonexaminer.com/restoring-amer…

How do prescription drug rebates actually work? Most people hear the word “rebate” and assume it automatically means lower prices for patients. But the reality is often far more complex. PBMs play a major role in negotiating deals between drug manufacturers and insurance plans. Part of that process involves deciding which medications are included on a formulary, the list of drugs covered by a health plan. To secure favorable placement, manufacturers may provide payments commonly referred to as rebates. PBMs often state that these rebates help reduce premiums and lower costs within the system. However, critics and policy experts have raised concerns about how transparent these arrangements really are. One of the biggest questions is this: How much of those negotiated savings actually reaches the patient at the pharmacy counter? Because many of these agreements remain confidential, patients, employers, and even pharmacies may not fully understand: • How rebates influence pricing • How formularies are designed • Whether incentives favor higher list-price drugs • How savings are distributed across the system Some experts argue that rebate structures can unintentionally encourage higher list prices because manufacturers may increase prices to support larger rebate agreements. That’s why transparency continues to be a major focus in current PBM reform discussions. We’d like to hear your perspective: Should rebate structures be more transparent? Do patients deserve more visibility into how drug prices are negotiated? Can the system improve without clearer pricing data? Let’s continue the conversation. @SenKatieBritt @SenTuberville @RepTerriSewell @USRepGaryPalmer @RepBarryMoore @RepSCFigures @RepMikeRogersAL @Robert_Aderholt @RepDaleStrong @_Apci @TruthRx @COMMPHARMACY #PBMReform #DrugPricing #HealthcareTransparency #PatientsFirst #CommunityPharmacy #MedicarePartD #FairPricing

@cutiieepie6 NY

My old man… I LOVE YOU I'm single I am 63 years old and I am grateful. I am beautiful. I'm not stalking just curious how far apart we are!😊 Don't go yet tell me where you are from.

@heathercloud, we couldn't have said it better ourselves 👏👏 #lalege

Hey, did you know healthcare CEOs get paid a lot of money? 💰 What a cool job! Check it out! The "Big Seven" are raking in numbers that are honestly hard to wrap your head around. If you’ve ever wondered why your premiums are going up while your coverage stays the same, these figures might give you a hint: #7: Jim Rechtin (Humana) — $18.7M. His base salary was "only" $1.3M, with the rest mostly in stock awards. #6: Sarah London (Centene) — $19.5M. Starting salary of $1.4M, bolstered by $15.5M in stock. #5: David Joyner (CVS Health) — $21.2M. A $1.5M salary plus $14.5M in stock awards. #4: Gail Boudreaux (Elevance Health) — $1.6M salary scaled up to a massive total with $13.4M in stock. #3: David Cordani (Cigna) — $22.9M. $1.6M salary meets $13.9M in stock awards. #2: Andrew Witty (UnitedHealth) — $24.5M. His base was just $900k! #1: Stephen Hemsley (UnitedHealth) — An eye-opening $60M. His salary? Just $600k. It’s hard to imagine there’s enough room for UnitedHealth to pay just two executives nearly $90 million in a system that is supposed to be helpful to… well, anybody. 🤷‍♂️ That’s exactly why we fired them. At Forest Park Pharmacy, we operate without the insurance middlemen so we can offer fair, transparent prices directly to you. Stop paying for their stock awards and start saving on your health.

@Kinza1278 hi babe

I need true love from an old man. If I'm really your dream woman, send me a message. I'm serious. 😘😘

@saraha8pz7rv let's do it babe !!!

Looking for casual hookup 👇 tinyurl.com/FlirtySarah

Men, do you find it attractive when hairy?

"...The complaint attributes rising drug prices to PBMs, alleging they operate behind the scenes to drive up costs and influence drug availability in ways that may limit access to needed medications..." RI independent pharmacies push for reform over pricing, access concerns wpri.com/business-news/…

@KamleeL69265 NY

My name is Isabella Wilkinson.I’m 54 born in 1971 today 🎂☺️ happy birthday to me I guess 🤗 Where are you? I'll drive to you, I'm serious!Where you from?

@KamleeL69265 NY

I am not a fake I am 60 I am real and I am donna boggs Are you real old man ?.. and what city are you from ?

@KamleeL69265 NY

You’ve got class, old man! My name is Elianna💗 . I’m wondering how close we actually are. 💫 Told you once, I’m from United Kingdom 🇬🇧. Your turn. 💬 Where are you from? 👀

@KamleeL69265 both !!!!

Which one do you think is the most attractive and eye-catching: 1, 2,

@Zaira583642 both !!!!

You're very handsome. We both like you. Which one do you choose? 😘

@Farha0__ NY

My name is Tia Hughes.I’m 54 born in 1971 today 🎂☺️ happy birthday to me I guess 🤗 Where are you? I'll drive to you, I'm serious!Where you from?

"...The suit alleges that the companies engaged in “coercive, exploitative, collusive, abusive, deceptive, predatory, restrictive, and exclusionary” conduct by taking advantage of their significant power in the PBM market to force independent pharmacies to accept unfair contractual terms..." Pharmacy owners say state must do more to help small business thewesterlysun.com/daily-news-ale… via @thewesterlysun

Major Health Insurance Companies admit: - They own the health insurance companies - They own our doctors & clinics - They own our pharmacies - They own the PBMs who set pharmacy prices - Their obligation is increasing shareholder value “We've established on the record that the largest health insurance companies are not just insurers. They are also medical providers and pharmacies diagnosing and deciding treatment for patients. They are also PBMs, another form of middlemen managing drug benefits. They are increasingly controlling every aspect of our healthcare system.”

Lower federal drug prices don’t automatically mean lower pharmacy bills. Our latest research shows Medicare beneficiaries saw rising out-of-pocket costs in 2025 for several widely used drugs targeted under the Inflation Reduction Act. Learn more below: @PopovianPharmD @William72765420

PBMs Didn’t Kill Independent Pharmacy Alone Independent pharmacy owners didn’t wake up one day and suddenly lose margin. dispensetimes.com