Michael Andes

@ndbisceg We dropped Express Scripts last year. Worst PBM to deal with.

Anyone know which wholesaler I can buy mounjaro from for $998? Cuz that's what Express Scrips is paying me

@Courtsidecom @TalkinBaseball_

@Courtsidecom @TalkinBaseball_ So many other options for all inclusive beer. Some have mixed drinks and wine too. Love the lower cost option if I don’t want the drink alcohol but don’t want to overpay for food and soda.

The Cardinals are introducing a ticket package starting at $29 that includes bottomless soda, hot dogs, chicken tenders, bratwurst, nachos, fries, popcorn, peanuts, chips, and ice cream

@Pharmassists For some reason, glipizide is reimbursed at the highest rate on Part D and is the worst diabetes medication to give the elderly.

My most profitable prescriptions tend to be the ones that help the patient the least(beers list). The least profitable prescriptions tend to be the ones the patient needs the most. Example: Oxybutynin er vs. Mounjaro. Make $50 on one, lose $50 on the other.

@kpharmd12 We have almost none under cost once we dropped ESI commercial business. Isn’t Express Scripts supposed to offer independent pharmacies a cost plus contract with the FTC settlement? Not holding my breath that it will cover the cost.

Go to a used car dealership looking for a vehicle priced between $12,000 - $15,000. You find one in that range, but your lender will only approve you for $10,000. Will you be able to drive away from the dealership in your new vehicle? No, you will not. Same principles should apply for your Ozempic or Wegovy. Yearly supply of these drugs cost between $12,000 - $15,000 for a pharmacy to stock them. Your “lender” is the PBM. They only approved of paying the pharmacy a total of $10,000 for the year. Why should the pharmacy accept that? (Yes, I’m oversimplifying the process a bit-humor me)

@Choppodong1 @Cardinals Can I still watch Cardinals games through my satellite or cable provider? Yes. Cardinals.TV will be available on a variety of cable and satellite providers. Specific providers and channel locations will be announced closer to the start of the season.

@Cardinals A greedy way to watch..... Fixed your post, asshats. I'm not paying that when I've never in 50 yrs been charged beyond basic cable to watch you. GTFO.

A new way to watch Cardinals games is here! Introducing Cardinals.TV!

@joshjaco98 40 million? I see 13 million for 2 players to play elsewhere. Counting the potential arbitration salaries?

I’m not sure how many people realize the Cardinals only have about $40m commited to their own payroll in 2027. Extending a player like Donovan, or especially guys like Winn/Herrera/JJ, makes a ton of sense to use that a portion of that open space for.

@CoveragePending @HHSGov @POTUS @Humana Even worse is the quantity limits on cheap medications. I have had insurance only cover 18 Ondansetron 8mg tablets every 21 days without a PA and only cover 1 fluconazole 150mg tablet once a month without a PA.

@HHSGov @POTUS But when will @Humana and other plans be prohibited from requiring Prior authorizations on historically cheap medications?!? PA for glyburide?!? Literally yesterday. Breaking News: Doctor Loses Mind Over Prior Authorization For $4 Drug coveragepending.com/doctor-loses-m…

Last week, HHS announced new guidance clarifying how pharmaceutical manufacturers can offer lower-cost prescription drugs directly to patients. It aligns with the @POTUS’s broader effort to lower drug prices, increase transparency across the prescription drug market, and expand the availability of affordable direct-to-consumer pharmaceuticals as part of the TrumpRx program.

@kokeses One silver bar falling off the top and you lost a billion dollars

Exactly why Bitcoin will always be better than silver.

@RedLineNewsUSA youtu.be/u2ii0DCREzA?si… I think people have been looking into this for awhile now.

🚨Breaking: Billions in taxpayer dollars have been stolen through a massive hospice care fraud scheme in Los Angeles County alone. “Patients are bought and sold like trading cards—287 hospice facilities in a 2-mile radius.”

@InsOligopoly @HHSGov @HHS_Jim @CMSGov @DrOzCMS @SecKennedy @RepJamesComer @ChuckGrassley @AFergusonFTC @AAGSlater Express Scripts is the worst of the worst to deal with. It seems their goal is to bankrupt all retail pharmacy. Best advice is to try to get out of all contracts involved with them.

If the powers that be @HHSGov @HHS_Jim @CMSGov @DrOzCMS @SecKennedy @RepJamesComer @ChuckGrassley @AFergusonFTC @AAGSlater could have a sense of urgency in righting the wrongs of Insurer/PBM vertical integration before pharmacies go out of business, that would be awesome! PBM ExpressScripts owned by $CI says a box of ten enoxaparin syringes, to prevent blood clots, is worth $46. And ZERO dispensing fee! @mcuban can these be bought for $46 in the marketplace? What does the PBM bill the government for this claim they paid $0?

@sterlingkoonce @RepJamesComer My message to congress

@RepJamesComer 2028 is far too late for most of us.

🚨I brought the CEOs of the three largest pharmacy benefit managers—including CVS Caremark—before Congress and exposed how their tactics drive up drug prices and hurt Americans. CVS and other corrupt PBMs need to be held accountable. oversight.house.gov/release/comer-…

@DonaldJTrumpJr How about actually doing something and holding PBMs accountable and not keep doing this performative acting In Congress every few months. Pharmacies keep closing and all we get is words and no action.

More of this!!!

@sterlingkoonce @theangrypharm 6) Patients have deductibles to meet in January so everyone charges them to credit cards so more credit processing fees for pharmacies to pay In January.

@theangrypharm 5) patients don’t like to pay their copays either - especially when the PBMs are taking them for $100s of dollars in deductibles in January. We lose coming and going. Result - epidemic of stores closing everywhere. Great system.

Everyone is out to fuck us. 1. Wholesalers won't give us extra time to pay them for the MFP drugs, so we're -$200/rx that has to be paid. 2. California Medicaid (MediCalRx) was closed for MLK day, hence in true California clusterfuck fashion our payment is delayed a week for 1 fucking holiday. Closed one day = delay payment for a week. I'm going to try this when I pay my State Income Tax and see how it works out for me. 3. Still havent gotten paid for MFP drugs (except Merck). 4. No secondary wholesalers that we get some price-break on have MFP drugs, only the big 3.

@kpharmd12 I wish. Merck has been the only payer so far for us. Jnj barely recognizes the claims so far

@MichaelAndes10 Whew! Can we tell our wholesalers that when our drug bill comes due in a few days?

Today is Day 20 of the Medicare Transaction Facilitator (MTF) program. Anyone receive a payment yet?

@BallParkBuzz It helps when they use that extra tv money to put a fantastic product on the field and have an attendance of 49k a game and create an even bigger gap in revenue.

When the Dodgers have an $334 million AAV TV deal and the Marlins have a $50 million TV AAV deal, the sport just can’t function this way. I get there are cheap owners in this league. But TV money is consistent, guaranteed revenue. And the Dodgers deal gives them such an advantage.