BWaters

@AdamBaer88 @kpharmd12 They admit to paying at least 50% rebate on GLP-1. That is the PBM extorting money out of the system they are being paid to control costs. Patient pays huge deductible on initial fills and PBM pays nothing and collects 500 for the privilege of a pharmacy doing that work.

@kpharmd12 Pharmacy only stores reflect system adaptation, but the underlying pressure still starts earlier in the chain with how drug prices are initially set by Big Pharma.

CVS unveils “pharmacy-only” store in Chicago. “Each location will average less than 5,000 square feet, and will feature a full-service pharmacy with limited over-the-counter products available for purchase” You just described what an independent pharmacy does. This is not earth-breaking news. Maybe if reimbursements from CVS Caremark weren’t dog-shit garbage, then more pharmacies like this wouldn’t have been forced to close in their communities. Just some food for thought @CVSHealth @cvspharmacy, not like you all give a shit about what’s best for any given community.

@kpharmd12 @Pharmassists Same story with GLP-1. Pharmacy buys it for 1k and gets paid 980 for it But you can buy direct from manufacturer or with a coupon for $199. We are running pharmacies out of business and ripping off patients with deductibles Nobody can afford half of America on GLP-1

Someone explain this to me like I’m 5 years old. If I have someone who is on Medicare Part D and needs an Advair HFA inhaler- their copay is set at $387, which results a $44 LOSS on the drug to the pharmacy. Yet, if you have no insurance coverage: you can sign up for FREE on the manufacturer’s website for a help card and get it for $35.00. The pharmacy is paid $29.00 over their actual cost of the drug. Same drug, filled at the same pharmacy. Two completely different outcomes for the patient and the pharmacy.

@Pharmassists 24.99 cash for generic.

Just found out today Humana now only covers brand Ventolin instead of a much cheaper Albuterol. Feel bad for the patients that can't breath but I'm not filling that at a loss. Guess they will have to wait for mail order. Yay for more ER visits!

@MarketN45894046 @CSexton25 @realDonaldTrump PBM’s getting 50% rebate on most brands dispensed is only helping themselves. Watching customers pay huge copays only for the pbm to profit on each claim. We are talking $500 to the pbm on each GLP-1 script. Pt pays that because most pts now have huge deductible.

This session, Tennessee joined @realDonaldTrump’s mission to stand against healthcare monopolies. For far too long, vertically integrated PBMs have savaged the marketplace.  They control all aspects of the market and as they drive up costs, and force independent pharmacies out of business - while they collect over $300 billion in rebates! We’re fighting back with #HB1959 to restore competition, lower drug prices, and put patients first. @DonaldJTrumpJr

@FoxNews Can we ban DAW 9, PBM’s should never be allowed to mandate brand when a generic is available. It’s admitting how rigged the system is for them. @HHSGov @RFKJr_Official @mcuban

NEW: HHS Secretary RFK Jr. shuts down Democrat talking points about “SECRET DEALS” with big pharma companies as he says the administration is bringing DOWN prices for the American people. RFK Jr.: “We've dropped IVF by 83%, we've dropped GLPs by 89%, insulin, COPD drugs, asthma drugs… the American people now they're paying the lowest cost in the world rather than the highest. And you want to go back on that?” SEN. WYDEN: "You're in bed with big pharma!" RFK Jr.: “You're telling me you don't have secret agreements here and secret meetings here in Congress all the time, every day?”

@whoop97 @DrugChannels @Pharmassists We want to fill scripts we make money on. That’s pretty much my point. We will not exist if we keep getting abused by PBM’s and wholesalers.

@Watersbri21 @DrugChannels @Pharmassists I don't think "wanting to fill" is the correct phrase. Most pharmacies would be happy to fill most drugs considered specialty if 1. The pbm allows it and 2. Reimbursement actually covers costs

New IQVIA data shows how PBMs steer specialty prescriptions to their own pharmacies. For patients starting a new brand-name drug: • Oral oncology: 84% approval at PBM-affiliated pharmacies vs. 70% at unaffiliated pharmacies • Autoimmune: 63% vs. 61% But the pathway matters: • First-fill approvals are far higher at PBM-affiliated pharmacies (42% vs. 14% in oncology; 29% vs. 8% in autoimmune) • At unaffiliated pharmacies, many patients only get approved after switching (14% oncology; 20% autoimmune) The result: PBM-owned pharmacies capture a disproportionate share of specialty volume. Full report: drugch.nl/3PNoDCE

@kpharmd12 Issue with being equivalent in Rx30?

Really looking forward to all of the PBMs not covering any of the new generic Farxiga’s coming to market. Somehow, some way- they will say the Brand is still preferred because it still has a lower “net cost”

@JaneDillPickle @kpharmd12 2.5 pens!! lol

A 30 day supply would be a $35 copay as mandated by the government. So even if you tried to split this up and say do 2.5 pens it would be $70 for each drug instead of $50 The retail costs of these drugs are each around $500. And with goodrx lantus would be around $350 and the lispro $150. The insurance company IS saving them money.

Have a patient with a Medicare Advantage plan… Needs both Lantus Solostar and Insulin lispro pens. Based on the dosages they use, each box of 5 pens will last 60 days. Their copay’s for each drug are $50.00 Just got off the phone with the insurance company wondering if there was any possible way to bring down the cost for them. We were asked to bill for a 30-day supply instead of 60-day. Can’t do it- manufacturer label states for single patient use only- so cannot break package. We were then asked to set up a payment plan for the patient. Also No- our PBM contract states all copays must be collected at the time of service and paid in full. Idk- I feel like the entire phone call was a setup for me to admit to committing fraud. The insurance company representative should have already known the answers to those questions.

@Pharmassists Truth

If you have Medicare and love your independent pharmacy, switch to AARP. If you have any other plan, you're putting the pharmacy you love out of business. If you want to stick with the plan you have, you might as well go to CVS.

@IndyRxVoice Over $100

Just transferred my own Rx to CVS because Caremark reimbursing $10 on a $22 item. Can’t wait to get my EOB and see what they pay themselves

@ESPNFantasy CMC

What was your worst mistake this fantasy football season? 😢

Our new ad — "PBM Career Day" — highlights the position PBMs have carved out for themselves as drug middlemen and their illogical, confusing role in health care. It's part of our #FinishTheFight campaign pushing the public to demand change and policymakers to finalize #PBMreform.

@DennisByron99 @BidenVsTrump2 @Aetna @SenWarren @SenSherrodBrown Not that simple. Only 3 major payers. They are all doing this

@BidenVsTrump2 @Aetna @SenWarren @SenSherrodBrown Hey @BidenVsTrump2, don't do business with @Aetna . Problem solved

Hey @Aetna , in 2023 you paid pharmacies around $460 for 60 Adderall XR 30, then 6 months later it was only $427 and now it’s only $420 yet the cost has only gone up! @SenWarren @SenSherrodBrown this is why we need your help!!

Finally proof of what we’ve been saying for years. It’s time to stop these too big to fail massive corporations from bilking the system! @RepJamesComer @FTC @JusticeATR @CMSGov @TruthRX @RonWyden @linakhanFTC news.delaware.gov/2024/05/07/nav…

😂😂😂😂. If you ain't calling this you might as well allow stabbing when setting screens.

@AGTimGriffin @BoesingLoretta @KathyJenningsDE PBM’s including the state of Delaware retiree plan are paying 3-14% below cost on Brand medication. That can be more than a $200 loss on 90 day prescriptions. The middleman is making 50% on rebates. We need help now to survive. @delawareonline @JohnCarneyDE

Today I led a bipartisan group of 39 state attorneys general in a letter to Congress urging them to join state efforts to hold Pharmacy Benefit Managers accountable. PBMs have unduly raised drug prices for consumers, threatened the survival of local independent pharmacies and created a monopoly that extracts profits from patients, employers and government payors they are supposed to help. tinyurl.com/5n6cjbtn #arnews @NCAGO @OhioAG @PAAttorneyGen @arizonaago @AGRobBonta @COAttnyGeneral @AGWilliamTong @DE_DOJ @DCAttorneyGen @AGAshleyMoody @Georgia_AG @AtghIgov @ILAttyGeneral @KSAGOffice @OAGMaryland @MassAGO @MIAttyGen @AGEllison @LynnFitchAG @NevadaAG @JohnFormella @NewMexicoDOJ @NewYorkStateAG @Okla_OAG @ORDOJ @AGNeronha @AGAlanWilson @SDAttorneyGen @AGTennessee @TXAG @UtahAG @VTAttorneyGen @JasonMiyaresVA @WisDOJ

@ftc @linakhanFTC Independent Pharmacies in the US are paid by pbms for rx’s. Pbms own pharmacies. Indy pharmacies compete with these pharmacies. Our competition (pbms) are setting our price, and the price is intentionally below our cost. Isn’t this illegal?

@TwidderPhil @NabbBrian Always about Sals….

@NabbBrian Coach isn’t supposed to be recruiting at all…I think a lot of them go after talent cause they aren’t good enough to make kids better or mask weakness. Ex. Sals has 2 good QBs now…but still trying to get a QB from Howard.What does that say to the kids that are already there?

Parents/Kids….remember this.When a coach from another school reaches out to you asking if you are interested …it’s for THEIR own good….not yours. For the most part they don’t give 2 sh^ts about your future….they care about not getting fired. Don’t fall for their 💩