
California is again leading the charge against large-scale identity theft and hospice fraud. Today, we're taking decisive action against 14 providers who tried using stolen identities to bill Medi-Cal for nonexistent hospice services.
Fed Up Pharmacist
4.1K posts

@drfeduprx
Take back our profession!

California is again leading the charge against large-scale identity theft and hospice fraud. Today, we're taking decisive action against 14 providers who tried using stolen identities to bill Medi-Cal for nonexistent hospice services.







How much are 2 tablets of diazepam worth to a patient who needs to relax before a procedure? Apparently, to the insurance company @AmbetterHealth - it’s only worth 15 CENTS. Although I’m sure they are getting billed much higher than that, but their PBM CVS Caremark @CVSHealth, is only passing through this piddly amount to the pharmacy. **Side note: it costs the pharmacy 18 CENTS just for receiving this prescription electronically, as required by law. So, we already lost before we even touched the prescription. Thanks to the ACA, this plan will continue to churn out more bullshit claims like this.













🚨𝐏𝐡𝐚𝐫𝐦𝐚𝐜𝐲 𝐃𝐞𝐬𝐞𝐫𝐭 𝐀𝐥𝐞𝐫𝐭🚨𝐏𝐚𝐭𝐢𝐞𝐧𝐭𝐬 𝐭𝐨 𝐓𝐫𝐚𝐯𝐞𝐥 𝟑𝟎 𝐦𝐢𝐥𝐞𝐬 𝐚𝐟𝐭𝐞𝐫 𝐓𝐞𝐱𝐚𝐬 𝐏𝐡𝐚𝐫𝐦𝐚𝐜𝐲 𝐂𝐥𝐨𝐬𝐞𝐬 𝑀𝑒𝑚𝑝ℎ𝑖𝑠 𝐷𝑟𝑢𝑔 𝑖𝑛 𝑀𝑒𝑚𝑝ℎ𝑖𝑠, 𝑇𝑋 𝑐𝑙𝑜𝑠𝑒𝑠 𝑡ℎ𝑖𝑠 𝐹𝑟𝑖𝑑𝑎𝑦, 𝑓𝑜𝑟𝑐𝑖𝑛𝑔 𝑝𝑎𝑡𝑖𝑒𝑛𝑡𝑠 𝑡𝑜 𝑑𝑟𝑖𝑣𝑒 30 𝑚𝑖𝑙𝑒𝑠 𝑒𝑎𝑐ℎ 𝑤𝑎𝑦 𝑡𝑜 𝑔𝑒𝑡 𝑡ℎ𝑒𝑖𝑟 𝑚𝑒𝑑𝑖𝑐𝑖𝑛𝑒. Access to care shouldn’t depend on a 30-mile drive. When pharmacies close, patient access and patient safety are put at risk across Texas communities. This is why we fight—to protect patients who deserve local, reliable care. #txlege




Patient paying over $90 a month to have Part-D coverage through @SilverScriptPDP Needs an antibiotic filled for #28 tabs of doxycycline. “Insurance” contributes nothing. Full price of $1.61 copay for the patient. Leaving a $0.17 profit margin for the pharmacy to dispense, counsel, run interaction checks with other medications, pay overhead, pay staff, etc… Not going to cut it @SilverScriptPDP Why are people continuing to pay their premiums to these scam artists? Oh, because if you don’t carry Part D coverage, the government starts to penalize you every year that you don’t have coverage. We need better options for our seniors. This is utter bullshit.

Virginia independent pharmacists plead with Sen. Tim Kaine for relief from #PBM under reimbursements. | @WAVY_News ow.ly/Y7QA50YCiJ2

