46brooklyn Research @46brooklyndata
Our nation's prescription drug supply chain is sick. The cure starts with a healthy dose of data and transparency. 46brooklyn.com Ohio, USA Joined July 2018-
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“I think it’s fair to characterize PBMs as both arsonists and firefighters in the world of high drug prices. They are providing a significant amount of savings off of prices that they are partially responsible for bloating in the first place.” @A_Ciaccia ajmc.com/view/in-the-pb…
“CVS Health and Cigna’s prices on a selection of so-called specialty generic drugs were at least 24 times higher on average than around what manufacturers charged, according to a Journal analysis of data compiled by 46brooklyn Research, a nonprofit drug-pricing analytics group.”
“CVS Health and Cigna’s prices on a selection of so-called specialty generic drugs were at least 24 times higher on average than around what manufacturers charged, according to a Journal analysis of data compiled by 46brooklyn Research, a nonprofit drug-pricing analytics group.”
Working out the strange math and weird consequences of IRA inflation penalties @brianreid costcurvenews.com/2024/04/11/wor…
Did you say 486%? Why one company thinks such a price hike for its drug is justified @pharmalot @A_Ciaccia @DusetzinaS statnews.com/pharmalot/2024…
New drug pricing report: 💊 38 brand list prices went up last month; 1 went down 📈 Triesence price shot up 486% 📉 YoY generic oral solid deflation hit 9.5% 🔪 Alebendazole costs are back up; but @costplusdrugs is cutting NADAC in half Receipts: 46brooklyn.com/news/feb-2024-…
We know a few things because we’ve seen a few things. 🤓
We know a few things because we’ve seen a few things. 🤓
"PBMs and health insurance companies don't work to compensate pharmacies in a way that's commensurate with their value to the patient.” - @A_Ciaccia Walgreens in West Dayton to close, residents worry about pharmacy access @WYSO wyso.org/business-econo…
Congrats to 46brooklyn board member @scottmcgohan on a hell of a career. In a world of healthcare complexity and opacity, Scott has always been a truth-seeker, and it has served him and his clients well. Honored to have him as part of our leadership team!
Congrats to 46brooklyn board member @scottmcgohan on a hell of a career. In a world of healthcare complexity and opacity, Scott has always been a truth-seeker, and it has served him and his clients well. Honored to have him as part of our leadership team!
Money from Sick People Part III: Why is U.S. drug pricing policy designed to exploit patients? 46brooklyn.com/news/031424-mo…
In a system that continuously feasts on high drug prices and high patient out-of-pocket costs as subsidies to provide value to others, the race to drug affordability will be a perpetual loser. How Money from Sick People works: 46brooklyn.com/news/030624-mo…
“No matter the perceived value of the trade-off, the harsh reality remains: when patients don’t receive the benefit of drugmaker discounts, the patient is the source of the generated subsidy that is harvested by someone or something else.” Our latest: 46brooklyn.com/news/030624-mo…
Check out tomorrow’s @TheHillEvents Prescribing PBM Reform panel featuring our co-founder and CEO @A_Ciaccia …ibingpbmreform-thehill.splashthat.com
2024 is off to a wild start for prescription drug prices. Get our latest analysis and all the receipts in our latest drug pricing report. 46brooklyn.com/news/jan-2024-…
CNN’s @Luhby digs into 46brooklyn’s dashboards to unearth recent trends in brand drug list price increases and decreases cnn.com/2024/02/15/eco…
What do the drug price changes announced in January tell us? @FirstReportMC @DrugChannels hmpgloballearningnetwork.com/site/frmc/news…
Why are drug prices in the United States so bloated? For many medicines, the answer lies below the surface. @MorePerfectUS lays out the perverse incentives and dysfunctional system design that inflates prices and sticks sick patients with the tab.
“These legalized bribes directly impact the price consumers pay for drugs.” abc6onyourside.com/news/local/in-… @darreldrowland @wsyx6 @A_Ciaccia
“With government programs getting an 80% discount on Eliquis, lawmakers asking why the price of the drug is so high might get better answers from a mirror than from the pharmaceutical executives themselves.” @A_Ciaccia marketwatch.com/story/merck-j-… @EleanorLaise @MarketWatch
Vertex's next challenge for pain pill? Cracking a market dominated by cheap opioids @Nicole_DeFeudis endpts.com/non-opioid-pai…
Brand drugs saw 910 list price increases to kick off 2024, but when factoring in the few list price decreases, the weighted gross impact of the increases is unusually muted – and that’s not even accounting for the growing rebate pie @kalltucker usatoday.com/story/news/hea…
Antonio Ciaccia @A_Ciaccia
7K Followers 3K Following Advocate for drug price transparency, competitive healthcare markets, & patient-centered care @46brooklyndata @3AxisAdvisors. Dad to Franco, Marco, Vera, Enzo.
Loretta Boesing @BoesingLoretta
9K Followers 9K Following Founder of Unite for Safe Medications. Patient advocate. Son is a liver transplant survivor. Mail-order pharmacy is risky & shouldn't be the only option.
PUTT @TruthRX
6K Followers 5K Following Pharmacists United for Truth and Transparency (PUTT), is an independent watchdog and transparency advocate. Join and donate at https://t.co/YyRtiYgPBk
REDBEARD1969 @redlgb1969
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NCPA @Commpharmacy
24K Followers 3K Following NCPA represents over 19,400 pharmacies that employ 230,000+ folks nationwide. Community pharmacists are among America’s most accessible health care providers.
Ted Okon @TedOkonCOA
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hogsgetslaughtered @hogsslaughtered
2K Followers 650 Following I love spinning the same lie that PBM's save healthcare money. Actually, the only thing that PBM's do well is make money, and lie.
Stacie Dusetzina @DusetzinaS
12K Followers 2K Following Health services researcher at Vanderbilt Health Policy. Avid coffee drinker, investigator of drug policies & prices. RT not an endorsement. Opinions are mine.
Madelaine Feldman @MattieRheumMD
3K Followers 2K Following All opinions are my own and do not reflect those of CSRO-Rheumatologist, Lecture on PBMs, & their part in drug access & pricing-Passion still ahead of cynicism
Behind The Curtain @BHindPBMCurtain
1K Followers 591 Following If CEOs, CFOs, and owners REALLY knew what was going on.....
Beth Joyner Waldron @BethWaldron
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IndyRxVoice @IndyRxVoice
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Pharmacy Podcast Netw.. @PharmacyPodcast
30K Followers 9K Following The Podcasting Leader in #Pharmacy. We’re the #UberPodcasting Platform for @Pharmacists. #TogetheRx #RxOnX & #USPhArmy | #Pharmacists🎙 EST. 2009
American Pharmacists .. @pharmacists
38K Followers 2K Following For Every Pharmacist. For All of Pharmacy. #forpharmacy
Richard Kirby @RichardAPCI
384 Followers 209 Following Director of Communications at @_APCI. Working to end PBM abuse. More snark and sarcasm than warranted. RTs are not endorsements. Opinions are my own. War Eagle!
3 Axis Advisors @3AxisAdvisors
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David Balat @DavidBalatHC
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Bob Herman @bobjherman
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PBMs BE GONE @ExposingPBMs
2K Followers 213 Following During this difficult time in our world, ask yourself this, why everyone is struggling yet health insurance companies, aka PBMs, are posting record profits!?
APCI @_APCI
2K Followers 290 Following Member-owned, group purchasing organization serving independent pharmacy with more than 1,700 members in 30 states.
Will o’ the Wisp Tr.. @StansfieldTrish
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The Prescription For .. @RX4BetterAccess
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Carl Fawkes @carlfawkes
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GLP-1 News @GLP1_News
261 Followers 90 Following Stay in the know with your #1 source for all things GLP-1. #Mounjaro #Ozempic #Rybelsus #Saxenda #Trulicity #Victoza #Wegovy #Zepbound #GLP1 #releasethevials
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Jarod Facundo @dorajfacundo
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sigcozicy9ec6n5c @1udicpqzi
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Sen. Mary Felzkowski @MaryFelzkowski
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Antonio Ciaccia @A_Ciaccia
7K Followers 3K Following Advocate for drug price transparency, competitive healthcare markets, & patient-centered care @46brooklyndata @3AxisAdvisors. Dad to Franco, Marco, Vera, Enzo.
Adam J. Fein @DrugChannels
18K Followers 4 Following Expert insights from Dr. Adam J. Fein on pharmaceutical economics and the drug distribution system. Contact me at [email protected]
NCPA @Commpharmacy
24K Followers 3K Following NCPA represents over 19,400 pharmacies that employ 230,000+ folks nationwide. Community pharmacists are among America’s most accessible health care providers.
Ted Okon @TedOkonCOA
6K Followers 603 Following Commenting on cancer, health care reform & politics — a lethal combination. Advocating for a better America.
Stacie Dusetzina @DusetzinaS
12K Followers 2K Following Health services researcher at Vanderbilt Health Policy. Avid coffee drinker, investigator of drug policies & prices. RT not an endorsement. Opinions are mine.
Madelaine Feldman @MattieRheumMD
3K Followers 2K Following All opinions are my own and do not reflect those of CSRO-Rheumatologist, Lecture on PBMs, & their part in drug access & pricing-Passion still ahead of cynicism
Pharmacy Podcast Netw.. @PharmacyPodcast
30K Followers 9K Following The Podcasting Leader in #Pharmacy. We’re the #UberPodcasting Platform for @Pharmacists. #TogetheRx #RxOnX & #USPhArmy | #Pharmacists🎙 EST. 2009
American Pharmacists .. @pharmacists
38K Followers 2K Following For Every Pharmacist. For All of Pharmacy. #forpharmacy
Richard Kirby @RichardAPCI
384 Followers 209 Following Director of Communications at @_APCI. Working to end PBM abuse. More snark and sarcasm than warranted. RTs are not endorsements. Opinions are my own. War Eagle!
Christina Farr @chrissyfarr
92K Followers 3K Following Author/owner of “Second Opinion," a health-tech newsletter read by 19,000 industry professionals. Investor. Advisor. Mama.
3 Axis Advisors @3AxisAdvisors
770 Followers 119 Following 3 Axis Advisors specializes in the disruptive simplification of the prescription drug supply chain.
David Balat @DavidBalatHC
6K Followers 4K Following Working with medical professionals, employers and broker/advisers to make medical care more affordable. Former hospital executive. Independent. Patient advocate
Bob Herman @bobjherman
21K Followers 4K Following Health care business reporter for @statnews and its Health Care Inc. newsletter. Contact: [email protected] or DM.
Douglas Hoey @RPhDouglas
2K Followers 57 Following Solution oriented RPh with passion for community pharmacy; mail order prescriptions are always a bad option. Dad,husband, brother, son!
APCI @_APCI
2K Followers 290 Following Member-owned, group purchasing organization serving independent pharmacy with more than 1,700 members in 30 states.
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5K Followers 594 Following Professor of Law, Washington University in St. Louis. Researching and writing about innovation policy, mostly in health law, FDA law, and patent law.
Robert King @rking_19
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1K Followers 505 Following Health insurance reporter and resident k-pop expert at @FierceHealth. @penn_state forever. Usually with my cat, Jon Snow. Send tips to [email protected].
Tara Bannow @TaraBannow
5K Followers 3K Following Reporter covering hospitals and health insurance for @statnews | New mama!💪🏻| Tips ➡️ [email protected]
Maya Goldman @mayagoldman_
3K Followers 2K Following oy! | writing about health care @axios | always @michigandaily | she/her | [email protected] & dm me for Signal threads: @ maya_goldman_
The Business of Pharm.. @BizOfPharmPod
976 Followers 765 Following Listen to a new episode every Monday morning at https://t.co/2vd1vsgxZ3.
Anna Kaltenboeck @a_kaltenboeck
730 Followers 2K Following Health econ & policy #drugpricing Head of RxReimbursement @ATIAdvisory. Former Senate Finance. Views my own. https://t.co/7XAioYYjoY @annakal.bsky.social
National Alliance @ntlalliancehlth
2K Followers 1K Following National Alliance of Healthcare Purchaser Coalitions is a membership organization of purchaser-led business and health coalitions.
Alex Kacik @alex_kacik
3K Followers 1K Following Senior reporter covering operations for @modrnhealthcr. You'll also find me playing with dogs and/or throwing a Frisbee.
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2K Followers 2K Following Biopharma reporter @endpts | [email protected]
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50K Followers 732 Following Early stage biotech VC. Recovering scientist. Opinions expressed are solely my own and do not express the views or opinions of Atlas Venture.
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251 Followers 244 Following Health Policy Reporter @BloombergLaw contact: [email protected]
Lauren Berryman @laurentberryman
553 Followers 422 Following Health Insurance Reporter at @ModrnHealthcr | Send tips! 📩: [email protected] | Proud @WakeForest & @AmericanU alum
Mari Devereaux @maridevereaux
372 Followers 362 Following Safety & quality reporter for @modrnhealthcr || formerly @Suntimes and @CCChronicle || she/they || 🏳️🌈 || let’s talk systemic inequity in healthcare
Victoria Turner @_vikkiturner
88 Followers 120 Following
Alexandra Glorioso @aglorios
10K Followers 6K Following State government reporter @MiamiHerald; cancer survivor. Alumna of @FLBarNews, @politicofl, @ndn & @columbiajourn. 🙋🏼♀️: [email protected]
Celine Castronuovo @cecelou18
1K Followers 1K Following Reporter @blaw covering state health trends | past: @thehill @VOANews @smpagwu | [email protected] | Retweets ≠ endorsements | she/her 🏳️🌈
Matt Stoller @matthewstoller
144K Followers 3K Following Hi. I work at the American Economic Liberties Project. I wrote a book called Goliath and the monopoly-focused newsletter BIG: https://t.co/8QDW3bH1y3
Bhanvi (She/her) @BhanviSatija
528 Followers 2K Following Covering U.S. Health and Pharma for Reuters. Views expressed are my own. RTs ≠ endorsements. Sporadic Twitter-er.
Ben Rome @bnrome
2K Followers 1K Following PCP @BrighamWomens, researcher @PORTAL_Research studying 💊💰📈. Alum @BrighamMedRes @harvardmed @HarvardChanSPH @BrownUniversity. Views my own.
STAT @statnews
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Julie Steenhuysen @JDSteenhuysen
2K Followers 1K Following Health and science correspondent at Reuters. Any opinions are mine.
Jon Gardner @ByJonGardner
4K Followers 1K Following Senior reporter, BioPharma Dive. Father of 1, husband of 1, son of 2, brother of 2, uncle of 7. Opinions are mine. RTs are not endorsements. Darn good runner.
Karen Van Nuys @KarenVanNuys
53 Followers 130 Following Executive Director, Value of Life Sciences Innovation Project, USC Schaeffer Center
Alvaro Bedoya @BedoyaFTC
7K Followers 752 Following Official account of @FTC Commissioner Alvaro M. Bedoya. ***Commissioner Bedoya will never ask you for personal or bank information, or for a money transfer.***
Ian Lopez @IanMichaelLopez
2K Followers 2K Following Health policy reporter for @blaw, @bgov and @business. Tips, tricks: [email protected].
PBGH @PBGHealth
3K Followers 910 Following The Purchaser Business Group on Health (PBGH) - Creating the health care system employers are proud to offer employees and their families.
Gaby Galvin @mg_galvin
2K Followers 3K Following freelance journalist. my real name is Gabriela but sure, I'll answer to Gavin. she/her❣
Nona Tepper @ntepper90
2K Followers 3K Following Senior Reporter @modrnhealthcr. She/Her. Seen @WashingtonPost, @VICE, @SmithsonianMag. MSJ @MedillSchool. Ask me about my dog
Liz Essley Whyte @l_e_whyte
7K Followers 3K Following health reporter for @WSJ | mostly focus on FDA, NIH, pharma policy | email [email protected] for Signal number | https://t.co/D9xDjuUr8c
Ryan Kline @ryanlkline
848 Followers 2K Following Supporting @mcuban on early stage investing, @dallasmavs in China, @costplusdrugs in the US and many things in between.
Dr. Susan Hayes @RxFraudCop
121 Followers 226 Following Professor/researcher #RUHEAL, health care ethics, analytics and criminological theory, Director, HEAL certificate #RooseveltUniversity, HC Fraud Investigator
Stefan Gildemeister @StefanG_HEP
652 Followers 351 Following MN State Health Economist. We do empirical research - access, cost, markets, Rx, now telehealth - to inform MN health policy making. Likes, RTs ≠ endorsement.
Terry Wilcox @Terrilox
2K Followers 748 Following Chief Mission Officer at @PatientsRising | Advocate for equitable healthcare access & fighting discriminatory benefit design | Better half: @wilcoxfiles
Rachel Roubein @rachel_roubein
5K Followers 2K Following @washingtonpost reporter covering health & the abortion rights/antiabortion movements. Author of The Health 202. Tell me all: [email protected].
Robert Sprague @RobertCSprague
39K Followers 14K Following Husband, Father, and Ohio Treasurer of State. Committed to conservative principles and dedicated to protecting Ohio taxpayers.
Brett Kelman @BrettKelman
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Arielle Mir @ariellemir02
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Justin Papp @justinjpapp1
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Alex Keown @alexkeown
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Shawn F. Gremminger @sgremminger
2K Followers 5K Following Health Policy Guy. Tweets are my own opinions. The world is gray. There is no panacea. Every decision involves tradeoffs.Last fall we worked with @WSJ to illuminate the massive mark-ups that big PBMs were slathering on top of cheap generic “specialty” drugs. The findings prompted @SenWarren @SenatorBraun to call for an OIG investigation. The probe is on. wsj.com/livecoverage/s… @JenCalfas @mcuban
"How can we continue to provide benefits in a system where the vendor's incentives are in direct conflict with that of the plan sponsor and the patient? You know, the theme here is transparency." - @A_Ciaccia, President, @3AxisAdvisors To watch the full event visit:…
A special and bittersweet day for our organization. Congratulations to @scottmcgohan on his retirement after 36 years with MB. Today we celebrated Scott, a lifelong learner, doer and giver. His friends, family and coworkers shared the unique qualities that give him his magic.
In a system that continuously feasts on high drug prices and high patient out-of-pocket costs as subsidies to provide value to others, the race to drug affordability will be a perpetual loser. How Money from Sick People works: 46brooklyn.com/news/030624-mo…
THREAD: There is a massive, totally legal bribery scheme driving up drug prices in America. And pharmacy benefit managers—shady middlemen you’ve probably never heard of—are right at the center.
Let’s call rebates what they really are “These legalized bribes directly impact the price consumers pay for drugs.”
“These legalized bribes directly impact the price consumers pay for drugs.” abc6onyourside.com/news/local/in-… @darreldrowland @wsyx6 @A_Ciaccia
Drug Channels News Roundup, January 2024: - Avg #drug list prices unchanged for 2024 - GSK vs. PBMs vs. lower-priced products - Sen. Cassidy vs. @CVSHealth/@Walgreens (& a peek at $340B profits) - Gen Z vs. #pharmacy Plus, private equity #hospitals drugch.nl/3OoQDc6
500 drugs from over 140 brands are going up in price this year @veronicaa_salib @pharmanewsintel pharmanewsintel.com/news/500-drugs…
Exactly! 👏👏👏 #GrossToNetBubble
“It's one thing for a drug manufacturer to offer something for free … It's another thing to literally pay for the privilege of doing so.” - @A_Ciaccia Insulin prices take a nose-dive @s_arshani @kalltucker usatoday.com/story/news/hea…
WOW! Stunning brand-name #drug list price changes via @46brooklyndata. For 2024: - Median increase: +4.5% - Weighted average change: -3.1% List price index declined for the first time ever! 🤯 #DPFE #GrossToNetBubble ==> drugch.nl/3GgBkeR
Follow @A_Ciaccia, who is probably the most important thinker and analyst in health care in America. Just a national treasure.
Earlier this year, our team partnered with the Wall Street Journal on an investigative analysis showing how large PBMs were slapping massive markups on otherwise cheap generic drugs @joewalkerWSJ @WSJ wsj.com/health/healthc…
The Ozempic craze has pharmacists scrambling, compounders stepping in, and patients on the prowl for access @elindqw sfstandard.com/2023/09/25/oze…
Drug Channels News Roundup, October 2023: - @CVSHealth $CVS & Humira #Biosimilars - GLP-1 #GrossToNetBubble - #340B Abuses - @riteaid's $RAD Endgame - @mcuban @costplusdrugs Update Plus, an epic meetup of drug channel experts ==> drugch.nl/3QjH9zh drugch.nl/3QjH9zh
This week, I had a fantastic opportunity to hang out in NYC with two of my favorite drug channel experts: Antonio Ciaccia @A_Ciaccia @46brooklyndata and Eric Percher @NephronResearch. We managed to solve all of U.S. healthcare's problems over coffee. Answer coming soon!
Some professional news..
Shameful #PBM #pharmacy markups for nonbiological generic #drugs vs. @costplusdrugs reflect the ongoing battle for #oncology margin. Wake up, plans! @CVSHealth $CVS @ExpressScripts $CI @OptumRx $UNH @joewalkerWSJ @WSJ @46brooklyndata @mcuban drugch.nl/3sNYkAR
The work of @46brooklyndata has and continues to move the needle making drug pricing practices more accessible to the masses. Their work has shaped policy at the state and federal level for the better and in a short time. Can’t wait to see what they have in store.
On our five-year anniversary of liberating drug pricing data for the public, we’d like to thank all of you for supporting our efforts to bridge the gap between the understanding and misunderstanding of the nuances of the prescription drug supply chain.
Happening now at #SCPCSummit2023: @A_Ciaccia of @46brooklyndata unravels drug pricing distortions and explains how #PBMs opaque, profit-driven practices are hurting both patients & pharmacists.
@jacobbrody Not much extra will come out imo. It takes 5 mins of research (thanks @46brooklyndata) to get proxy data on how much things cost. 10 minutes to napkin math how much you are getting scammed for as a self-funded employer. So, really not much is hidden at this.
Great to catch up with @G17Esiason today to talk drug pricing dysfunction, his long journey battling cystic fibrosis, the miracle of modern medicine, and how to drink Natty Light through a feeding tube.
A couple health policy guys talking about PBMs in Ohio @A_Ciaccia
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