Brian Gamble @BSGPharmD
Pharmacist, sports fan, husband North Carolina Joined March 2013-
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Prime Therapeutics PartD Plan (ESI), common anti-inflammatory drug, 90 tabs (90 days)...total payment $0.79. Yep, CENTS. Oh and that comes with a $0.75 transaction fee....FOUR CENTS TOTAL PAYMENT! @FTC @linakhanFTC
Some hard working pharmacists in North Carolina are looking to educate State health plan officials on the harmful practices of PBMs. Thank you guys!!! @bobrawls74 mailchi.mp/nctribune/apri…
This is how CVS Caremark and GoodRx are robbing patients and pharmacies. Patient copay: $45.83 Drug cost: $23.86 CVS/GoodRx Fee: $38.50 Profit: (-$16.03) That's right, the PBM and GoodRx are charging the patient 192% of drug cost while charging the pharmacy 162% of the drug…
When they feel the heat they keep lining the pockets of the people that will turn down the furnace...😡
When they feel the heat they keep lining the pockets of the people that will turn down the furnace...😡
Curious: How is it not a HIPPA violation for PBMs to send PHI to Goodrx without the patients consent??
A son called trying to refill his mother's meds (she has beginning stages of dementia). @CVSHealth reject: "Must fill maintenance meds at mail order". She is now past due which will worsen her health and he cannot either setup or opt out of this service for his mom...
HAH! More proof that PBMs are only looking out for their bottom line and NOT the PATIENT'S best interest.
HAH! More proof that PBMs are only looking out for their bottom line and NOT the PATIENT'S best interest.
Due to reduced reimbursement by pbms, the average pharmacy has lost 30% of gross margin in the transition from 2023 to 2024 serving the same patients. Pharmacies can't cut that much expense to see their way to break even. Meanwhile pbm profits are skyrocketing. See the problem
"Three PBMs now own 80% of the [prescription drug] market,” Eric Saul said. “So, when they come to you with a contract every year, you have no negotiating strength. It’s take it or leave it, & every year it gets worse & worse. Which is interesting, with (consumers) premiums…
"Three PBMs now own 80% of the [prescription drug] market,” Eric Saul said. “So, when they come to you with a contract every year, you have no negotiating strength. It’s take it or leave it, & every year it gets worse & worse. Which is interesting, with (consumers) premiums…
Independent pharmacies are not asking PBMs to stop being profitable, PBMs ARE forcing independent pharmacies to stop being profitable. Greed is the only reason the 2 cannot exist in the same market. Unfortunately, one relies on the other for existence.
Irony: PBMs refuse to pay for a pharmacist's service(s) however they charge us a service fee for every prescription we bill to their servers.
Does anyone ever receive transfer faxes from CVS when they do it the "automated" way. The ONLY way I get them is if they are kind enough to manually fax them. No issues with anyone else...it's almost like their system purposefully fails to fax out transfers, just curious...
@Bpaulik777 On the indie pharmacy side, for medicare and self insured employers, when the Indy buys from a distributor, they get say a 10 PCT discount. Then when you walk in with a prescription, that script goes through the pbm so they know what they have to pay back to pharmacy. The…
@Bpaulik777 We used to self insure through a big pbm. What they did is "for us" 1. Not show us our claims. We had to beg and pay them for them and it took months 2. They didn't tell us the price we were paying for the meds 3. The contract said we couldn't disclose any part so we couldn't…
We lost $38 on Ozempic recently. Patient actually showed me his EOB from his Medicare Part-D plan. Plan paid over $1,200 PBM paid our pharmacy $876 and pocketed the spread, which was well over $300 for one drug. If you aren’t enraged by this: unfollow me right now.
We lost $38 on Ozempic recently. Patient actually showed me his EOB from his Medicare Part-D plan. Plan paid over $1,200 PBM paid our pharmacy $876 and pocketed the spread, which was well over $300 for one drug. If you aren’t enraged by this: unfollow me right now.
CVS health isn't even shy about trying to put independent pharmacies out of business. Brand at minus 24.7% AWP and no dispensing fee for a 90 d/s that they are increasingly forcing lol Just send Karen Lynch to the store and rob my safe, it would be cheaper #TwitterRx #Pharmacy
Michael Murray @Mmurray37025
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knotsdontfold_crypto_ @knotsdontfol
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Sari 🇺🇸🦅🇺.. @Reezy_B_Crazy
335 Followers 111 Following Best Housing Agents in Manhattan No Bots, No Porn #USA #America #God Bless America
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ambarro @ambarro
360 Followers 337 Following Advocate for American College of Rheumatology and against #PBMs; Past NICU nurse. #EDS, #RA. Support my military
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Patricia Marshall @PatriciaMashall
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Elena Vogel @ElenaVogel_
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Natalie 😷 💉 �.. @ndylan1
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Dawn Butterfield @DButterfieldRPh
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Beth Joyner Waldron @BethWaldron
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Mark Cuban @mcuban
8.8M Followers 2K Following Dunking on the pharma industry with @costplusdrugs.com, the lowest prices on meds anywhere. check it out !
girl who loves to lau.. @Begonia_1aa
384 Followers 444 Following Like gardening, yoga, shopping, meditation, libertarian
Rhonda Hill @RhondaKHill
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Ian Wendt @Ian_Wendt_
179 Followers 473 Following * Biopharma industry leader. * Podcast host of the RealPharma podcast. * https://t.co/ZhvarWMu2p
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oq6rkmp3b2b @9b0vffpcbdmn
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L u c e sn e g r a s @lucesnegras_
361 Followers 677 Following XXX. Trabajo con sustancias controladas y materiales radioactivos.
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Sam Watts @Sam_Watts
898 Followers 704 Following NCSHP Administrator. Policy geek. Tweets are my own. Grumpy old man since age 25. Sarcasm offered at no charge. RT might be an endorsement. Or not.
Robert S Rawls @bobrawls74
22 Followers 48 Following
thesterlguy @sterlingkoonce
459 Followers 551 Following Pharmacist/Owner/Rural Healthcare Provider/Father/Christian
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85 Followers 716 Following
Noach Meyer @NathanMeye70486
60 Followers 215 Following Project Manager | “The liberties of a people never were, nor ever will be, secure, when the transactions of their rulers may be concealed from them - P. Henry
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Ricardo, R.Ph. 💊 @Ricardo_RPh
669 Followers 1K Following Apotecario, boticario, farmacéutico, papá, hijo y esposo. Lo demás te enteras según me leas. 🇵🇷💪🏼🥾🍀🌿📷
Mae Ablao @MaeAblao147219
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Randy Evans @RandyEv81694866
443 Followers 2K Following Proud Husband of 29 yrs and Dad to 1 Great Son. Son and I are Huge Carolina Panthers fans!!! #keeppounding
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27 Followers 245 Following
Cindy David @cindy24_ong
132 Followers 3K Following Don't stop 🛑 Conservative🇺🇸 Christian ✝️Trump2024 🇺🇸 #MAGA Mom of two 👨👩👧👦
Kevin Duane, Pharm.D. @KDuanePharmD
313 Followers 236 Following Your friendly neighborhood pharmacist
Nilda Maria Williams,.. @NildaMariaW
821 Followers 1K Following Body Imaging Radiologist @UMMCnews | UMMC Physician Well-Being Committee, Chair | Tweets mine
ambarro @ambarro
360 Followers 337 Following Advocate for American College of Rheumatology and against #PBMs; Past NICU nurse. #EDS, #RA. Support my military
CatmanJr87 @CatmanJr87
6K Followers 3K Following CMJ official and ONLY account‼️Go Panthers #keeppounding that is all
PMC Pharmacy @PMC_Pharmacy
151 Followers 175 Following PMC provides Medication Management services to patients living with chronic conditions. Instead of selling cards and candy, we offer adherence & independence.
Beth Joyner Waldron @BethWaldron
2K Followers 1K Following Patient advocate. Speaker. Writer. DVT/PE survivor. Co-founder UNC Clot Connect. Knowledge empowers, action transforms.
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241 Followers 1K Following Aggie, science nerd, rx staff. I ❤ my kids, musicals, things that make me laugh or make me better *opinions may or may not be my own/are subject to change*
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643 Followers 2K Following
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22 Followers 48 Following
thesterlguy @sterlingkoonce
459 Followers 551 Following Pharmacist/Owner/Rural Healthcare Provider/Father/Christian
HealthCareDenied @CareDenied
2K Followers 462 Following Health insurance is great... until you actually need to use it. Each day, patients are denied treatment & medicine by insurers making billions in profit.🤒 vs💰
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41 Followers 155 Following
NCAA March Madness @MarchMadnessMBB
1.7M Followers 943 Following The official NCAA March Madness destination for all things Division I NCAA Men's Basketball. #MarchMadness
Sheena Quick @Sheena_Marie3
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Why you should have a.. @ShouldHaveFeret
44K Followers 0 Following The perfect account to show your parents when you want a ferret 🦨
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443 Followers 2K Following Proud Husband of 29 yrs and Dad to 1 Great Son. Son and I are Huge Carolina Panthers fans!!! #keeppounding
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31K Followers 227 Following Head Coach of The Carolina Panthers, Husband to Lizzy, Dad to Ashby, Ben, Amaya and B! Blessed Beyond measure! #KeepPounding
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PharmacyPhunQuiz @PhunQuiz
3K Followers 2K Following PharmacyPhunQuiz is doses of Pharmacy knowledge presented in quiz form—for pharmacists or anyone with an interest in pharmacy, medicines, and healthcare.
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1K Followers 755 Following Life is better lived as a comedy than a drama. Thoughts are not my own.
Short Par 4 @Short_Par4
7K Followers 959 Following The #1 subscription service in golf. We make it easy for you to discover new brands or rock the big names you love at an affordable price. #SP4Life
Dustin Gentry, MD, FA.. @GentryMD
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15K Followers 1K Following 🏈NFL Analyst 🎙”Game On”: Fox Sports Upstate 🗣PxP: ESPN 🎞#Panthers All-22 🎙The Roar: @bluewirepods.🎙Panthers Pregame: @997TheFox 🎙The Ingles Tailgate Show
Playmaker @playmaker
47K Followers 1K Following All about the come ups & comebacks. 📈 Watch @TheOGsShow, @BigPodWithShaq, @Roommates__Show & @TheRushWithMaxx 📺 21+. Gambling Problem? Call 1-800 GAMBLER
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86K Followers 275 Following Football by @playmaker 🔥🏈 For bettors: @playmakerbet Play the free $1M NFL Impossible Contest: https://t.co/UEe1LJwHn0
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13K Followers 3K Following 📺 @Fox26Houston | Host | Emcee | 🎧Podcast: A RELATABLE JOURNEY | Matthew 4:19 | Tweets are mine and not employers.
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Mark Cuban @mcuban
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Good reminder why you shouldn't take instant draft grades so seriously It can take about 3 years to fully evaluate a prospect and draft class Would mainstream media still give the #Panthers a slam dunk A for their 2021 draft?
No idea how you could be mad with this draft or offseason. The Panthers are doing everything to setup Bryce Young for success. Offensive Line, Coaches, WRs, RB, TE.
Sorry bud panthersdude0187 already told me he was a terrible pick
What do NFL teams look for at LB position? Pretty simple. Guys who can chase, play in space, and cover like this👇. Those ball skills! 👀 Kentucky WLB Trevin Wallace's best football is still waaaay ahead of him. In a copycat league where 49ers & Ravens have built elite defenses…
@gunsnrosesgirl3 I don't understand the point of it 😕
According to NFL Network, the #Panthers have traded the 39th overall pick to the Los Angeles Rams. Waiting to hear what they got for going back to No. 52.
@McNamaraDynasty The difference is a savings of about 500k per season, which is pretty meaningless. The advantage to picking 32nd if that the contract comes with a somewhat discounted 5th year option. I'm sure the Bengals wish they traded up 1 spot to 32 to take Tee Higgins.
This QB class will now go down as the most overrated group of all time.
@BarrettSallee He's not even the worst owner in the NFC South.
@historyinmemes This is what sports, and life, should be about. Replace spite and division with unity and brotherhood.
The way the board is falling: Panthers should definitely trade down Y’all: Panthers need to trade up
Y'all gonna have to back up off Riley and Olson. Yall know damn well they are gonna figure it out and go on tears. It's April. The #Braves are 16-6. The rest of the team is picking them up. Because that's what good teams do.
I wouldn't be surprised if the #Panthers pick at 33 was replaced by a commercial break to start Day 2 🤣
@PanthersAnalyst Spoiler Alert - we might get televised if we keep 33 but will be on commercial breaks for all other picks and definitely if we trade down.
How we got here? BY NOT DISCUSSING REIMBURSEMENT for the past 20 years.
@NCTreasurer No matter how many times pharmacist have spoken to the Tresury Dept, they still refuse to look at the real cause of high cost drugs. PBMs. Lowell has been told about on several occasions. But still not willing to go after them.
@MtmWag Everyone should just stop filling esi. Make patients revolt. It will be the only real way to challenge them.
So when we see insurance claims get diverted to a discount card upon adjudication, what’s stopping us from telling the patient that your insurance “doesn’t cover this” and charge them a fair cash price? Because technically the insurance isn’t covering it, the discount card is.
Now United Healthcare's Optumrx has their own rx savings card. I guess they are competing with good rx. They want to gain greater market share anyway they can, while denying more claims on regular insurance
This chart says it all. PBMs are up-tiering low cost generics, increasing seniors cost share while they make billions.
This report shows how PBMs are shifting the full cost of low price generics to seniors. We see this all too often. The copay is the reimbursement to pharmacy on cheap generic with PBM paying zero. avalere.com/insights/trend…
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