RXavenger @RfactsFacts
Just an average everyday pharmacist on a mission to rid the world of the Evil Empire (PBMs) Joined March 2019-
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@BrandiChane @JusticeATR @DrugChannels @FTC @HarmacyFilm @POTUS There seems to be some confusion about PBMs. They do not discover, manufacture, store, deliver or dispense any prescription medications. I have listed below the critical services they provide: Any questions?
Bring out Willie Nelson and John Cougar Mellencamp……we need PHARM-AID. If you’re over 50 years old and followed the farming crisis, you will get it.
I am not getting DIR dollar amount at point of sale. Wasn’t that the reason to get rid of retro? They simply pay me less and don’t define it? @linakhanFTC @FTC @RonWyden @MikeCrapo
Let’s do a 2yr study: PBMs process claims for a flat fee. Pharmacies control the prescription costs (dictated by competition) and MFG’s send rebates to the end users (insured). What would healthcare look like? @RonWyden @MikeCrapo @linakhanFTC
The legislation is simple on the state and federal level: PBMs must pay pharmacy NADAC +disp fee of $11.00 minimum. This money will come from PBM profit pool, not tax payers. Yes, they might drop from #5 to #6 on the Fortune 500 list but they will survive. @ChuckGrassley
PBM paying me .63 is equivalent to only paying a surgeon for the screws they put in a joint or insurance paying a carpenter for the materials to replace a house that burned but no labor/fixed expense. Does ANYONE work for free? @linakhanFTC @RonWyden @ChuckGrassley
I keep waiting for @GoodRx to come out with a discount card for my taxes, you know where I owe $50K but I have this discount card that says I only have to pay $2K. @linakhanFTC @ChuckGrassley @RonWyden
@DButterfieldRPh CVS pays $30 BELOW COST for Paxlovid. We are all way overcharged by Pfizer but I should spend $1400 to lose $30? @WhiteHouse
Top 5 execs at United Healthcare responsible for the strategic direction & overall performance of the business earn a combined $75 million. Clearly, the notion that people are paid what they're worth is pure myth when UHC patients lack medications & HCPs aren’t getting paid.
This guy @mcuban is a savage and my new hero! Awesome job SHREDDING PBMs today! He gets it! @linakhanFTC @ChuckGrassley @RonWyden
@RfactsFacts @linakhanFTC @ChuckGrassley My pharmacies are under paid by United Health and OptumRx commercial. Tennessee has laws that prohibit below cost reimbursement. They also do not pay state mandated dispensing fees. PBMs don’t care but rake in billions while Indies close. Feds pls act.
"the mere fact that a state govt decided to reimburse pharmacists using a Google form is a powerful reminder that even massive healthcare bureaucracies can emancipate themselves from the tyranny of #healthcare middlemen..." @SteveMooreRx #PBMreform prospect.org/health/2024-03…
Understand that PBMs have the right to tell me what to charge for a RX, even when they pay nothing. So I collect .33 from pt for an antibiotic, PBM pays $0? Sounds absurd? Come get the facts. @linakhanFTC @ChuckGrassley @RonWyden
We Independent business owners operate with HONESTY & INTEGRITY, doing business with PBMs who have neither. We cannot “negotiate” anything given the power of the vertically integrated oligarchs. We are relying on elected/appointed people to help. @linakhanFTC @ChuckGrassley
I apologize in advance for the harsh criticism, but time is of the essence. How long does it take to review PBM illegal tactics? Have we become so reliant on PBMs that we must tiptoe around the fact that most of their tactics are illegal? @RonWyden @ChuckGrassley @linakhanFTC
If it is legal for Prime to “outsource” pricing to Express, why wouldn’t every US Bank outsource 3% mortgages to other banks @ current rate of 9.5%? We have a contract with Prime for Prime customers, not Express. #Illegal @linakhanFTC @RonWyden @ChuckGrassley
For the people of Congress working on PBM reform-we thank you graciously. For those that oppose, may you feel the wrath of every pharmacist and their patients as they go out of business at your expense, you are a REPRESENTATIVE OF THE PEOPLE, not corporate America. Shame on you
Raise your hand if your pharmacy is seeing big reimbursement cuts by Express Scripts, for starters. This is to make up for lost DIR fees. Here are letters sent to ESI & CMS about this drastic, damaging move: assets.mycoa.io/1708979514303_… assets.mycoa.io/1708552804600_…
Congress not passing PBM reform because they want to refine the language is equivalent the building being on fire and we are waiting on Congress to pass a bucket bill for water to put it out, but they can’t agree on the size of the bucket. @ChuckGrassley @RonWyden @linakhanFTC
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John Borzilleri, M.D... @BorzilleriD
65 Followers 132 Following Federal whistleblower trying to stop the simple pharma/health insurer/PBM price collusion "fee" scheme behind massive U.S brand drug price increases.@pharmacy_nova @TruthRX @HokiePharmacist @pharmacists @Commpharmacy Can't even begin to tell you how bad this is for community pharmacist practice. I did all the right things & still couldn't survive. No, I didn't fill 400Rxs day, but I did focus on each patient, expanded services, was a COVID vax center, and still -> death :-( #SystemIsBroken
We fought the good fight. Great Patient and Community-centered practice now gone. Choked out. Thank You, Pikeville & EKY. Sorry, We held on as long as we could... @TruthRX @HokiePharmacist @pharmacists @Commpharmacy
@BrandiChane @JusticeATR @DrugChannels @FTC @HarmacyFilm @POTUS There seems to be some confusion about PBMs. They do not discover, manufacture, store, deliver or dispense any prescription medications. I have listed below the critical services they provide: Any questions?
@JigarBPatelMD I'd love to have a free market. Let us compete! Indy's would crush CVS and the chains for price and service on a level playing field. Unfortunately, our direct competitors control not only how much we are paid, but also which patients can even use us.
Thank you, pharmacists 💚💙
We're here in DC and ready to meet with our congressional leaders. We need PBM reform now! .@RepGusBilirakis #CitrusCountyFL #NCPAontheHill
Hot damn, we are at the level of PBM protests? $XBI
Express Scripts, one of the nation's 3 largest #PBMs, uses its monopolistic power to deny & delay #patientcare, destroy small biz #pharmacy & overcharge employers, unions & governments. JOIN PUTT AS WE SUPPORT Unite for Safe Medications IN TAKING A STAND uniteforsafemedications.com/protest
It's funny how you never hear the wholesalers complain about poor reimbursement. I mean, they know it's happening. They know what they are selling the drugs for and what we are getting reimbursed. It's almost like they are part of the problem. 🤔
@RfactsFacts @ChuckGrassley Dispensing fee is going to need to be at least $16.50 to cover cost to fill. It will still save a fortune
Hey let’s pay pharmacies 100+ below their cost on these meds. They’ll either go out of business or not fill them. Then we’ll start our own fulfillment because we pay ourselves more $ and profit.
Indy pharmacy = independent pharmacy. Those are our small and locally owned pharmacies.
@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…
PBMs would rather spend billions in lobbying than just paying us fairly. It's about eliminating the competition.
I'd like to thank the following people for their role in this debacle: David Cordani, CEO, the Cigna Group, which owns Express Scripts Adam Kautzner, Pres., Express Scripts Katie Walsh, Express Scripts COO for Pharmacy Benefits Management Timothy Wentworth, CEO, Accredo Health
“If you’re using a Big Three #PBM, you are getting ripped off,” @mcuban tells Fortune. “Period. End of story.” bit.ly/3vrNxxL
There you have it folks There will be no help this year @POTUS thanks for nothing @SenateGOP @SenateDems @HouseGOP @HouseDemocrats @TruthRX “PBM bills, other health policies fail to make funding package” modernhealthcare.com/politics-polic… via @modrnhealthcr
My view on #tiktokban - Any social media platform that allows users under 18, must publicly publish their algorithms. There will be plenty of people who will publish how the algos work so parents can be smarter about what their kids are seeing Just as @X /@elonmusk…
Cardinal Health just voted PSAO of the year. Most the votes came from express scripts and CVS caremark, who praised their ability to sign underwater contracts for already struggling independent pharmacies. Keep up the good work.
@BoesingLoretta @drjenn93 @WhiteHouse No such a line at my shop. Try indies in your neighborhood. Wait they all closed or on the verge of closing. #pbms suck.
Congressman on PBM Mafias: ‘They've essentially become extortion artists’. Destroying Independent Pharmacies & putting them out of business! medicaleconomics.com/view/congressm… via @@MedEconomics
@DButterfieldRPh CVS pays $30 BELOW COST for Paxlovid. We are all way overcharged by Pfizer but I should spend $1400 to lose $30? @WhiteHouse
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