#  @kpharmd12 KP, Pharm.D. KP, Pharm.D. posts on X about insurance, money, cvs, acquisition the most. They currently have [------] followers and [---] posts still getting attention that total [-------] engagements in the last [--] hours. ### Engagements: [-------] [#](/creator/twitter::1670085758605045761/interactions)  ### Mentions: [--] [#](/creator/twitter::1670085758605045761/posts_active)  ### Followers: [------] [#](/creator/twitter::1670085758605045761/followers)  ### CreatorRank: undefined [#](/creator/twitter::1670085758605045761/influencer_rank)  ### Social Influence **Social category influence** [finance](/list/finance) [stocks](/list/stocks) [countries](/list/countries) [celebrities](/list/celebrities) [social networks](/list/social-networks) [technology brands](/list/technology-brands) [travel destinations](/list/travel-destinations) [cryptocurrencies](/list/cryptocurrencies) **Social topic influence** [insurance](/topic/insurance), [money](/topic/money), [cvs](/topic/cvs), [acquisition](/topic/acquisition), [health](/topic/health), [doge](/topic/doge), [elon musk](/topic/elon-musk), [ron desantis](/topic/ron-desantis), [cvshealth](/topic/cvshealth), [business](/topic/business) **Top assets mentioned** [CVS Health Corp (CVS)](/topic/cvs) [Dogecoin (DOGE)](/topic/doge) [Kroger Co (KR)](/topic/kroger) [April (APRIL)](/topic/april) [UnitedHealth Group (UNH)](/topic/$unh) [McKesson Corporation (MCK)](/topic/mckesson) [Cigna Corp (CI)](/topic/$ci) [CyberConnect (CYBER)](/topic/cyber) [rats (RATS)](/topic/rats) [CENTS (CENTS)](/topic/cents) [Verge (XVG)](/topic/verge) [AbbVie Inc (ABBV)](/topic/$abbv) ### Top Social Posts Top posts by engagements in the last [--] hours "Two different patients two vastly different outcomes: Patient #1 presents prescription for oxycodone/acetaminophen 5/325mg #12 tablets. Sent to insurance and we were paid [--] cents. Patient copay $0 We took off insurance and patient was willing to pay a fair cash price. Patient #2 had a prescription for atorvastatin 20mg #90 tablets. Sent to insurance and we were paid [--] cents. Patient copay $0 Again took prescription off insurance and charged a fair cash price Patient calls insurance company to complain why they were overcharged for their medication that should have been $0. Insurance tells" [X Link](https://x.com/kpharmd12/status/1958914829135036911) 2025-08-22T15:31Z [----] followers, [----] engagements "@RxPricing @BusinessInsider HmmSounds like what PBMs do with their manufacturer rebates through their GPOs based in Switzerland & Ireland. Cough cough Ascent Health Services (Express Scripts) and Emisar (OptumRx)" [X Link](https://x.com/pelterkevin/status/1692003886041554971) 2023-08-17T02:42Z [---] followers, [--] engagements "How can UnitedHealth Care/OptumRx make $324 Billion in profits in [----] By paying pharmacies WELL-UNDER cost of dispensing medicine. $0.23 margin for this Rx doesnt even cover the cost of the bottle/lid/label we are dispensing it in" [X Link](https://x.com/pelterkevin/status/1700179838781346253) 2023-09-08T16:10Z [---] followers, [----] engagements "Patient recently transferred Rxs from CVS to our pharmacy. He read on Optum Rx website that we were cheaper to use. Insurance contributed $0 since he was still in deductible phase. CVS Copay for #90 rosuvastatin= $32.88 Our Copay for #30 (plan limit) rosuvastatin= $1.29" [X Link](https://x.com/anyuser/status/1701782318002667605) 2023-09-13T02:18Z [--] followers, [--] engagements "Same patient: CVS Copay for #180 amlodipine= $15.31 Our Copay for #60 (plan limit) amlodipine= $0.63 Again insurance just set the price and contributed $0 at both pharmacies" [X Link](https://x.com/pelterkevin/status/1701785851313750040) 2023-09-13T02:32Z [---] followers, [---] engagements "And last but certainly not least: CVS Copay for #90 metoprolol ER= $47.51 Our Copay for #30 (plan limit) metoprolol ER= $0.93 And people wonder why Independent pharmacies in America are struggling right now Are you kidding me How is this even legal @linakhanFTC" [X Link](https://x.com/pelterkevin/status/1701785865834365000) 2023-09-13T02:32Z [---] followers, [---] engagements "@BrandiChane @thexerxers @mcuban @costplusdrugs @TruthRX I will have to see what I can do there. Our primary wholesaler was wondering why we were purchasing so much away from them Just give me your best damn price aside from any rebate schemes incentives etc. Is that too much to ask Haha" [X Link](https://x.com/pelterkevin/status/1709024840739344476) 2023-10-03T01:57Z [---] followers, [---] engagements "Employers choose spread pricing because they arent presented with any other options. How is overcharging the insurance company under paying the pharmacy and then keeping the rest for yourself helping anyone Get the hell out of here with that shit" [X Link](https://x.com/pelterkevin/status/1709677214541738115) 2023-10-04T21:09Z [---] followers, [----] engagements "@LaurenDC5 @WANDTVDoug Be sure to hop on that class action lawsuit against CVS Caremark and Aetna filed last week. Hopefully we will be able to recoup some of the theft of DIR fees from that. Maybe additional suits will be filed in the future if successful" [X Link](https://x.com/pelterkevin/status/1709678217240420554) 2023-10-04T21:13Z [--] followers, [--] engagements "@trope112011 @BoesingLoretta Had a customer need #90 nebivolol 10mg tabs. Insurance priced it well over $800 thru SilverScript Med-D. PBM then took back $780 in DIR fees. We cashed it out for $30.00 for the #90 tabs. Patient was extremely happy to say the least. PBMs dont deserved a dime" [X Link](https://x.com/pelterkevin/status/1716268089216573526) 2023-10-23T01:39Z [--] followers, [---] engagements "@_JeremyCates @linakhanFTC @SpeakerJohnson Damn. I guess I will start recommending people go elsewhere to fill it then. Any Medicare Part D plan pays about $30-$90 under acquisition cost after DIR fees. Better to have another pharmacy take a loss on it. Id like to remain in business if I can help it" [X Link](https://x.com/pelterkevin/status/1718090668302569621) 2023-10-28T02:21Z [--] followers, [--] engagements "@Nenaadvocacy @JennyWiskirchen @linakhanFTC @SpeakerJohnson @CSROAdvocacy @PhRMA @costplusdrugs @mcuban @MattieRheumMD 👏👏👏👏 I second that motion" [X Link](https://x.com/pelterkevin/status/1719352978186899521) 2023-10-31T13:57Z [---] followers, [---] engagements "Medicare Advantage Plan: We were paid $9.78 in Aug/Sept and now its $21.28 in Oct/Nov for the same exact drug/quantity. Usually we see our payments decrease so what is going on here CVS Caremark is the PBM for this MA plan. Are they starting to feel the 🔥🔥🔥 I hope so" [X Link](https://x.com/pelterkevin/status/1721694429914808652) 2023-11-07T01:01Z [--] followers, [----] engagements "Another example from a Medicare Advantage Plan: We were paid $3.02 in Aug/Sept for #30 citalopram 10mg. In Oct/Nov we were paid $11.99 for the same prescription. Usually we see our payments decrease throughout the year so Im a bit perplexed on this one. Any thoughts" [X Link](https://x.com/pelterkevin/status/1721695915419873336) 2023-11-07T01:07Z [--] followers, [---] engagements "Its the year 2025: The FTC comes down hard on PBMs and fines the Big [--] $1 Trillion as restitution to all the Independent Pharmacies they forced to close over the previous decade PCMA and their cohorts are all in federal prison for extortion and tax evasion. Dream Big" [X Link](https://x.com/pelterkevin/status/1723161424963256807) 2023-11-11T02:11Z [--] followers, [----] engagements "Maybe if the PBMs would cover the pharmacy acquisition cost of the RSV vaccine more people would be able to access the vaccine. In Medicare patients specifically when you factor in DIR fees with the RSV vaccine: the pharmacy loses about $22 per claim" [X Link](https://x.com/pelterkevin/status/1735695611670774091) 2023-12-15T16:17Z [---] followers, [----] engagements "Recently got audited by @ExpressScripts for a Pneumonia vaccine I administered. Said I billed it incorrectly for days supply. They said days supply should have been a [--]. I have billed thousands of vaccines with a [--] day supply and never gotten this type of garbage" [X Link](https://x.com/pelterkevin/status/1748831766356558259) 2024-01-20T22:15Z [---] followers, [----] engagements "@blaquiere_38633 I was shocked to see insulin prices drop the way they did. Thats fantastic. But PBMs are still paying $10-$20 under acquisition cost. So why would I stock that for a patient Yeah its now cheaper to purchase it but if Im losing money still- wheres my incentive" [X Link](https://x.com/pelterkevin/status/1750328402479813023) 2024-01-25T01:23Z [--] followers, [--] engagements "@_JeremyCates Absolutely agree. I tried [--] different albuterol inhalers today for a patient on a MA plan. All [--] products paid out a few cents under my acquisition cost from our primary wholesaler (usually our cheapest option). Coincidence I dont think so anymore" [X Link](https://x.com/pelterkevin/status/1750329036562215200) 2024-01-25T01:25Z [--] followers, [--] engagements "Imagine owning a used car dealership and selling cars for $6750 each. On each transaction you lose $275. Thats retail pharmacy in a nutshell right now except the $6750 car is actually Humira. Thanks @CVSHealth for doing your part to ruin healthcare for everyone" [X Link](https://x.com/pelterkevin/status/1751611809683865854) 2024-01-28T14:22Z [---] followers, [----] engagements "@Pharmassists Wow. That has to be one of the worst reimbursements Ive seen. Sorry to see this I hope there is some change coming this year but Im trying to stay realistic. Im sure that loss cant be good for your case of shingles. Hang in there man" [X Link](https://x.com/pelterkevin/status/1752034504644964822) 2024-01-29T18:22Z [---] followers, [---] engagements "We do not carry Paxlovid. With a negative margin of $63 for a drug that costs $1350 why would I I called numerous other stores in our area and only [--] pharmacy stocks it. @pfizer @FTC @linakhanFTC Does anyone see the problem here We have a national crisis brewing" [X Link](https://x.com/pelterkevin/status/1754620941160628665) 2024-02-05T21:40Z [---] followers, [----] engagements "This patient also had reduced copays through Medicares extra help program so is therefore eligible to change plans once each quarter. If you are getting underpaid by any Medicare Part D plan it would be highly advisable to have discussions with your dual eligible patients now" [X Link](https://x.com/pelterkevin/status/1759773628273496170) 2024-02-20T02:55Z [---] followers, [---] engagements "We use a platform to compare Medicare Part D plans and Medicare Advantage plans and we have had great success doing this. If you arent proactively doing something like this already you are losing more money than you probably should be. Reach out to me if you want more info" [X Link](https://x.com/pelterkevin/status/1759773629980516457) 2024-02-20T02:55Z [---] followers, [---] engagements "@BethWaldron Just declined to fill a Xarelto [--] minutes ago. [--] day supply we would have lost $26 [--] day supply we would have lost $181 Some PBMs are slightly above cost but the majority are $20-$40 under for a month supply in Medicare Part D or MA plans" [X Link](https://x.com/pelterkevin/status/1759982868665692548) 2024-02-20T16:46Z [---] followers, [----] engagements "@mcuban @BethWaldron Commercial/private insurance isnt much better for reimbursement. Maybe break even if youre lucky. Main difference is commercial ins. allows copay cards to be billed to lower cost. Problem being: Manuf. is paying twice: once for PBM rebate then again for copay assist cards" [X Link](https://x.com/pelterkevin/status/1760092867836457272) 2024-02-21T00:03Z [---] followers, [----] engagements "Follow the money trail. When PBMs steal close to $10 Billion every year in fees from community pharmacies it's easy to see how they can afford giving so much in lobbying money to continue their convoluted business practices. [--] million dollars in lobbying in [----]. Unreal. [--] million dollars in lobbying in [----]. Unreal" [X Link](https://x.com/pelterkevin/status/1762315391399760281) 2024-02-27T03:15Z [---] followers, [---] engagements "Coming Monday March 4th. Be sure to tune in: White House Targets Prescription Drug Costs Eyes PBM Reform with Industry Leaders" [X Link](https://x.com/pelterkevin/status/1763041333571125294) 2024-02-29T03:19Z [---] followers, [---] engagements "Anyone out there know where you can buy generic Flovent for $89.23 The cheapest I could find anywhere from our [--] suppliers was $159 Another one I will refuse to fill. Patient ultimately suffers from the underpayment by the PBM" [X Link](https://x.com/pelterkevin/status/1763231894013944239) 2024-02-29T15:56Z [---] followers, [----] engagements "Long before the United Healthcare/Change Healthcare cyber attack this has been happening all across the nation with prescription underpayments made by @UHC. PBMs never follow the law. Does anyone out there care @ftc @linakhanFTC @ChuckGrassley @MikeCrapo @RonWyden @mcuban @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 dont care but rake in billions while Indies close. Feds pls act. @RfactsFacts @linakhanFTC" [X Link](https://x.com/pelterkevin/status/1764304509705048208) 2024-03-03T14:59Z [---] followers, [----] engagements "Im not going to be explaining insurance co-pays to anyone in [----]. Probably wont be in business after this year truth be told. This is a really good practical look at the effects of OOP smoothing in Medicare Part D. Without doubt pharmacists will spend even more time trying to explain to patients why they are paying a different amount. Patient confusion all abound and even less actual patient care. This is a really good practical look at the effects of OOP smoothing in Medicare Part D. Without doubt pharmacists will spend even more time trying to explain to patients why they are paying a" [X Link](https://x.com/pelterkevin/status/1764384297526411631) 2024-03-03T20:16Z [---] followers, [----] engagements "@pcmanet @EconTony @WhiteHouse @rc_markets The upcoming listening session that the White House is holding is missing one important voice the PBMs themselves Pretty sure @pcmanet and @JCScottPCMA have had plenty of opportunities to lie under oath to Congress all the other times youve been called to their hearings" [X Link](https://x.com/pelterkevin/status/1764866726670348498) 2024-03-05T04:13Z [---] followers, [--] engagements "@GrumpPharmacist @CVSHealth Yet if that same drug was dispensed at a CVS pharmacy- they would be getting paid 15-20x that amount. And I know they do because Ive dealt with it too" [X Link](https://x.com/pelterkevin/status/1765412304395342087) 2024-03-06T16:21Z [---] followers, [---] engagements "Example of PBM patient and pharmacy abuse: Patient was allowed a [--] time fill of generic Breo in January for a $0 copay based on their employer sponsored plan. Now plan requires Branded Breo ONLY for a $50/mo. copay. Generic no longer preferred. Paid $26 under cost of drug" [X Link](https://x.com/pelterkevin/status/1769936538819838195) 2024-03-19T03:58Z [---] followers, [----] engagements "@linakhanFTC @FTC @GSK The lawmakers claimed in the letter sent to the four companies in January that GSK's Advair HFA costs $319 in the United States but $26 in the United Kingdom. The U.K. doesnt utilize services of Pharmacy Benefit Managers. Thats your price difference in the United States" [X Link](https://x.com/pelterkevin/status/1770823948697030759) 2024-03-21T14:45Z [---] followers, [---] engagements "More bullshit this time from @ExpressScripts So sick of patients asking why their insurance wont cover the generic alternative vs. the more expensive brand name drug. Who the fuck benefits from lowest Net Cost Its not the patient and its definitely not the pharmacy" [X Link](https://x.com/pelterkevin/status/1771352558231019963) 2024-03-23T01:45Z [---] followers, [----] engagements "Heres a little snippet of some of those cost differences. For them to keep covering the brand and not generic- the PBM must be getting one Hell of a Rebate" [X Link](https://x.com/pelterkevin/status/1771553202120319311) 2024-03-23T15:02Z [---] followers, [----] engagements "Great explanation of what Spread Pricing actually is @pcmanet would say that Spread Pricing is just a plan benefit design that the plan sponsor chose for themselves. This plan sponsor was actually the State of Ohio Managed Medicaid and got overcharged BIG TIME "What we were seeing in the state of Ohio was that pharmacies were getting paid less and less for the medicines that they were dispensing to their Medicaid beneficiaries. But on the other end of the transaction as those cuts were occurring the state of Ohio was spending more https://t.co/7ccUl6m1ky "What we were seeing in the state of" [X Link](https://x.com/pelterkevin/status/1773316475408843095) 2024-03-28T11:49Z [---] followers, [----] engagements "@Pharmassists @FTC But nobody thought she should be CEO because she is so petite WTF I love the fact that we have until fucking April [--] [----] to deny the contract for January [----] effective date. Yet they change their formulary for patients every other day" [X Link](https://x.com/pelterkevin/status/1773796918763589892) 2024-03-29T19:38Z [---] followers, [---] engagements "Nice April Fools joke: Cap costs at $2000. Patient will then have $0 co-pays. PBMs will still be underpaying community pharmacies to dispense the prescription. That is if there are any left standing by [----]. Why are we only blaming big pharma Read the room dickhead. Today we announced millions of people with Medicare Part D will see lower costs next year and their out-of-pocket costs for prescription drugs will be limited to no more than $2000. @POTUS is putting more money in your pocket instead of Big Pharma's. https://t.co/OLTDAwyCW5 Today we announced millions of people with Medicare Part" [X Link](https://x.com/pelterkevin/status/1774994139446411508) 2024-04-02T02:55Z [---] followers, [---] engagements "We lost $38 on Ozempic recently. Patient actually showed me his EOB from his Medicare Part-D plan. Plan paid over $1200 PBM paid our pharmacy $876 and pocketed the spread which was well over $300 for one drug. If you arent enraged by this: unfollow me right now. When a PBM does not pay a pharmacy enough to even cover the cost of purchasing a medicine the pharmacy loses money. Like this pharmacist in AL who lost of $45 to fill just one prescription. Read more about this issue at the link: https://t.co/4WqxUFUjB4 https://t.co/le5gBeWeAV When a PBM does not pay a pharmacy enough to even cover" [X Link](https://x.com/pelterkevin/status/1775317724547178853) 2024-04-03T00:21Z [---] followers, 30.4K engagements "Can I get a refund on the $150k+ that I personally paid back by myself over the last [--] years Nobody bailed me out because MY name was on the documents stating that I would be responsible for paying the loans back not the taxpayers. President Joe Biden will announce on Monday his plans to cancel student debt for more than [--] million Americans by this fall per Reuters President Joe Biden will announce on Monday his plans to cancel student debt for more than [--] million Americans by this fall per Reuters" [X Link](https://x.com/pelterkevin/status/1777346546012418287) 2024-04-08T14:43Z [---] followers, [----] engagements "@carnivorePharm @Pharmassists @ExpressScripts Took it out of insurance. Told the patient they can either pay cash or I can transfer it out. Only [--] options Im giving anymore. Im done with the PBM bullshit or wasting my time asking for more money from the PBM" [X Link](https://x.com/pelterkevin/status/1778392751232455031) 2024-04-11T12:00Z [---] followers, [--] engagements "PBMs also promote the use of generic and cost-effective medications and facilitate mail-order delivery of life-saving medications which vastly improvesadherenceto drug regimens andsaves both time and money for patients. There is a plethora of evidence to disprove this. New op-ed in RealClearMarkets. "The real challenge facing independent pharmacies." https://t.co/JxJdxYKlOM https://t.co/bGDDPwzoO2 New op-ed in RealClearMarkets. "The real challenge facing independent pharmacies." https://t.co/JxJdxYKlOM https://t.co/bGDDPwzoO2" [X Link](https://x.com/pelterkevin/status/1780302786137104845) 2024-04-16T18:30Z [---] followers, [---] engagements "Weve been doing plan comparisons during open enrollment for many years. We compare Medicare Part D plans and Medicare Advantage plans for our patients. Each year there are fewer and fewer plans that pay the pharmacy their acquisition cost on meds. Thats a big problem. In other words independent pharmacies subsidize profits for the big [--] PBMs Hate to say this but the Medicare Advantage program seniors pick may be putting your local Indy pharmacy out of business. Next renewal ask how much they pay pharmacies. And pharmacists need to help In other words independent pharmacies subsidize profits" [X Link](https://x.com/pelterkevin/status/1781851339393270201) 2024-04-21T01:03Z [---] followers, [----] engagements "Someone explain how @cvspharmacy was paid $150 more than my independent pharmacy for the same medication on the same Medicare Drug plan just one month apart last year By using @cvspharmacy that extra $150 difference put this patient that much closer to the coverage gap" [X Link](https://x.com/pelterkevin/status/1784036533869142137) 2024-04-27T01:47Z [---] followers, [----] engagements "@Pharmassists Do you have to have someone available 24/7 And what about TPNs can you outsource those items if you cannot provide Ive briefly looked into the LTC space. Seems like a daunting task but maybe worth all the hassle it sounds like" [X Link](https://x.com/pelterkevin/status/1784327215011836159) 2024-04-27T21:02Z [---] followers, [---] engagements "@Pharmassists I just left work or I would have been able to tell you right where it was. Was it a reject for a new insurance added in the system Im thinking its in the details section of the insurance plan information somewhere" [X Link](https://x.com/pelterkevin/status/1791585270208352511) 2024-05-17T21:43Z [---] followers, [--] engagements "Theres a message Ive never seen before: 100% patient pay applies at retail unless filled at a Walmart/Sams Club pharmacy. Patient copay= $1.44 Pharmacy acquisition cost= $1.67 Pharmacy loses $0.23 just on drug cost Wonder what Walmart gets paid for this drug" [X Link](https://x.com/pelterkevin/status/1793003912649216165) 2024-05-21T19:40Z [---] followers, [---] engagements "To the person who stole my Chipotle pick up order tonight I hope you wake up to the worst exploding diarrhea tomorrow" [X Link](https://x.com/kpharmd12/status/1795226086671819187) 2024-05-27T22:50Z [---] followers, [---] engagements "All while the dispensing pharmacy stands to lose about $100+ on a single claim for Wegovy. Absolute insanity. Wegovy list price = - $1350 Patient Copay = + $1000 Assume 50% pharma rebate = + $675 Is UHC pocketing $325 in this situation Cc @tjparker @mcuban @DrugChannels Wegovy list price = - $1350 Patient Copay = + $1000 Assume 50% pharma rebate = + $675 Is UHC pocketing $325 in this situation Cc @tjparker @mcuban @DrugChannels" [X Link](https://x.com/pelterkevin/status/1795832965039321213) 2024-05-29T15:01Z [---] followers, [---] engagements "Need to ban copay accumulators ban spread pricing ban PBMs from collecting rebates/kickbacks/bribes of any kind abolish preferred pharmacies enforce any willing provider laws and establish minimum dispensing fees + fair and equal reimbursements @BrianStewartOH @TimBarhorst Another media outlet discovers the problems with copay accumulators.a practice Ohio has yet to ban despite widespread legislative support Patients with pricey meds experience insurance companies 'double dipping' https://t.co/L4RxjWNZ4Z Another media outlet discovers the problems with copay accumulators.a practice Ohio has" [X Link](https://x.com/pelterkevin/status/1795995005426823303) 2024-05-30T01:45Z [---] followers, [---] engagements "Had a couple Farxiga reps drop by yesterday. They asked how things were going I was cordial but by the time I was done talking to them I bet they wished they didnt stop by. We talked about how the majority of Medicare Plans wont cover my acquisition cost of Farxiga" [X Link](https://x.com/pelterkevin/status/1798165751892750518) 2024-06-05T01:31Z [---] followers, [----] engagements "I told them insurances wont begin to cover the generic for a very long time. There is no incentive for them to cover it; not when their PBMs can extort 50-70% of the list price of Farxiga brand name in the form of a kickback" [X Link](https://x.com/pelterkevin/status/1798165757211160734) 2024-06-05T01:31Z [---] followers, [---] engagements "I cant pinpoint the exact time frame of when PBMs started to get really greedy and play the rebate extortion game. Insurances used to be chomping at the bit to drop payments to the pharmacy when a generic came to market" [X Link](https://x.com/pelterkevin/status/1798165758964343165) 2024-06-05T01:31Z [---] followers, [---] engagements "Now they just pay shitty on the preferred Brand name products and yet are still collecting a shit ton of money from the manufacturers by way of rebate/kickbacks on the back end of the deal. #HowPBMsWork" [X Link](https://x.com/pelterkevin/status/1798165760893661438) 2024-06-05T01:31Z [---] followers, [---] engagements "Its been [--] years now: where are you@FTC @linakhanFTC https://www.frierlevitt.com/articles/ftc-votes-5-0-to-approve-study-of-rotten-pbm-abusive-and-anti-competitive-practices/#::text=On%20Monday%2C%20June%206%2C%202022%2C%20the%20Federal%20Tradeand%20other%20providers%20that%20dispense%20 https://www.frierlevitt.com/articles/ftc-votes-5-0-to-approve-study-of-rotten-pbm-abusive-and-anti-competitive-practices/#::text=On%20Monday%2C%20June%206%2C%202022%2C%20the%20Federal%20Tradeand%20other%20providers%20that%20dispense%20" [X Link](https://x.com/pelterkevin/status/1798747615800307777) 2024-06-06T16:03Z [---] followers, [---] engagements "Andrew Witty said he was deeply deeply sorry in his opening statement to Congress. That would be justice served if they found him guilty of insider trading. I dont know does his face look like hes sorry https://t.co/eNB9p7mTeo This article reports that on 2/21/2024 the day Change Healthcare suffered a cyberattack five of United Health top executives sold $17.7 Million of company stock. The five included the CEO Andrew Witty as well as the General Counsel. The following https://t.co/eNB9p7mTeo This article reports that on 2/21/2024 the day Change Healthcare suffered a cyberattack five of" [X Link](https://x.com/pelterkevin/status/1798924275329749372) 2024-06-07T03:45Z [---] followers, [---] engagements "@pcmanet PBMs dont work with pharmacies. The only time we hear from PBMs is when they make formulary changes mid month or when they send us a desk audit notification. More lies" [X Link](https://x.com/pelterkevin/status/1799115946931679412) 2024-06-07T16:27Z [---] followers, [----] engagements "Quick translation from Express Scripts regarding Medicare bonus pool fees: We violated Medicare laws but even though we got caught we still arent going to admit that we broke any laws" [X Link](https://x.com/pelterkevin/status/1800258756061585763) 2024-06-10T20:08Z [---] followers, [----] engagements "How many times does this need repeated You cannot just blame the drug manufacturer for high drug prices. If you arent including the big PBM CEOs in these hearings you arent accomplishing anything. I know Bernie Sanders has heard of manufacturer kickbacks to PBMs before. I am pleased that Novo Nordisk CEO Lars Jrgensen has reconsidered his position and agreed to testify voluntarily on a solo panel before the HELP Committee. I look forward to his explaining why Americans pay up to 15x more for Ozempic and Wegovy than people in other countries. https://t.co/ZciObH5ptb I am pleased that Novo" [X Link](https://x.com/pelterkevin/status/1802164457474245064) 2024-06-16T02:21Z [---] followers, [---] engagements "I most liked the part where the Walgreens CEO said they would renegotiate with the PBMs over reimbursements. Yeah. You go ahead and do that. CNBC anchors discuss how Walgreens can't make it because it doesn't own a pharmacy benefit manager. https://t.co/OJ5vnKZoxb CNBC anchors discuss how Walgreens can't make it because it doesn't own a pharmacy benefit manager. https://t.co/OJ5vnKZoxb" [X Link](https://x.com/kpharmd12/status/1806364158239375446) 2024-06-27T16:29Z [---] followers, [----] engagements "@PMC_Pharmacy When you bill a brand name drug thru a Part-D plan for 30-day supply and youd lose $40 but when you bill for a 90-day supply youd lose 5x more" [X Link](https://x.com/pelterkevin/status/1808703245558100083) 2024-07-04T03:23Z [---] followers, [--] engagements "Apparently @ExpressScripts doesnt care whether a dialysis patient has access to their medication. Drug cost: $1575.68 Copay: $834.56 Ins. Paid: $652.05 Total Reimbursement: $1486.61 $89 loss to the pharmacy just on COG Have to tell the patient to go elsewhere. #PBMabuse" [X Link](https://x.com/pelterkevin/status/1811823684405067966) 2024-07-12T18:03Z [---] followers, [----] engagements "Heres some free drug pricing advice: Sign up for a free EzriRx account. Search for your top [--] most expensive generic drugs that you routinely purchase. Compare the best prices with secondary wholesalers on EzriRx and go set up accounts with those wholesalers directly" [X Link](https://x.com/pelterkevin/status/1813384990551335150) 2024-07-17T01:27Z [---] followers, [---] engagements "@GSK @GSKUS BCBS in Ohio reimburses under cost for Shingrix. Didnt even pay an administration fee to the pharmacy. What the hell is going on here Patient had a Zero copay though so they were happy of course. How am I supposed to continue giving vaccinations at a loss" [X Link](https://x.com/pelterkevin/status/1816465579185701186) 2024-07-25T13:28Z [---] followers, [--] engagements "@Pharmassists Same. Either they are MAC drugs or they are some other made up formula from the PBM. Ex. express scripts acquisition pricing or Caremark acquisition pricing" [X Link](https://x.com/pelterkevin/status/1818461539424256450) 2024-07-31T01:39Z [---] followers, [--] engagements "Had a 30-day supply been allowed the loss would have only been roughly in the $40-$60 range. Why Because PBMs suck at math. They suck at most everything they do hence why they keep getting sued. @AccPharmacist I can top that unfortunately. Ran a Rybelsus today for [--] day supply. PBM rejected stating it is a maintenance med and must dispense [--] day supply. I tried [--] day and was reimbursed $298 below cost. Wasnt able to fill it. Now a Walmart patient @AccPharmacist I can top that unfortunately. Ran a Rybelsus today for [--] day supply. PBM rejected stating it is a maintenance med and must" [X Link](https://x.com/pelterkevin/status/1818831968626258139) 2024-08-01T02:11Z [---] followers, [---] engagements "Insurance requires a DAW [--] for Farxiga since they dont want to cover the must less expensive generic. Re-processed with DAW [--] and they still want to pay $310 UNDER COST Last month insurance paid $552 now paying $254. Guess I wont be filling this one" [X Link](https://x.com/pelterkevin/status/1824453261077704788) 2024-08-16T14:28Z [---] followers, [----] engagements "@Nenaadvocacy @MattieRheumMD @mcuban Plan sponsor called back. They cannot tell me why there was a price difference between July/August. They instructed me to call the PBM. The PBM was the first place I called who transferred me [--] times then at the end told me to call the Plan Sponsor. What a runaround" [X Link](https://x.com/pelterkevin/status/1824472041526812991) 2024-08-16T15:43Z [---] followers, [---] engagements "Weve turned away roughly 20-30% of our lifelong customers since January. Last thing on Earth I thought I would have to do but because of turning those huge losses away- we are actually more profitable. What other business would make more money with fewer customers You can make good money as an independent pharmacy if you can say no. A lot. Just sacrifice your heart and desire to help people. Because if you fill every prescription that comes your way that's bankruptcy my friend. How fucked up is that You can make good money as an independent pharmacy if you can say no. A lot. Just sacrifice" [X Link](https://x.com/pelterkevin/status/1824864557728154061) 2024-08-17T17:43Z [---] followers, [----] engagements "Same patient same NDC same insurance. Two different MAC Prices from July and August. Why the difference MAC prices are completely fabricated by the PBM to manipulate drug pricing" [X Link](https://x.com/pelterkevin/status/1828442329641828433) 2024-08-27T14:39Z [---] followers, 155.2K engagements "@PMC_Pharmacy Ours had an adjustment coding beginning with CS:MAN18907 or CS:MAN18908 Probably depends on your Central Pay system through the PSAO if you utilize one though. Our total payback was less than $200 Womp womp womp" [X Link](https://x.com/pelterkevin/status/1828609028299104609) 2024-08-28T01:42Z [---] followers, [---] engagements "Huh I thought that the big PBM CEOs said that they actually pay independent pharmacies MORE than their own mail-order pharmacies. I must have misheard them. This wouldnt be the first time they lied under oath. Veterans and military members are steered to Express Scripts mail order pharmacy. Sometimes the letters that they receive from Express Scripts will claim to save money if they use Express Scripts. BUT when veterans and military members look at the letters or the claims that https://t.co/Vux5YWr44B Veterans and military members are steered to Express Scripts mail order pharmacy." [X Link](https://x.com/pelterkevin/status/1830995678442426822) 2024-09-03T15:46Z [---] followers, [----] engagements "Anyone out there willing to purchase a drug for $1410 and then turn around and sell it for $1332 Yeah me neither. This patient has dual coverage with Medicare and Medicaid. We cant afford to help them on this one" [X Link](https://x.com/pelterkevin/status/1832443310616813721) 2024-09-07T15:38Z [---] followers, [----] engagements "@PMC_Pharmacy @Pharmassists I agree. The big PBMs are making the contract terms so abysmal that no pharmacy would ever want to be part of their networks. Then the patient has no choice but to search for a pharmacy in-network or use mail order (where they receive less than subpar service at best)" [X Link](https://x.com/pelterkevin/status/1834227390391767519) 2024-09-12T13:47Z [---] followers, [--] engagements "@pcmanet Rebates are a good thing Im sure they are a great revenue source for those offshore GPOs created by @ExpressScripts in [----] and by @OptumRx in [----]. There are good PBMs out there but the market is so distorted and vertically integrated they dont stand a chance in hell" [X Link](https://x.com/pelterkevin/status/1834446864092991490) 2024-09-13T04:19Z [---] followers, [---] engagements "Express Scripts Sues FTC Demands Withdrawal of PBM Report The PBMafia will do everything to protect their profits at all costs. Suing a regulatory agency because you dont like what they said about you is a on a whole other level. https://www.evernorth.com/articles/express-scripts-sues-ftc-demands-withdrawal-pbm-report https://www.evernorth.com/articles/express-scripts-sues-ftc-demands-withdrawal-pbm-report" [X Link](https://x.com/pelterkevin/status/1836016999970799895) 2024-09-17T12:18Z [---] followers, [----] engagements "@InsOligopoly Even though the PBMs share most of those rebates back with the plan sponsors the PBM still makes that plan sponsor pay more than what they reimburse the pharmacy. If thats not enough proof for employers that they are getting ripped off then I dont know what else to say" [X Link](https://x.com/pelterkevin/status/1836074130258502052) 2024-09-17T16:05Z [---] followers, [---] engagements "@ms543257 @latta4congress Damn. Those numbers are insane Were just a small fraction of that but probably about 20% Medicaid which has helped some since the Gainwell takeover. The Medicare Part D/MA plans can be the killer with the aging population. Ive sent 20-25% of those Rxs away since January" [X Link](https://x.com/pelterkevin/status/1836958001057460278) 2024-09-20T02:38Z [---] followers, [--] engagements "@pcmanet Only looks different now that the big [--] PBMs have bastardized the market" [X Link](https://x.com/pelterkevin/status/1837237184941936748) 2024-09-20T21:07Z [---] followers, [--] engagements "PBMs: the manufacturer alone sets prices Also PBMs: Lets pay the pharmacy $113 in January $119 in April $91 in June $27 in July and $34 in September. Everyone else: why would you do that PBMs: Its the plan sponsors fault" [X Link](https://x.com/pelterkevin/status/1837239313584513305) 2024-09-20T21:16Z [---] followers, [----] engagements "Do any of your companies comply with the federal Anti-Kickback Statue Oh thats right: you all refer to them as rebates Absolutely not a kickbackat all" [X Link](https://x.com/pelterkevin/status/1837511899828613272) 2024-09-21T15:19Z [---] followers, [----] engagements "Drug on the left = $570 Drug on the right = $356 Which drug would you want to purchase knowing that the tablets are identical and are made in the same manufacturing plant The cheaper one obviously right Then why do major PBMs exclude the cheaper one" [X Link](https://x.com/pelterkevin/status/1838634441939550276) 2024-09-24T17:39Z [---] followers, 170.3K engagements "Oh @SenSanders got a written commitment from the PBMs did he How about when @JamesComer requested the big [--] PBM CEOs to correct their statements from the last House Oversight Committee hearing knowing that all [--] committed perjury And he got nothing in response. Get Real Novo Nordisk's CEO tried to blame pharmacy benefit managers for Ozempic's high cost. But @SenSanders called his bluff and revealed he got written commitments from PBMs not to penalize Novo Nordisk if drug prices dropped. Novo's CEO still wouldn't commit to lowering prices. https://t.co/8hJnjzsx4g Novo Nordisk's CEO tried to" [X Link](https://x.com/pelterkevin/status/1838707880607838578) 2024-09-24T22:31Z [---] followers, [----] engagements "@SamitBhatt This certainly contributed to our current situation albeit only [--] years ago: https://www.fiercehealthcare.com/payer/cigna-closes-67b-express-scripts-acquisition https://www.fiercehealthcare.com/payer/cigna-closes-67b-express-scripts-acquisition" [X Link](https://x.com/pelterkevin/status/1838791008777023963) 2024-09-25T04:01Z [---] followers, [---] engagements "@SamitBhatt And this one just [--] month prior to the @Cigna and @ExpressScripts merger https://www.fiercehealthcare.com/payer/cvs-closes-69-billion-acquisition-aetna https://www.fiercehealthcare.com/payer/cvs-closes-69-billion-acquisition-aetna" [X Link](https://x.com/pelterkevin/status/1838791326826992083) 2024-09-25T04:03Z [---] followers, [---] engagements "Devoted and @CVSHealth undercut pharmacies by paying them under cost on every prescription but lets go ahead and give the member $174 back into their Social Security check every month and lets give them $82 per month so they can pay their rent or mortgage. That makes sense" [X Link](https://x.com/pelterkevin/status/1842303153263260130) 2024-10-04T20:37Z [---] followers, [---] engagements "Devoted Health Plans Low-cost insulin includes [--] of the most expensive insulin products on the market right now. TRESIBA BASAGLAR ADMELOG and FIASP are preferred due to the rebates they give to the PBM. It has nothing to do with whats least expensive for the patient" [X Link](https://x.com/pelterkevin/status/1842304771387982278) 2024-10-04T20:44Z [---] followers, [---] engagements "Pharmacies arent allowed to influence patients to choose a particular Medicare Drug/MA plan or offer ANY financial incentive to persuade them. So how is the plan sponsor allowed to give the customer a FREE $10 GIFT CARD just for talking to them about their plan" [X Link](https://x.com/pelterkevin/status/1842306457884074047) 2024-10-04T20:51Z [---] followers, [----] engagements "@Benefitsguynick No need for my customers to sign up for the payment plan. If their insurance is paying me under my cost they can get it filled at the pharmacy in the next town right along with all of their other underwater claims. Im beyond done subsidizing OTHER peoples prescriptions" [X Link](https://x.com/pelterkevin/status/1842390200112009265) 2024-10-05T02:23Z [---] followers, [--] engagements "Dennis Carlton has written reports or testified in favor of dozens of mergers and charges at least $1350/hour. In his career he has made about $100 million. Once again proving that @pcma has to pay people to say nice things about them. Preeminent analysis details #PBMs' role in managing drug costs shows the evidence does not support critics' claims https://t.co/kKEJZtytpU https://t.co/o4DguOvzOF Preeminent analysis details #PBMs' role in managing drug costs shows the evidence does not support critics' claims https://t.co/kKEJZtytpU https://t.co/o4DguOvzOF" [X Link](https://x.com/pelterkevin/status/1844565812868206898) 2024-10-11T02:28Z [---] followers, [---] engagements "EpiphanyRx was bought by Navitus in [----]. Navitus is owned by Costco Wholesale Corporation. These local employees will have to travel over [--] minutes to the nearest Walgreens or over an hour to the nearest Costco for maintenance meds now" [X Link](https://x.com/kpharmd12/status/1848824728087154893) 2024-10-22T20:32Z [---] followers, [---] engagements "One additional layer of middlemen are the Pharmacy Benefit Optimizers or Administrators. They essentially exist to ensure that the PBMs are doing what they say they are doing. So a middlemans middleman if you will. It is even worse than that. They hire benefit consultants to help them choose the PBM. The benefits consultants fail to disclose that they receive a kickback on each prescription filled. There is often a non disclosure clause that prevents access to claims data for the It is even worse than that. They hire benefit consultants to help them choose the PBM. The benefits consultants" [X Link](https://x.com/pelterkevin/status/1854723712697639211) 2024-11-08T03:12Z [---] followers, [---] engagements "First prescription of the day Restasis eye drops: Generic not covered cost = $85 Brand name required cost = $632 Patient cost with deductible= $512 Thanks @CVSHealth @SilverScriptPDP you are really doing a fantastic job at managing prescription benefits for patients" [X Link](https://x.com/pelterkevin/status/1854893927398068720) 2024-11-08T14:29Z [---] followers, [----] engagements "Just filled [--] prescriptions for a commercially insured patient with @OptumRx coverage. They bought a $20 stuffed animal while they were here. We made more profit on that stuffed animal than all [--] of their prescriptions combined. Fix this @RobertKennedyJr @linakhanFTC" [X Link](https://x.com/pelterkevin/status/1854897141795246494) 2024-11-08T14:41Z [---] followers, [----] engagements "This is equivalent to a police department getting sued by a guilty perpetrator. The PBM bullshit train keeps on chugging along. https://www.benefitspro.com/2024/11/21/cvs-cigna-and-unitedhealth-sue-ftc-claiming-pbm-probe-violates-constitutional-rights/ https://www.benefitspro.com/2024/11/21/cvs-cigna-and-unitedhealth-sue-ftc-claiming-pbm-probe-violates-constitutional-rights/" [X Link](https://x.com/pelterkevin/status/1859794728029663723) 2024-11-22T03:03Z [---] followers, [----] engagements "Patient: It really sucks that you wont take so many different insurances next year. Me: Youre correct it does suck. You know what sucks more Signing a 1-sided contract that will guarantee a LOSS on roughly 90% of prescription claims processed. Im fucking done with that" [X Link](https://x.com/pelterkevin/status/1861505928295489651) 2024-11-26T20:22Z [---] followers, [---] engagements "@Kacijohnsonrx @JohnJohnkwasnik @RonDeSantis @GovRonDeSantis @DrNealDunnFL2 @ShaneAbbottFL @DrOz @DOGE @VivekGRamaswamy @elonmusk Even if you were able to get those medications from the wholesaler for free youd still be losing money on the transaction" [X Link](https://x.com/pelterkevin/status/1861875255687499832) 2024-11-27T20:50Z [---] followers, [---] engagements "@Kacijohnsonrx @JohnJohnkwasnik @RonDeSantis @GovRonDeSantis @DrNealDunnFL2 @ShaneAbbottFL @DrOz @DOGE @VivekGRamaswamy @elonmusk And you know mail order isnt filling any of those medications for at least a $30-40 profit margin and thats being conservative. I think its all planned out by design to push Indys out of existence for some reason. Good luck to America for the next pandemic of vaccines" [X Link](https://x.com/pelterkevin/status/1861876801884053600) 2024-11-27T20:56Z [---] followers, [--] engagements "Manufacturers alone set the prices of medications - @JCScottPCMA @pcmanet @ExpressScripts @CVSHealth @OptumRx Also PBMs: literally setting a different price every few months" [X Link](https://x.com/kpharmd12/status/1861884638660096244) 2024-11-27T21:27Z [---] followers, [---] engagements "@Kacijohnsonrx @kmccor2014 @RPhFarm @RonDeSantis @GovRonDeSantis @DrNealDunnFL2 @ShaneAbbottFL @DrOz @DOGE @VivekGRamaswamy @elonmusk Ohio was one of the first (if not the first) to tackle spread pricing in Medicaid. It took years to educate people but we eventually got it fixed to have a reasonable dispensing fee + drug cost. Its helped pharmacies tremendously and is saving Ohio Medicaid millions" [X Link](https://x.com/pelterkevin/status/1861949405760291106) 2024-11-28T01:45Z [---] followers, [--] engagements "@Kacijohnsonrx @kmccor2014 @RPhFarm @RonDeSantis @GovRonDeSantis @DrNealDunnFL2 @ShaneAbbottFL @DrOz @DOGE @VivekGRamaswamy @elonmusk Not signing contracts is tough. Especially when a lot of pharmacies have a high Medicare/Medicaid population. @kmccor2014 doesnt take insurance at all. Good for him. Vast majority of pharmacies arent able to do cash only" [X Link](https://x.com/pelterkevin/status/1861950492051398898) 2024-11-28T01:49Z [---] followers, [--] engagements "@Kacijohnsonrx @kmccor2014 @RPhFarm @RonDeSantis @GovRonDeSantis @DrNealDunnFL2 @ShaneAbbottFL @DrOz @DOGE @VivekGRamaswamy @elonmusk If HR [----] eventually gets signed into law it has similar elements to what Ohio accomplished for Medicaid. Would just be on a national scale which is much needed at this point" [X Link](https://x.com/pelterkevin/status/1861951633661338024) 2024-11-28T01:53Z [---] followers, [--] engagements "Heres a better idea: Pass HR [----]. As soon as humanly possible. WSJ article "Medicare Payouts Vary Widely for Same Rx" says reason [--] huge Rx price differences [--] seniors is complicated Rx system & powerful middlemen called PBMs Congress can help seniors by passing my bipart PBM transparency & accountability bills WSJ article "Medicare Payouts Vary Widely for Same Rx" says reason [--] huge Rx price differences [--] seniors is complicated Rx system & powerful middlemen called PBMs Congress can help seniors by passing my bipart PBM transparency & accountability bills" [X Link](https://x.com/pelterkevin/status/1861953388277084172) 2024-11-28T02:00Z [---] followers, [----] engagements "@Kacijohnsonrx @kmccor2014 @RPhFarm @RonDeSantis @GovRonDeSantis @DrNealDunnFL2 @ShaneAbbottFL @DrOz @DOGE @VivekGRamaswamy @elonmusk We are roughly 20% Medicaid with another 40-50% Medicare. We need some good regulatory action to right the ship. I might as well close up shop if I lost all of those customers" [X Link](https://x.com/pelterkevin/status/1861954256003273070) 2024-11-28T02:04Z [---] followers, [--] engagements "Andrew Witty genuinely believes that his company does good things for people who utilize United Healthcare for their insurance. We should believe him. After all I heard his hours long testimony for the Change Healthcare debacle earlier this year. He seemed very genuine then as well. This entire post is said tongue in cheek obviously. Have a great weekend. United CEO Andrew Witty gave an address to the company today (video leaked to me). Some highlights: - "we guard against the pressures that exist for unsafe care or for unnecessary care." - "There are very few people in the history of the US" [X Link](https://x.com/pelterkevin/status/1865380523448623154) 2024-12-07T12:59Z [---] followers, [----] engagements "Im so exhausted seeing claim after claim paid under acquisition cost. When I tell patients that I cant fill their prescriptions anymore due to those losses Im not only losing them as a customer but my competitors get paid more for the same prescriptions. An overwhelming majority of patients are tired of the lack of empathy and care from the large chain pharmacies as well as the mail order pharmacies. We provide much better care and more efficient service but we continue to get shit on by the major players. What the hell is my purpose for even showing up to work anymore" [X Link](https://x.com/pelterkevin/status/1866174219509223791) 2024-12-09T17:33Z [---] followers, [----] engagements "Friends dont let friends enroll into Medicare Advantage plans. Example: @DevotedHealth @CVSHealth Medicare Advantage plan that we will not be contracted with for [----]. Brand name Farxiga: List price $570 [--] month supply pharmacy is paid $25.76 under cost [--] month supply pharmacy is paid $119.13 under cost So if we did this for an entire year filling [--] month at a time we would be paying $6840 to acquire the drug only to LOSE $309.12 just on cost of goods. If we filled this every [--] months wed be paying $6840 to acquire the drug only to LOSE $476.52 on cost of goods. Would anyone be okay with" [X Link](https://x.com/kpharmd12/status/1866236124873494958) 2024-12-09T21:38Z [---] followers, [----] engagements "United Healthcare Group is #4 on the Fortune [---] list. The [--] companies above them are Walmart Amazon and Apple. Profits over patients has been the motto for a very long time for @UHC How does an insurance company incur that much profit Surely it isnt because they are covering medical and prescription claims. They have the highest denial rate across all insurance companies. Public understanding of the insurance world is the last thing that you would want from the standpoint of the insurer. Then the public would know exactly how their well earned dollars are being squandered" [X Link](https://x.com/pelterkevin/status/1866502311465332796) 2024-12-10T15:16Z [---] followers, [--] engagements "CVS Caremark is rolling out a new discount card program for Medicare recipients called RxSavingsPlus for Medicare. Just another tool used to abuse pharmacies. The member will have a 100% cost share for claims not covered under traditional Medicare Part D using this discount card. I have no doubt that GoodRx is the processor for these cards. I wont be utilizing these cards for anyone. If the claim isnt covered by their insurance then my obligation to my insurance contract is complete at that point. Not covered. No one is going to tell me what to charge for a cash price at my own pharmacy" [X Link](https://x.com/pelterkevin/status/1866597537798332642) 2024-12-10T21:35Z [---] followers, [----] engagements "@KyleP762 Im sure thats the best part in their eyes They pay nothing toward the claim but get to split the clawback fee with the discount card company. What another great way to provide nothing of value to the system but they still profit" [X Link](https://x.com/pelterkevin/status/1866629181779423343) 2024-12-10T23:40Z [---] followers, [---] engagements "No one chooses to use mail order or specialty pharmacy. PBMs force it upon patients and make it so they dont have any other options. Mail order pharmacies have the absolute WORST customer reviews Ive ever had the privilege of reading. Mail order offers better service than any community pharmacy When you call a mail order pharmacy youre lucky to get a person within [--] minutes; let alone a person who can actually speak English and is empathetic toward their customers. Give me a fucking break. You all are fucked in the head" [X Link](https://x.com/pelterkevin/status/1867016337165361260) 2024-12-12T01:19Z [---] followers, [---] engagements "Effective immediately Im going to be an even bigger asshole than I already was. If no one in Congress cares about my continuing existence then why should I give a rats ass about anyone elses problems. I dont get paid enough filling prescriptions to care anymore. If your insurance underpays me get fucked and get out of my pharmacy. The good patients will stay and the assholes will leave. Head on down to CVS or Walmart Im sure they will have an even more stressed overworked new pharmacy grad who wont take any of their shit either. Godspeed to anyone else who owns an independent pharmacy in" [X Link](https://x.com/pelterkevin/status/1869942856007213174) 2024-12-20T03:08Z [---] followers, [----] engagements "Patient came in yesterday with a letter from @STRSOhio. The letter states that their PBM/Plan @CVSHealth / @SilverScriptPDP wont be covering Lantus next year. Well color me fucking surprised. The least expensive long-acting insulin on the market right now by a few hundred dollars and they arent going to cover it Follow the money. Which one will be covered then Basaglar Toujeo Semglee Must be one hell of a rebate (kickback) to @STRSOhio & @CVSHealth" [X Link](https://x.com/kpharmd12/status/1870143170681680288) 2024-12-20T16:24Z [---] followers, [---] engagements "@HokiePharmacist Id say lets complain and call them out on this but really who out there actually cares anymore Seems like we have been all set out to sail with no one coming in sight over the horizon. Im trying to stay optimistic but damn its getting near impossible to stay positive" [X Link](https://x.com/pelterkevin/status/1870597872745669029) 2024-12-21T22:31Z [---] followers, [---] engagements "Its not the patients fault. Its their insurance and pharmacy benefit manager. I merely vent my anger on here and share exactly whats on my mind. I dont speak to my patients in this manner whatsoever. Even if it is warranted in a few rare instances. But why does it somehow become my job to educate the patient on how the entire system is set up to pilfer as much money from the patient and then turn around and pay my pharmacy less money than a product costs me to purchase. Ive done more educating than Ive ever dreamed of doing. But when I tell a customer point blank Im going to be losing $15 $30" [X Link](https://x.com/pelterkevin/status/1870641476599689571) 2024-12-22T01:24Z [---] followers, [--] engagements "Im actually very easy going and highly professional in real life. My takes on here are a simply a therapeutic way for me to vent my anger and frustration that stems from the pharmacy I own. Many others than interact with me on X share the exact same sentiment- so for that I thank you. Misery loves company" [X Link](https://x.com/pelterkevin/status/1870943180184817852) 2024-12-22T21:23Z [---] followers, [----] engagements "Just a quick thought: If youre out of refills on your prescriptions transferring your entire profile to another pharmacy isnt going to make additional refills magically appear out of thin air. In fact it will only delay things even more. Merry Christmas" [X Link](https://x.com/pelterkevin/status/1872296631762342340) 2024-12-26T15:01Z [---] followers, [----] engagements "Every year I spend a tremendous amount of time delving into the intricacies of Medicare Part D and Medicare Advantage plans for our customers. They come to us for advice and they want to do whatever they can to keep their medications with a local independent pharmacy (as long as its also in our best interest to continue filling for them as well). Each year it becomes a little easier especially when now only a handful of plans will cover our acquisition cost of expensive branded medications. One particular pain in the ass came in today and said he didnt change his Part D plan for next year" [X Link](https://x.com/pelterkevin/status/1872490452668043528) 2024-12-27T03:51Z [---] followers, [----] engagements "What a great start to my Friday: #7 oxycodone 5mg tabs - Paid [--] cents #6 Azithromycin 250mg tabs - Paid [--] cents I just might be able to retire by the time Im dead" [X Link](https://x.com/pelterkevin/status/1872648959052968245) 2024-12-27T14:21Z [---] followers, [----] engagements "Its downright degrading and disrespectful to the profession of pharmacy. Thought it would be a great accomplishment to be a proud independent pharmacy owner someday. Now that Im an owner 3-1/2 years in Im definitely not proud about it. Meanwhile some jackasses in suits march up to Capitol Hill a few times a year and lie their fucking faces off to Congress and donate heavily so nothing changes. Some patients love me and Im sure others despise me. But at the end of the day patients only want whats best for them- they dont give a shit about my business and me staying open to fill their Ozempic" [X Link](https://x.com/pelterkevin/status/1872842952759763135) 2024-12-28T03:12Z [---] followers, [---] engagements "I have said something very similar to this to my technicians just a few days ago. No longer can we just blindly accept new patients. You simply dont want to take the risk of a profile transfer for 10-15 meds and be losing money on nearly all of them. So if we get calls about people wanting to transfer in I am usually going to be straightforward and inquire what insurance they have before we waste both their time and ours. We are the gatekeeper of medication after all- so who knew it was going to all boil down to whether or not their insurance is profitable enough Its not a good look to be so" [X Link](https://x.com/pelterkevin/status/1872845685634072592) 2024-12-28T03:23Z [---] followers, [---] engagements "@okiepharm Thats about right Too bad I cashed both of them out- so jokes on them" [X Link](https://x.com/pelterkevin/status/1873057813561483284) 2024-12-28T17:25Z [---] followers, [---] engagements "This story is from May [----] but I just stumbled across it today. Customers employees of independent Evans City pharmacy mourn sudden death of longtime owner: Unfortunately the stress that this place put on him because of whats going on it took the life out of him said employee Dana Cucklar. The aspect when I think back basically working for free to take care of all of us is what he was doing; he loved us indescribably said a longtime customer. He cared so deeply about his patients customers and this community and I feel we took it granted because he was always not sometimes always here said" [X Link](https://x.com/pelterkevin/status/1875032771283841413) 2025-01-03T04:13Z [---] followers, [----] engagements "https://www.wpxi.com/news/local/customers-employees-independent-evans-city-pharmacy-mourn-sudden-death-longtime-owner/7XAFDHGLGZC3TGE5EXQFKUSGNA/outputType=amp https://www.wpxi.com/news/local/customers-employees-independent-evans-city-pharmacy-mourn-sudden-death-longtime-owner/7XAFDHGLGZC3TGE5EXQFKUSGNA/outputType=amp" [X Link](https://x.com/pelterkevin/status/1875032773288947826) 2025-01-03T04:13Z [---] followers, [---] engagements "Cost of Prolensa 0.07% = $355 Cost of bromfenac 0.07% = $46 @SilverScriptPDP @CVSHealth doesnt cover the generic product which costs almost 8x LESS than brand name Prolensa. Once again proving that PBMs dont care about what costs the patient less only what they can squeeze out of the manufacturer in rebate money" [X Link](https://x.com/kpharmd12/status/1875227546142244916) 2025-01-03T17:07Z [---] followers, [----] engagements "Heres a fun claim from today. Prescription written for Myrbetriq: Patient co-pay $47 Included a little message to consider formulary generic Okay Ill bite. In the past 18-24 months I have rarely seen any insurance/PBM cover a generic over the branded product. Maybe just maybe they finally are giving in to the pressure. Re-processed the claim for the authorized generic mirabegron. Patient copay now $101.13 and its only paid as a transitional fill. There went that thought. AARP/OptumRx continue to play the rebate game. I should have known better. 😉" [X Link](https://x.com/kpharmd12/status/1876473529715073076) 2025-01-07T03:38Z [---] followers, [----] engagements "Yeppp. The customer also said that it was an also option for them to pay cash and then they could submit their receipts to the insurance company. What a great idea. Ill cash it out for $10 then the insurance can reimburse the patient $1.55. See how they fucking like it. Welcome to our world" [X Link](https://x.com/kpharmd12/status/1876842602655621604) 2025-01-08T04:05Z [---] followers, [---] engagements "Stop writing prescriptions for Dificid. No pharmacy in their right mind would take a $316 LOSS on a $5100 drug" [X Link](https://x.com/kpharmd12/status/1877474277483753495) 2025-01-09T21:55Z [---] followers, [----] engagements "Januvia had more than a $200 reduction in list price for this year. Guess who no longer covers the drug on their formulary None other than CVS Caremark/ @CVSHealth Why would that be Cant say that I didnt see that one coming. Greedy bastards. Big PBMs love to blame big pharma for keeping their list prices high. But when big pharma lowers their list price then PBMs no longer cover those drugs" [X Link](https://x.com/kpharmd12/status/1878105014738059456) 2025-01-11T15:41Z [---] followers, [----] engagements "@sarahleighc96 @CVSHealth Good question. Ill have to look into that" [X Link](https://x.com/kpharmd12/status/1878181915435418093) 2025-01-11T20:47Z [---] followers, [--] engagements "A customer came in this afternoon complaining about their service from mail order. Something or other changed and they didnt receive their medication even though they ordered it at the end of the year. Long story short they asked if I could get them a few days worth of their medications. Never met this person never seen them in our town before let alone my pharmacy. I explained the easiest way would be for their Doctor to send us prescriptions for a 7-14 day supply. Being that weve never filled for this person they would have to take some initiative and get that ball rolling if they want us" [X Link](https://x.com/kpharmd12/status/1878986169762861388) 2025-01-14T02:03Z [---] followers, [----] engagements "Patient wanted usual monthly refills. Same drug NDCs as [----] same employer sponsored insurance in [----] as they have now. See if you can spot the differences in reimbursement: - Atorvastatin 10mg #30 tabs. We were paid $11.35 in [----] NOW being paid $0.34. Co-pay $0 - Tamsulosin 0.4mg #60 caps. We were paid $18.22 in [----] NOW being paid $6.39. Co-pay $6.39 - Glimepiride 2mg #120 tabs. We were paid $37.57 in [----] NOW being paid $2.80. Co-pay $0 - Metformin 1000mg #60 tabs. We were paid $8.45 in [----] NOW being paid $0.94. Co-pay $0 - Montelukast 10mg #30 tabs. We were paid $9.07 in [----] NOW being" [X Link](https://x.com/kpharmd12/status/1879999560719782030) 2025-01-16T21:09Z [---] followers, [----] engagements "@tmac622 @rtinfow @gbunny @EdGainesIII @UHC Best advice to keep looking I suppose. Im looking for a plumber to give me top notch financial planning advice. Know of any lol I love how people with almost Zero knowledge on a specific subject spout off like they are field experts. Chaps my ass every time" [X Link](https://x.com/kpharmd12/status/1880455407254303138) 2025-01-18T03:21Z [---] followers, [--] engagements "@tmac622 @rtinfow @gbunny @EdGainesIII @UHC Id like to request a copy of that double blinded placebo-controlled trial and see those results please. 🙏 Sounds like a wild time" [X Link](https://x.com/kpharmd12/status/1880457459346858362) 2025-01-18T03:29Z [---] followers, [--] engagements "@HokiePharmacist Up until the UHC killing in December the guy hadnt even heard of OptumRx. And yet he seems to know more about PBMs than we pharmacists do" [X Link](https://x.com/kpharmd12/status/1880645204191187168) 2025-01-18T15:55Z [---] followers, [---] engagements "Congress can swiftly vote to shut down TikTok now in effect. Can we put insurance industry owned PBMs next on the list of things to ban swiftly Or are we just going to let all retail pharmacies burn to the ground sit around some more and start scratching our collective heads about what should have been done a long time ago" [X Link](https://x.com/kpharmd12/status/1880825502354604210) 2025-01-19T03:51Z [---] followers, [----] engagements "Can anyone out there purchase Ozempic for $878 Apparently @AnthemBCBS thinks thats how much it costs pharmacies to purchase it from a wholesaler. @novonordiskus - this patient wont have access to your medication. At least not from any independent pharmacy" [X Link](https://x.com/kpharmd12/status/1882082361963364591) 2025-01-22T15:06Z [---] followers, [----] engagements "My biggest gripe with copay cards is essentially the manufacturer is getting hit up for money twice. They get extorted by the PBMs by exchanging rebate money for the coveted formulary placement but then they have to turn around and offer more money to the patient to lower their copay at the point of sale. Where does the liability of the insurance company/ PBM come into play I guess it doesnt matter to them much if the patient gets their medication or not as long as their profits keep rolling" [X Link](https://x.com/kpharmd12/status/1882099283023081693) 2025-01-22T16:13Z [---] followers, [--] engagements "Every time a manufacturer agrees to lower their list price that drug suddenly becomes non-formulary because the PBM continues to favor the more expensive products in which they can extract more rebate dollars. Its a revolving door of corruption. Ask me how I know. It happens all of the time" [X Link](https://x.com/kpharmd12/status/1882467516624376034) 2025-01-23T16:36Z [---] followers, [--] engagements "Between [----] and [----] the company closed [---] locations and opened [---] new stores "Even after the realignment work 85% of people in the U.S. will still live within [--] miles of a CVS Pharmacy" the spokesperson said. Gee- I wonder how many of those [---] new stores are in the same exact areas in which there once was an independent pharmacy but they got run out of business by their PBM CVS/Caremark. Why is CVS opening new stores anyway CVS Health CEO David Joyner stated not long ago that there were too many pharmacies He obviously meant there are too many other competing pharmacies." [X Link](https://x.com/kpharmd12/status/1894226460694777977) 2025-02-25T03:22Z [---] followers, [---] engagements "PBM @ExpressScripts out here creating drug shortage issues by pigeonholing themselves by only covering Semglee and the long acting insulin biosimilar - Insulin glargine-yfgn. The price difference between the biosimilar and Lantus Solostar is less than $5. Maybe just cover the least expensive product indefinitely I know I know- then you wouldnt be able to collect that sweet rebate money from Semglee" [X Link](https://x.com/kpharmd12/status/1895512029743730909) 2025-02-28T16:30Z [---] followers, [---] engagements "Help me make @ExpressScripts famous today. Last year this employer insured patients insurance paid $34.06 for a 90-day supply of atorvastatin. This year that same insurance is now paying us $1.03 for the same 90-day supply. According to the patient nothing changed on their end as far as their insurance benefits are concerned. So what happened exactly Would @ExpressScripts mail order only pay themselves $1.03 to fill this prescription Highly doubt it" [X Link](https://x.com/kpharmd12/status/1896576851297902785) 2025-03-03T15:02Z [---] followers, [----] engagements "Name me another business model where a business puts up nearly $9k and is expected to take a LOSS on the product sold Ill wait For [--] rxs this morning we bought the medicine for $8657 and LOST $354. Insanity #stopPBMabuse For [--] rxs this morning we bought the medicine for $8657 and LOST $354. Insanity #stopPBMabuse" [X Link](https://x.com/kpharmd12/status/1899167143276544365) 2025-03-10T18:35Z [---] followers, [----] engagements "Eventually patients will have just a few run down overworked @cvspharmacy to get their meds filled. Or they could always use mail order also owned by the top [--] pharmacy benefit managers: @CVSHealth @ExpressScripts @OptumRx Your local caring hometown pharmacies will be long gone. Cant say we didnt warn everyone Thanks @SenateDems @HouseDemocrats @HouseGOP @SenateGOP @DOGE @elonmusk @RobertKennedyJr @realDonaldTrump We are on the verge of a tsunami of closings nationwide if significant PBM reform is not enacted immediately. Many are hanging by a thread. We are on the verge of a tsunami of" [X Link](https://x.com/kpharmd12/status/1899288517865308575) 2025-03-11T02:37Z [---] followers, [----] engagements "Legislation needs to be passed to ensure no PBM can also be a pharmacy or have any type of ownership interest whatsoever. If this cant be done then eliminate the need for PBMs. So sick and tired of them making billions while other communities are losing their long-term pharmacies forever. . These PBM-owned mail order specialty and retail pharmacies captured nearly half of all prescription revenues in [----]. #PBMs . These PBM-owned mail order specialty and retail pharmacies captured nearly half of all prescription revenues in [----]. #PBMs" [X Link](https://x.com/kpharmd12/status/1899582384523075902) 2025-03-11T22:05Z [---] followers, [----] engagements "This is going to age like milk on a hot summer day. Now that Walgreens is being scarfed up by a private equity firm what are the chances of this very Walgreens that welcomed customers of [--] Closed Rite Aid locations in the same town last year will be on the chopping block next Oh and if it does get shut down- will the prescriptions be sent to Walmart across the street or down a few blocks to a 2-star review @cvspharmacy My money is on the latter. More money for the vertically integrated hogs in suits. Seen in Findlay Ohio. Findlay had [--] Rite Aid Locations just several blocks apart. Both will" [X Link](https://x.com/kpharmd12/status/1900393905600028907) 2025-03-14T03:49Z [---] followers, [----] engagements "Hey @OptumRx @PatrickConwayMD I thought you claimed under oath that you dont ever steer patients to your own pharmacies. The lie detector test determined that was a lie: After [--] fills then must use OptumRx Mail Service or Walgreens Further question would be if you only pay me $1.68 to dispense this medication and patient copay is $0 how does switching to another pharmacy benefit the patient in any way Is it all just a bait and switch so you can overcharge the plan sponsor by a few hundred percent Everyone is onto the games you play with people. @OptumRx s announcement yesterday to stabilize" [X Link](https://x.com/kpharmd12/status/1903081808800940052) 2025-03-21T13:50Z [---] followers, [----] engagements "Hey @AnthemBCBS @CVSHealth @cvspharmacy I heard that you dont steer patients to your affiliated pharmacies: Must fill 90-days at CVS/Mail. Grace fill applied I can fill a 30-day supply and LOSE $36.40 or fill a 90-day supply and LOSE $109.51. Hmm tough decision there. Maybe Ill just let CVS or CVS mail order fill this one after all since you wont pay me enough to care to fill it" [X Link](https://x.com/kpharmd12/status/1903118030353072443) 2025-03-21T16:14Z [---] followers, [----] engagements "Thanks for the information @medmutual but I own my own pharmacy and will be filling my prescriptions there probably @kroger I heard you are all back in the @TRICARE pharmacy network again too- glad thats working out for you. For the rest of us independent pharmacies out there @TRICARE still wont pay for the majority of medications above our acquisition cost so Im very happy for you" [X Link](https://x.com/kpharmd12/status/1904719660949352898) 2025-03-26T02:18Z [---] followers, [---] engagements "Make PBMs your greatest concern. You know the same PBMs/Insurance company conglomerates behind the biggest data breach of [----] where the private health information of nearly [---] million Americans was leaked. Yeah. Focus on that. @UHC @UnitedHealthGrp @DOGE @realDonaldTrump 23andMes bankruptcy is of great concern to the @FTC. Today I sent a letter to the companys Acting U.S. Trustee overseeing the bankruptcy about the potential sale or transfer of millions of American consumers sensitive personal information. 23andMes bankruptcy is of great concern to the @FTC. Today I sent a letter to the" [X Link](https://x.com/kpharmd12/status/1907263022847979668) 2025-04-02T02:45Z [---] followers, [----] engagements "Who is @ExpressScripts Oh you know just one of the largest pharmacy benefit managers AND also a large mail order pharmacy. Do you know why independent pharmacy owners are so fed up Indulge me for a second Lets imagine all [-----] or so independent pharmacies in the United States were allowed to join forces and start their own pharmacy benefit manager company collectively. Every independent pharmacy would be paid 20-40x as much for prescriptions dispensed at one of our [-----] locations nationwide but if youd rather go to a local @cvspharmacy or @OptumRx mail-order or @ExpressScripts mail-order" [X Link](https://x.com/kpharmd12/status/1907272399365488775) 2025-04-02T03:22Z [---] followers, 92.2K engagements "Earlier today I had a commercially insured patient call and question the price of their cephalexin antibiotic prescription. According to their @ExpressScripts insurance their co-pay should have been $0 through their employers plan. I had to inform them that I wouldnt be filling their antibiotic for the [--] CENTS reimbursement that @ExpressScripts was going to pay. If there is a pharmacy out there filling antibiotics for less than $1.00- you are part of the problem. I told them our cash price which was more than fair and they agreed to that price over the phone. Less than [--] minutes later after" [X Link](https://x.com/kpharmd12/status/1907613372360647016) 2025-04-03T01:57Z [---] followers, [----] engagements "According to PBM @CVSHealth: "House Bill [----] would cripple pharmacy care access and affordability in Arkansas. It endangers Arkansans by eliminating access to vital community pharmacies eroding patient safety and making prescription drugs more expensive Hmm sucks to be on the other side of the coin doesnt it You just described what every small-town independently owned pharmacy has been experiencing for at least the past 10-15 years. @CVSHealth @OptumRx @ExpressScripts @Humana etc. have collectively been driving independent pharmacies out of existence because they have been allowed to do so." [X Link](https://x.com/kpharmd12/status/1910161906247082453) 2025-04-10T02:44Z [---] followers, [----] engagements "Wholesale cost of #180 metformin 1000mg tablets = $2.76 Wholesale cost of 120dram vial to dispense #180 metformin = $1.46 @AnthemBCBS thinks its perfectly acceptable to pay $3.78 TOTAL for this prescription. $0.00 dispensing fee for the pharmacy $0.00 co-pay for the patient Side note: this is an employer sponsored plan so you know the employer is being billed many times more for this prescription by the PBM through spread pricing tactics. This is a big reason behind why pharmacies are closing. @pcmanet @RiordanMcClain @TimBarhorst @DOGE @realDonaldTrump" [X Link](https://x.com/kpharmd12/status/1911085861912854986) 2025-04-12T15:55Z [---] followers, [----] engagements "Have a taste of your own medicine @CVSHealth @pcmanet @JCScottPCMA @davidjoyner Much smaller independent pharmacies have been closing in droves all thanks to big PBMs like @CVSHealth purposely setting their profit margins so low they can no longer compete on a fair playing field. Chickens are coming home to roost. CVS closing stores in Arkansas following law banning PBMs from owning pharmacies HB1150 prohibits state permits to pharmacies owned by pharmacy benefit managers effective Jan. [--] [----]. https://t.co/wmXucZYw4w https://t.co/B9fcU2sLor CVS closing stores in Arkansas following law" [X Link](https://x.com/kpharmd12/status/1913360309844394159) 2025-04-18T22:33Z [---] followers, [----] engagements "You just named off all of the things that PBMs do. You played yourself on that one" [X Link](https://x.com/kpharmd12/status/1917586378528850206) 2025-04-30T14:26Z [---] followers, [---] engagements "The greedy self-serving pricks at @ExpressScripts clearly dont give a shit about a recently diagnosed brain cancer patient of mine: Paying us nearly $10 under acquisition cost on a Class II scheduled narcotic. Shame on you. I hope someday all of their CEOs get an incurable diagnosis and they are forced to try [--] different pharmacies until they can find one who would take this kind of loss. We are going to do the right thing and take care of this patient no thanks to @ExpressScripts" [X Link](https://x.com/kpharmd12/status/1919484838542778431) 2025-05-05T20:10Z [---] followers, [----] engagements "Much like when their F-up last year cost them millions of dollars for a security breach that could have easily been prevented. Hospitals Physicans and Pharmacies werent getting paid for months but it was all GOOD United Healthcare conveniently owns their own bank @Optum Bank to lend out high interest money for the problem they created I wish @UHC would host a yacht party and all get lost at sea. Hurricane Luigi" [X Link](https://x.com/kpharmd12/status/1919581783009423586) 2025-05-06T02:35Z [---] followers, [--] engagements "Medicare Part D plan from @AARP @UHC prefers Brand name Restasis eye drops vs. the much less expensive generic. Restasis cost for #60 = $633 Generic cyclosporine #60 = $85 This means that @abbvie is paying more than a 85% rebate to the PBM in order to get the net cost of Restasis to be cheaper than the generic. What a great example of pay to play for formulary placement" [X Link](https://x.com/kpharmd12/status/1919797427655123198) 2025-05-06T16:52Z [---] followers, [----] engagements "Happy Monday More price manipulation in the form of MAC pricing courtesy of @ExpressScripts Two very different profit margins just [--] months apart for the same medication same NDC same quantity same insurance. In February our COG margin was $33.92 In May our COG margin dropped to $7.00 How fair is that Does mail order also get the same percentage decrease" [X Link](https://x.com/kpharmd12/status/1921954489226936602) 2025-05-12T15:43Z [---] followers, [---] engagements "@DrOzCMS Patients cant afford to purchase their medications and pharmacies cant afford to dispense them due to losses incurred by under-payments from pharmacy benefit managers. They need to be addressed in this mess too. If not more so than big pharma" [X Link](https://x.com/kpharmd12/status/1922125363825541395) 2025-05-13T03:02Z [---] followers, [---] engagements "CVS Health Statement on Accepted Rite Aid Asset Bids From article: CVS Pharmacy is Americas leading and best run national retail pharmacy This is satire right Every single @cvspharmacy Ive ever been in was a total mess and usually had many 1-star reviews. I guess its pretty easy to purchase more than 50% share of prescription records of a failed competitor when your parent company owns a major health insurance company a major pharmacy benefit manager minute clinics a private label drug manufacturer group purchasing organization 9k+ retail pharmacies and mail order/specialty pharmacy." [X Link](https://x.com/kpharmd12/status/1923469566824546309) 2025-05-16T20:04Z [---] followers, [----] engagements "Why is @GoodRx promoting vaccinations Its not like they are footing the bill. GoodRx pays NOTHING towards ANYTHING. They just steal your private data and sell it to the highest bidder. Let this be a warning for anyone who claims @GoodRx sAvEs Me MoNeY on my medication. No They dont save you shit. The big box pharmacy was probably just overcharging you 150% more than they should have been for a cash price. Use an independent pharmacy instead. That is if you still have one nearby that hasnt been decimated by @CVSHealth @OptumRx @UHC or @ExpressScripts" [X Link](https://x.com/kpharmd12/status/1924291398410424602) 2025-05-19T02:29Z [---] followers, [----] engagements "Humira prescription sent to our community pharmacy on May 9th. Prior authorization required We waited and waited some more with some back and forth between the patient doctor and insurance company. Drug approved for a net $307 LOSS This was a test claim because we werent allowed to fill it. It had already been filled through mail order on May 16th. How did @ExpressScripts mail order poach my patients prescription when my pharmacy was the one who initiated the prior authorization Nevertheless I guess I should be thankful that I dont have to tell the patient the truth of why I cant fill this" [X Link](https://x.com/kpharmd12/status/1924593293154713927) 2025-05-19T22:29Z [---] followers, [----] engagements "Provider shall report to Caremark when it has received an overpayment from Caremark What qualifies as an overpayment You mean when @CVSHealth pays me [--] cents above my acquisition cost of a medication Would that count How about you assholes send us checks for the years and years of prescription UNDER-payments. (Cashiers check preferred) Apparently its fucking comedy week over at @CVSHealth CVS/Caremark" [X Link](https://x.com/kpharmd12/status/1925953699425231020) 2025-05-23T16:35Z [---] followers, [----] engagements "For any of the retail pharmacists on here that received a notification from @ExpressScripts today about the ES1000 network how is a contract legally binding when the receiving party doesnt have to sign anything to be accepted into the network If you wish to decline you must do so within [--] days of the notice" [X Link](https://x.com/kpharmd12/status/1926005756186214743) 2025-05-23T20:02Z [---] followers, [----] engagements "Going to be a whole hell of a lot more of these types of patient interactions when Rite Aid is fully gone and Walgreens starts their closures. Many people enjoy the level of service that the independent pharmacies offer (if they havent already closed). Sadly we cannot and should not blindly accept new patients for this very reason: More business through the door doesnt equal higher profitability. When a new patient wants to transfer to an independent pharmacy the first question we have to ask shouldn't have to be "what insurance do you have" Do better @ExpressScripts @Humana @Aetna. I'm" [X Link](https://x.com/kpharmd12/status/1926789910528213025) 2025-05-25T23:58Z [---] followers, [----] engagements "Whoop-de-doo there has already been [--] independent pharmacies close down in Ohio in [----] and we arent even halfway through the year yet. @cvspharmacy @CVSHealth deserve everything they get. Maybe if they played nicely with others they wouldnt have found themselves in this predicament. CVS closing all [--] pharmacy locations in Arkansas Governor Sarah Huckabee Sanders signed into law House Bill [----] ENDING the conflict interest of pharmacy benefits managers owning pharmacies PBMs are who set the insane prices Instead of complying CVS is leaving. This is HUGE https://t.co/1Ve3zXFeXO CVS closing" [X Link](https://x.com/kpharmd12/status/1927407323212865684) 2025-05-27T16:51Z [---] followers, [----] engagements "Jury Awards Major Damages Against Omnicare and CVS Health https://www.hmpgloballearningnetwork.com/site/pln/commentary/jury-awards-major-damages-against-omnicare-and-cvs-health https://www.hmpgloballearningnetwork.com/site/pln/commentary/jury-awards-major-damages-against-omnicare-and-cvs-health" [X Link](https://x.com/kpharmd12/status/1927815136313590263) 2025-05-28T19:52Z [---] followers, [----] engagements "Can anyone purchase Ozempic for $858.92 @ExpressScripts thinks we can. I disagree" [X Link](https://x.com/kpharmd12/status/1928535523137569140) 2025-05-30T19:34Z [---] followers, [----] engagements "Ozempic has a $819 retail price through GoodRx through CVS Walgreens Walmart or Target. What a steal. My primary wholesaler cant even sell it for me for less than $972. At that rate I should just get a prescription for myself at CVS with the GoodRx coupon and then turn around and dispense it for my patients who need it. Oh wait that would be illegal. Makes me wonder what price those big pharmacies are able to purchase it Gotta be less than $819 right Or are they taking loss processing through GoodRx Food for thought- I cant financially support my patients need for their prescriptions to be" [X Link](https://x.com/kpharmd12/status/1928869029143347400) 2025-05-31T17:39Z [---] followers, 14.7K engagements "@realdocspeaks @novonordisk Sounds like we need to eliminate PBMs. They clearly arent getting the job done" [X Link](https://x.com/kpharmd12/status/1928999219324465533) 2025-06-01T02:17Z [---] followers, [---] engagements "@TPNdustries I used to be the most calm chill and patient person. Now everyday Im on constantly on edge the littlest things piss me off for days and Im always overthinking and spacing out. Pharmacy ownership is not great for mental health" [X Link](https://x.com/kpharmd12/status/1930048948539973998) 2025-06-03T23:48Z [---] followers, [---] engagements "Idaho wants to turn over Medicaid to UnitedHealth Group. Great idea guys https://t.co/YZUFVlYHRn Idaho wants to turn over Medicaid to UnitedHealth Group. Great idea guys https://t.co/YZUFVlYHRn" [X Link](https://x.com/kpharmd12/status/1930096072627540101) 2025-06-04T02:55Z [---] followers, [---] engagements "@TrekDocFan What a colossal mess CVS is trying so hard to rule the roost. But failing miserably" [X Link](https://x.com/kpharmd12/status/1930104988384018931) 2025-06-04T03:31Z [---] followers, [--] engagements "United Healthcare showing their true colors on this one CENSORED:The Modern Medical Mafia docuseries has now been removed from Prime Video and Vimeo after complaints by UnitedHealthcare and OptumRx claiming its not truthful.My son Coles death is 100% true. So are the stories of every other victim in this fight. #PBMReform #truth https://t.co/82YDj5ADty CENSORED:The Modern Medical Mafia docuseries has now been removed from Prime Video and Vimeo after complaints by UnitedHealthcare and OptumRx claiming its not truthful.My son Coles death is 100% true. So are the stories of every other victim in" [X Link](https://x.com/kpharmd12/status/1930366435131261149) 2025-06-04T20:49Z [---] followers, [---] engagements "All day every day. CVS Caremark OptumRx and Express Scripts are all blame-shifting rebate extorting scum bags who all need their day of reckoning. Sooner rather than later. CVS Caremark is supposed to negotiate with drug manufacturers to save money on drugs for the state employees plan but theyre keeping much of those savings for themselves claimed Thomas Friedman executive administrator of the State Health Plan who works in the state CVS Caremark is supposed to negotiate with drug manufacturers to save money on drugs for the state employees plan but theyre keeping much of those savings for" [X Link](https://x.com/kpharmd12/status/1931171102106984591) 2025-06-07T02:07Z [---] followers, [----] engagements "Prescription for tramadol 50mg #120 tablets: We need a terminal distributor license a licensed pharmacist and also a DEA license in order to dispense this drug. Total reimbursement = $1.54 Not even close to enough money to cover the our cost of dispensing let alone the cost of the drug itself. This is not insurance This is extortion of your local community pharmacy. I dont give AF that the patient had a $0 co-pay. Your drug isnt covered I myself as the pharmacist and owner is contributing more towards your medication cost than your insurance company is. Pay cash or go somewhere else. For" [X Link](https://x.com/kpharmd12/status/1932135626708803836) 2025-06-09T18:00Z [---] followers, [----] engagements "The last [--] months of fill history of the same medication for a employer-insured patient: Each month the patient was responsible for the full price of the medication. Their insurance contributed nothing towards any of these claims. Funny how PBMs firmly tell Congress and others that they arent responsible for setting the price of medications. What do you call this then" [X Link](https://x.com/kpharmd12/status/1932164341106679945) 2025-06-09T19:54Z [---] followers, [----] engagements "I would argue that if CVS Caremark (PBM) wouldnt have put so many independent pharmacies out of business in the last [--] years patients would still have plenty of local access to the pharmacy of their choosing. Its about leveling the playing field. CVS is crying wolf because a state is finally taking bold action against their anti-competitive abuses. Would it make sense for McDonalds to set the profit margins for Burger King or Wendys No it wouldnt. Thats essentially what CVS Caremark has done to their competitors. Drive them out of business with lower than acquisition cost reimbursements" [X Link](https://x.com/kpharmd12/status/1932273653007126891) 2025-06-10T03:08Z [---] followers, [--] engagements "2024 @CVSHealth contribution to Pharmaceutical Care Management Association @pcmanet = $7296000 No wonder @JCScottPCMA doesnt mind spouting off lies to Congress a few times a calendar year. Glad the money PBMs are bilking from community pharmacies are going towards such a great cause CVS Health Corporation - Contributions /dues to trade associations and coalitions January [--] [----] to December [--] [----] https://t.co/e0nbNzCyMC CVS Health Corporation - Contributions /dues to trade associations and coalitions January [--] [----] to December [--] [----] https://t.co/e0nbNzCyMC" [X Link](https://x.com/kpharmd12/status/1932867459830161741) 2025-06-11T18:28Z [---] followers, [----] engagements "Had an @OptumRx desk audit sitting on the fax machine this morning. [--] products in total. All Brand name drugs. Probably in total looking at over $50k worth of drugs they are attempting to recoup. Dating back to January [----]. Wish me well" [X Link](https://x.com/kpharmd12/status/1933161980849971629) 2025-06-12T13:58Z [---] followers, 219.8K engagements "Because @CMSGov doesnt give AF about pharmacies surviving. Why isnt CMS doing this with the pharmacies as well https://t.co/CFXgeGSxe9 Why isnt CMS doing this with the pharmacies as well https://t.co/CFXgeGSxe9" [X Link](https://x.com/kpharmd12/status/1934033646928712135) 2025-06-14T23:42Z [---] followers, [----] engagements "Time to burn this shit heap down to the ground. Insurance companies PBMs all of it. Set the bitch on fire and walk away. Board Certified OBGYN exposes what they must go through just to get one prescription approved by health insurance companies This is what doctors are dealing with in [----]. So my patient needs a medication an indicated medication for her condition. So I send the prescription to https://t.co/cCZs9KRDzV Board Certified OBGYN exposes what they must go through just to get one prescription approved by health insurance companies This is what doctors are dealing with in [----]. So my" [X Link](https://x.com/kpharmd12/status/1935199374314803291) 2025-06-18T04:54Z [---] followers, [----] engagements "Top [--] PBMs = 95% market share All other PBMs + Cash pay patients = 5% of the market This is the competitive market that @pcmanet and @JCScottPCMA are always touting. 🚨 2024: ()🚨 The pharmacy benefit manager (PBM) market remains highly concentratedwith nearly 80% of equivalent https://t.co/7S4kAXcSYv 🚨 2024: ()🚨 The pharmacy benefit manager (PBM) market remains highly concentratedwith nearly 80% of equivalent https://t.co/7S4kAXcSYv" [X Link](https://x.com/kpharmd12/status/1935314673181856193) 2025-06-18T12:32Z [---] followers, [----] engagements "Thought it would be a good time to revive this post with all of the @AstraZeneca news lately Drug on the left = $570 Drug on the right = $356 Which drug would you want to purchase knowing that the tablets are identical and are made in the same manufacturing plant The cheaper one obviously right Then why do major PBMs exclude the cheaper one https://t.co/S6QOci97ET Drug on the left = $570 Drug on the right = $356 Which drug would you want to purchase knowing that the tablets are identical and are made in the same manufacturing plant The cheaper one obviously right Then why do major PBMs" [X Link](https://x.com/kpharmd12/status/1935572032508371233) 2025-06-19T05:35Z [---] followers, [----] engagements "Pharmacy was paid [--] cents for dispensing [--] prescriptions but the plan sponsor (her husbands employer) was billed $161.00 Holy spread pricing Batman VanderHouwen described one instance where she filled three of her own prescriptions and was reimbursed just [--] cents. My husband's employer who holds the insurance was billed $161 for those prescriptions she said. And I received [--] cents. @KREM2 https://t.co/HHQ602ZJ67 VanderHouwen described one instance where she filled three of her own prescriptions and was reimbursed just [--] cents. My husband's employer who holds the insurance was billed $161" [X Link](https://x.com/kpharmd12/status/1935740632036770016) 2025-06-19T16:45Z [---] followers, [----] engagements "Want a sure fire way to piss off your local pharmacist Bring in any prescription that was filled from a mail-order pharmacy or another retail pharmacy and start asking questions about it GTFOH with that. Call the place you got it filled; that falls under the category of not my problem" [X Link](https://x.com/kpharmd12/status/1936269373607497731) 2025-06-21T03:46Z [---] followers, [----] engagements "Indy Drug Co. will accept pretty much any insurance plan including Medicare Wish them the best of luck- probably not a good idea to take on many of Rite Aids customer base without vetting them first. With the recent news of pharmacies closing there's so many patients that are just on an island and patients that can't drive can't get out need help managing their medications." @WJACTV https://t.co/G65IQFJcnK With the recent news of pharmacies closing there's so many patients that are just on an island and patients that can't drive can't get out need help managing their medications." @WJACTV" [X Link](https://x.com/kpharmd12/status/1937342244471943583) 2025-06-24T02:49Z [---] followers, [----] engagements "Been seeing a lot more of these types of rejects here lately. Any coincidence @CVSHealth @cvspharmacy @Aetna @AetnaHelp that you are purposely trying to steer more patients with all of the recent news about your terrible business model Must fill 90-day supply But when I try to bill a 90-day supply as you stated my pharmacy is coincidentally not in the 90-day network. So if I cant bill a 30-day supply and I cant bill a 90-day supply then patient has to pay cash or transfer out to @cvspharmacy Patient had a $0 co-pay before so take a wild guess which option he is choosing This needs to be" [X Link](https://x.com/kpharmd12/status/1937909510208975237) 2025-06-25T16:23Z [---] followers, [----] engagements "The ruling stems from a False Claims Act lawsuit brought by whistleblower Sarah Behnke a former actuary at Aetna who accused CVS Caremark Corp. of artificially inflating drug prices submitted to the Centers for Medicare & Medicaid Services (CMS) while paying pharmacies like Rite Aid and Walgreens significantly less No Say it aint so Better question is why is @CVSHealth @Aetna allowed to continue participating in Medicare Relator has proven damages with reasonable certainty Judge Goldberg wrote emphasizing that Caremarks conduct resulted in inflated Part D drug prices and distorted CMS" [X Link](https://x.com/kpharmd12/status/1938371321630789653) 2025-06-26T22:58Z [---] followers, [----] engagements "If the dumbasses in Congress were worth a damn they wouldve done something by now. There is enough overwhelming evidence across the nation to sign seal and deliver a message to the PBM parasites once and for all. But that wont happen as long as the money continues to flow. No legislator can pretend to be ignorant to the issue anymore; not with all of the bad publicity the PBMs have been receiving over the past couple of years. So what gives Small businesses are the backbone of America right That is just a political catch phrase to get elected to a position in which they then screw over said" [X Link](https://x.com/kpharmd12/status/1938441571667509428) 2025-06-27T03:37Z [---] followers, [----] engagements "Ive been researching for days looking for any information regarding the tragic deaths of two pharmacists who took their own lives in Lancaster Pennsylvania. I usually have a knack for finding information online quickly but this has been difficult to track down. What are you trying to hide @CVSHealth @cvspharmacy This story needs to make national headlines. Two obviously overworked and overburdened pharmacists are no longer here with us because of a corporation who failed them. My biggest fear is that this type of news will become more prevalent as pharmacies shut down nationwide. Patients are" [X Link](https://x.com/kpharmd12/status/1938459563025449088) 2025-06-27T04:49Z [---] followers, [----] engagements "Its time to Take Action to Protect Patients Not Profits -The Pharmacists Fight Back Act - The Patients Before Monopolies Act -The Health Savings for All Act Need to Happen. Support them Please #MarchToAMillion and #JusticeForCole @JonHusted @boblatta @berniemoreno" [X Link](https://x.com/kpharmd12/status/1938790753913766154) 2025-06-28T02:45Z [---] followers, [---] engagements "Imagine going to get an oil change for your car: The technician replaces your oil filter drains your old oil and refills it with new oil you pay for the service and youre on your way for another 3-5k miles. Now also imagine that same shop not being reimbursed their cost for the oil filter and replacement oil. They also get paid nothing for their time/labor. That is the simplest explanation of retail community pharmacy" [X Link](https://x.com/kpharmd12/status/1938973975394046242) 2025-06-28T14:53Z [---] followers, [----] engagements "@RPhFarm 🤣 Also forgot the part where Valvoline and Mobil [--] audit the automotive shop for their invoices showing that they used their brand of oil and not some cheap knock off while charging the customer for brand name oil" [X Link](https://x.com/kpharmd12/status/1938977947404132415) 2025-06-28T15:09Z [---] followers, [---] engagements "Congress is somewhere with their thumby up their bummy cashing in their checks from their big insurance donors @RepJamesComer @RepMTG @RepBuddyCarter @realDonaldTrump @SpeakerJohnson @DrOzCMS @DonaldJTrumpJr An independent pharmacy goes out of business EVERY DAY Where is congress @RepJamesComer @RepMTG @RepBuddyCarter @realDonaldTrump @SpeakerJohnson @DrOzCMS @DonaldJTrumpJr An independent pharmacy goes out of business EVERY DAY Where is congress" [X Link](https://x.com/kpharmd12/status/1939036054142570843) 2025-06-28T18:59Z [---] followers, [---] engagements "🚨FACT: I might have to close down my independent pharmacy since there was yet again no PBM reform included at the federal level. My American family take-home pay will be REDUCED to ZERO because I will be out of a job. 🚨 FACT: When we pass President Trumps historic tax relief take-home pay for a typical American family will INCREASE by OVER $10000 per year. 🚨 FACT: When we pass President Trumps historic tax relief take-home pay for a typical American family will INCREASE by OVER $10000 per year" [X Link](https://x.com/kpharmd12/status/1939162722584666208) 2025-06-29T03:23Z [---] followers, [----] engagements Limited data mode. Full metrics available with subscription: lunarcrush.com/pricing
@kpharmd12 KP, Pharm.D.
KP, Pharm.D. posts on X about insurance, money, cvs, acquisition the most. They currently have [------] followers and [---] posts still getting attention that total [-------] engagements in the last [--] hours.
Engagements: [-------] #
Mentions: [--] #
Followers: [------] #
CreatorRank: undefined #
Social Influence
Social category influence finance stocks countries celebrities social networks technology brands travel destinations cryptocurrencies
Social topic influence insurance, money, cvs, acquisition, health, doge, elon musk, ron desantis, cvshealth, business
Top assets mentioned CVS Health Corp (CVS) Dogecoin (DOGE) Kroger Co (KR) April (APRIL) UnitedHealth Group (UNH) McKesson Corporation (MCK) Cigna Corp (CI) CyberConnect (CYBER) rats (RATS) CENTS (CENTS) Verge (XVG) AbbVie Inc (ABBV)
Top Social Posts
Top posts by engagements in the last [--] hours
"Two different patients two vastly different outcomes: Patient #1 presents prescription for oxycodone/acetaminophen 5/325mg #12 tablets. Sent to insurance and we were paid [--] cents. Patient copay $0 We took off insurance and patient was willing to pay a fair cash price. Patient #2 had a prescription for atorvastatin 20mg #90 tablets. Sent to insurance and we were paid [--] cents. Patient copay $0 Again took prescription off insurance and charged a fair cash price Patient calls insurance company to complain why they were overcharged for their medication that should have been $0. Insurance tells"
X Link 2025-08-22T15:31Z [----] followers, [----] engagements
"@RxPricing @BusinessInsider HmmSounds like what PBMs do with their manufacturer rebates through their GPOs based in Switzerland & Ireland. Cough cough Ascent Health Services (Express Scripts) and Emisar (OptumRx)"
X Link 2023-08-17T02:42Z [---] followers, [--] engagements
"How can UnitedHealth Care/OptumRx make $324 Billion in profits in [----] By paying pharmacies WELL-UNDER cost of dispensing medicine. $0.23 margin for this Rx doesnt even cover the cost of the bottle/lid/label we are dispensing it in"
X Link 2023-09-08T16:10Z [---] followers, [----] engagements
"Patient recently transferred Rxs from CVS to our pharmacy. He read on Optum Rx website that we were cheaper to use. Insurance contributed $0 since he was still in deductible phase. CVS Copay for #90 rosuvastatin= $32.88 Our Copay for #30 (plan limit) rosuvastatin= $1.29"
X Link 2023-09-13T02:18Z [--] followers, [--] engagements
"Same patient: CVS Copay for #180 amlodipine= $15.31 Our Copay for #60 (plan limit) amlodipine= $0.63 Again insurance just set the price and contributed $0 at both pharmacies"
X Link 2023-09-13T02:32Z [---] followers, [---] engagements
"And last but certainly not least: CVS Copay for #90 metoprolol ER= $47.51 Our Copay for #30 (plan limit) metoprolol ER= $0.93 And people wonder why Independent pharmacies in America are struggling right now Are you kidding me How is this even legal @linakhanFTC"
X Link 2023-09-13T02:32Z [---] followers, [---] engagements
"@BrandiChane @thexerxers @mcuban @costplusdrugs @TruthRX I will have to see what I can do there. Our primary wholesaler was wondering why we were purchasing so much away from them Just give me your best damn price aside from any rebate schemes incentives etc. Is that too much to ask Haha"
X Link 2023-10-03T01:57Z [---] followers, [---] engagements
"Employers choose spread pricing because they arent presented with any other options. How is overcharging the insurance company under paying the pharmacy and then keeping the rest for yourself helping anyone Get the hell out of here with that shit"
X Link 2023-10-04T21:09Z [---] followers, [----] engagements
"@LaurenDC5 @WANDTVDoug Be sure to hop on that class action lawsuit against CVS Caremark and Aetna filed last week. Hopefully we will be able to recoup some of the theft of DIR fees from that. Maybe additional suits will be filed in the future if successful"
X Link 2023-10-04T21:13Z [--] followers, [--] engagements
"@trope112011 @BoesingLoretta Had a customer need #90 nebivolol 10mg tabs. Insurance priced it well over $800 thru SilverScript Med-D. PBM then took back $780 in DIR fees. We cashed it out for $30.00 for the #90 tabs. Patient was extremely happy to say the least. PBMs dont deserved a dime"
X Link 2023-10-23T01:39Z [--] followers, [---] engagements
"@_JeremyCates @linakhanFTC @SpeakerJohnson Damn. I guess I will start recommending people go elsewhere to fill it then. Any Medicare Part D plan pays about $30-$90 under acquisition cost after DIR fees. Better to have another pharmacy take a loss on it. Id like to remain in business if I can help it"
X Link 2023-10-28T02:21Z [--] followers, [--] engagements
"@Nenaadvocacy @JennyWiskirchen @linakhanFTC @SpeakerJohnson @CSROAdvocacy @PhRMA @costplusdrugs @mcuban @MattieRheumMD 👏👏👏👏 I second that motion"
X Link 2023-10-31T13:57Z [---] followers, [---] engagements
"Medicare Advantage Plan: We were paid $9.78 in Aug/Sept and now its $21.28 in Oct/Nov for the same exact drug/quantity. Usually we see our payments decrease so what is going on here CVS Caremark is the PBM for this MA plan. Are they starting to feel the 🔥🔥🔥 I hope so"
X Link 2023-11-07T01:01Z [--] followers, [----] engagements
"Another example from a Medicare Advantage Plan: We were paid $3.02 in Aug/Sept for #30 citalopram 10mg. In Oct/Nov we were paid $11.99 for the same prescription. Usually we see our payments decrease throughout the year so Im a bit perplexed on this one. Any thoughts"
X Link 2023-11-07T01:07Z [--] followers, [---] engagements
"Its the year 2025: The FTC comes down hard on PBMs and fines the Big [--] $1 Trillion as restitution to all the Independent Pharmacies they forced to close over the previous decade PCMA and their cohorts are all in federal prison for extortion and tax evasion. Dream Big"
X Link 2023-11-11T02:11Z [--] followers, [----] engagements
"Maybe if the PBMs would cover the pharmacy acquisition cost of the RSV vaccine more people would be able to access the vaccine. In Medicare patients specifically when you factor in DIR fees with the RSV vaccine: the pharmacy loses about $22 per claim"
X Link 2023-12-15T16:17Z [---] followers, [----] engagements
"Recently got audited by @ExpressScripts for a Pneumonia vaccine I administered. Said I billed it incorrectly for days supply. They said days supply should have been a [--]. I have billed thousands of vaccines with a [--] day supply and never gotten this type of garbage"
X Link 2024-01-20T22:15Z [---] followers, [----] engagements
"@blaquiere_38633 I was shocked to see insulin prices drop the way they did. Thats fantastic. But PBMs are still paying $10-$20 under acquisition cost. So why would I stock that for a patient Yeah its now cheaper to purchase it but if Im losing money still- wheres my incentive"
X Link 2024-01-25T01:23Z [--] followers, [--] engagements
"@_JeremyCates Absolutely agree. I tried [--] different albuterol inhalers today for a patient on a MA plan. All [--] products paid out a few cents under my acquisition cost from our primary wholesaler (usually our cheapest option). Coincidence I dont think so anymore"
X Link 2024-01-25T01:25Z [--] followers, [--] engagements
"Imagine owning a used car dealership and selling cars for $6750 each. On each transaction you lose $275. Thats retail pharmacy in a nutshell right now except the $6750 car is actually Humira. Thanks @CVSHealth for doing your part to ruin healthcare for everyone"
X Link 2024-01-28T14:22Z [---] followers, [----] engagements
"@Pharmassists Wow. That has to be one of the worst reimbursements Ive seen. Sorry to see this I hope there is some change coming this year but Im trying to stay realistic. Im sure that loss cant be good for your case of shingles. Hang in there man"
X Link 2024-01-29T18:22Z [---] followers, [---] engagements
"We do not carry Paxlovid. With a negative margin of $63 for a drug that costs $1350 why would I I called numerous other stores in our area and only [--] pharmacy stocks it. @pfizer @FTC @linakhanFTC Does anyone see the problem here We have a national crisis brewing"
X Link 2024-02-05T21:40Z [---] followers, [----] engagements
"This patient also had reduced copays through Medicares extra help program so is therefore eligible to change plans once each quarter. If you are getting underpaid by any Medicare Part D plan it would be highly advisable to have discussions with your dual eligible patients now"
X Link 2024-02-20T02:55Z [---] followers, [---] engagements
"We use a platform to compare Medicare Part D plans and Medicare Advantage plans and we have had great success doing this. If you arent proactively doing something like this already you are losing more money than you probably should be. Reach out to me if you want more info"
X Link 2024-02-20T02:55Z [---] followers, [---] engagements
"@BethWaldron Just declined to fill a Xarelto [--] minutes ago. [--] day supply we would have lost $26 [--] day supply we would have lost $181 Some PBMs are slightly above cost but the majority are $20-$40 under for a month supply in Medicare Part D or MA plans"
X Link 2024-02-20T16:46Z [---] followers, [----] engagements
"@mcuban @BethWaldron Commercial/private insurance isnt much better for reimbursement. Maybe break even if youre lucky. Main difference is commercial ins. allows copay cards to be billed to lower cost. Problem being: Manuf. is paying twice: once for PBM rebate then again for copay assist cards"
X Link 2024-02-21T00:03Z [---] followers, [----] engagements
"Follow the money trail. When PBMs steal close to $10 Billion every year in fees from community pharmacies it's easy to see how they can afford giving so much in lobbying money to continue their convoluted business practices. [--] million dollars in lobbying in [----]. Unreal. [--] million dollars in lobbying in [----]. Unreal"
X Link 2024-02-27T03:15Z [---] followers, [---] engagements
"Coming Monday March 4th. Be sure to tune in: White House Targets Prescription Drug Costs Eyes PBM Reform with Industry Leaders"
X Link 2024-02-29T03:19Z [---] followers, [---] engagements
"Anyone out there know where you can buy generic Flovent for $89.23 The cheapest I could find anywhere from our [--] suppliers was $159 Another one I will refuse to fill. Patient ultimately suffers from the underpayment by the PBM"
X Link 2024-02-29T15:56Z [---] followers, [----] engagements
"Long before the United Healthcare/Change Healthcare cyber attack this has been happening all across the nation with prescription underpayments made by @UHC. PBMs never follow the law. Does anyone out there care @ftc @linakhanFTC @ChuckGrassley @MikeCrapo @RonWyden @mcuban @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 dont care but rake in billions while Indies close. Feds pls act. @RfactsFacts @linakhanFTC"
X Link 2024-03-03T14:59Z [---] followers, [----] engagements
"Im not going to be explaining insurance co-pays to anyone in [----]. Probably wont be in business after this year truth be told. This is a really good practical look at the effects of OOP smoothing in Medicare Part D. Without doubt pharmacists will spend even more time trying to explain to patients why they are paying a different amount. Patient confusion all abound and even less actual patient care. This is a really good practical look at the effects of OOP smoothing in Medicare Part D. Without doubt pharmacists will spend even more time trying to explain to patients why they are paying a"
X Link 2024-03-03T20:16Z [---] followers, [----] engagements
"@pcmanet @EconTony @WhiteHouse @rc_markets The upcoming listening session that the White House is holding is missing one important voice the PBMs themselves Pretty sure @pcmanet and @JCScottPCMA have had plenty of opportunities to lie under oath to Congress all the other times youve been called to their hearings"
X Link 2024-03-05T04:13Z [---] followers, [--] engagements
"@GrumpPharmacist @CVSHealth Yet if that same drug was dispensed at a CVS pharmacy- they would be getting paid 15-20x that amount. And I know they do because Ive dealt with it too"
X Link 2024-03-06T16:21Z [---] followers, [---] engagements
"Example of PBM patient and pharmacy abuse: Patient was allowed a [--] time fill of generic Breo in January for a $0 copay based on their employer sponsored plan. Now plan requires Branded Breo ONLY for a $50/mo. copay. Generic no longer preferred. Paid $26 under cost of drug"
X Link 2024-03-19T03:58Z [---] followers, [----] engagements
"@linakhanFTC @FTC @GSK The lawmakers claimed in the letter sent to the four companies in January that GSK's Advair HFA costs $319 in the United States but $26 in the United Kingdom. The U.K. doesnt utilize services of Pharmacy Benefit Managers. Thats your price difference in the United States"
X Link 2024-03-21T14:45Z [---] followers, [---] engagements
"More bullshit this time from @ExpressScripts So sick of patients asking why their insurance wont cover the generic alternative vs. the more expensive brand name drug. Who the fuck benefits from lowest Net Cost Its not the patient and its definitely not the pharmacy"
X Link 2024-03-23T01:45Z [---] followers, [----] engagements
"Heres a little snippet of some of those cost differences. For them to keep covering the brand and not generic- the PBM must be getting one Hell of a Rebate"
X Link 2024-03-23T15:02Z [---] followers, [----] engagements
"Great explanation of what Spread Pricing actually is @pcmanet would say that Spread Pricing is just a plan benefit design that the plan sponsor chose for themselves. This plan sponsor was actually the State of Ohio Managed Medicaid and got overcharged BIG TIME "What we were seeing in the state of Ohio was that pharmacies were getting paid less and less for the medicines that they were dispensing to their Medicaid beneficiaries. But on the other end of the transaction as those cuts were occurring the state of Ohio was spending more https://t.co/7ccUl6m1ky "What we were seeing in the state of"
X Link 2024-03-28T11:49Z [---] followers, [----] engagements
"@Pharmassists @FTC But nobody thought she should be CEO because she is so petite WTF I love the fact that we have until fucking April [--] [----] to deny the contract for January [----] effective date. Yet they change their formulary for patients every other day"
X Link 2024-03-29T19:38Z [---] followers, [---] engagements
"Nice April Fools joke: Cap costs at $2000. Patient will then have $0 co-pays. PBMs will still be underpaying community pharmacies to dispense the prescription. That is if there are any left standing by [----]. Why are we only blaming big pharma Read the room dickhead. Today we announced millions of people with Medicare Part D will see lower costs next year and their out-of-pocket costs for prescription drugs will be limited to no more than $2000. @POTUS is putting more money in your pocket instead of Big Pharma's. https://t.co/OLTDAwyCW5 Today we announced millions of people with Medicare Part"
X Link 2024-04-02T02:55Z [---] followers, [---] engagements
"We lost $38 on Ozempic recently. Patient actually showed me his EOB from his Medicare Part-D plan. Plan paid over $1200 PBM paid our pharmacy $876 and pocketed the spread which was well over $300 for one drug. If you arent enraged by this: unfollow me right now. When a PBM does not pay a pharmacy enough to even cover the cost of purchasing a medicine the pharmacy loses money. Like this pharmacist in AL who lost of $45 to fill just one prescription. Read more about this issue at the link: https://t.co/4WqxUFUjB4 https://t.co/le5gBeWeAV When a PBM does not pay a pharmacy enough to even cover"
X Link 2024-04-03T00:21Z [---] followers, 30.4K engagements
"Can I get a refund on the $150k+ that I personally paid back by myself over the last [--] years Nobody bailed me out because MY name was on the documents stating that I would be responsible for paying the loans back not the taxpayers. President Joe Biden will announce on Monday his plans to cancel student debt for more than [--] million Americans by this fall per Reuters President Joe Biden will announce on Monday his plans to cancel student debt for more than [--] million Americans by this fall per Reuters"
X Link 2024-04-08T14:43Z [---] followers, [----] engagements
"@carnivorePharm @Pharmassists @ExpressScripts Took it out of insurance. Told the patient they can either pay cash or I can transfer it out. Only [--] options Im giving anymore. Im done with the PBM bullshit or wasting my time asking for more money from the PBM"
X Link 2024-04-11T12:00Z [---] followers, [--] engagements
"PBMs also promote the use of generic and cost-effective medications and facilitate mail-order delivery of life-saving medications which vastly improvesadherenceto drug regimens andsaves both time and money for patients. There is a plethora of evidence to disprove this. New op-ed in RealClearMarkets. "The real challenge facing independent pharmacies." https://t.co/JxJdxYKlOM https://t.co/bGDDPwzoO2 New op-ed in RealClearMarkets. "The real challenge facing independent pharmacies." https://t.co/JxJdxYKlOM https://t.co/bGDDPwzoO2"
X Link 2024-04-16T18:30Z [---] followers, [---] engagements
"Weve been doing plan comparisons during open enrollment for many years. We compare Medicare Part D plans and Medicare Advantage plans for our patients. Each year there are fewer and fewer plans that pay the pharmacy their acquisition cost on meds. Thats a big problem. In other words independent pharmacies subsidize profits for the big [--] PBMs Hate to say this but the Medicare Advantage program seniors pick may be putting your local Indy pharmacy out of business. Next renewal ask how much they pay pharmacies. And pharmacists need to help In other words independent pharmacies subsidize profits"
X Link 2024-04-21T01:03Z [---] followers, [----] engagements
"Someone explain how @cvspharmacy was paid $150 more than my independent pharmacy for the same medication on the same Medicare Drug plan just one month apart last year By using @cvspharmacy that extra $150 difference put this patient that much closer to the coverage gap"
X Link 2024-04-27T01:47Z [---] followers, [----] engagements
"@Pharmassists Do you have to have someone available 24/7 And what about TPNs can you outsource those items if you cannot provide Ive briefly looked into the LTC space. Seems like a daunting task but maybe worth all the hassle it sounds like"
X Link 2024-04-27T21:02Z [---] followers, [---] engagements
"@Pharmassists I just left work or I would have been able to tell you right where it was. Was it a reject for a new insurance added in the system Im thinking its in the details section of the insurance plan information somewhere"
X Link 2024-05-17T21:43Z [---] followers, [--] engagements
"Theres a message Ive never seen before: 100% patient pay applies at retail unless filled at a Walmart/Sams Club pharmacy. Patient copay= $1.44 Pharmacy acquisition cost= $1.67 Pharmacy loses $0.23 just on drug cost Wonder what Walmart gets paid for this drug"
X Link 2024-05-21T19:40Z [---] followers, [---] engagements
"To the person who stole my Chipotle pick up order tonight I hope you wake up to the worst exploding diarrhea tomorrow"
X Link 2024-05-27T22:50Z [---] followers, [---] engagements
"All while the dispensing pharmacy stands to lose about $100+ on a single claim for Wegovy. Absolute insanity. Wegovy list price = - $1350 Patient Copay = + $1000 Assume 50% pharma rebate = + $675 Is UHC pocketing $325 in this situation Cc @tjparker @mcuban @DrugChannels Wegovy list price = - $1350 Patient Copay = + $1000 Assume 50% pharma rebate = + $675 Is UHC pocketing $325 in this situation Cc @tjparker @mcuban @DrugChannels"
X Link 2024-05-29T15:01Z [---] followers, [---] engagements
"Need to ban copay accumulators ban spread pricing ban PBMs from collecting rebates/kickbacks/bribes of any kind abolish preferred pharmacies enforce any willing provider laws and establish minimum dispensing fees + fair and equal reimbursements @BrianStewartOH @TimBarhorst Another media outlet discovers the problems with copay accumulators.a practice Ohio has yet to ban despite widespread legislative support Patients with pricey meds experience insurance companies 'double dipping' https://t.co/L4RxjWNZ4Z Another media outlet discovers the problems with copay accumulators.a practice Ohio has"
X Link 2024-05-30T01:45Z [---] followers, [---] engagements
"Had a couple Farxiga reps drop by yesterday. They asked how things were going I was cordial but by the time I was done talking to them I bet they wished they didnt stop by. We talked about how the majority of Medicare Plans wont cover my acquisition cost of Farxiga"
X Link 2024-06-05T01:31Z [---] followers, [----] engagements
"I told them insurances wont begin to cover the generic for a very long time. There is no incentive for them to cover it; not when their PBMs can extort 50-70% of the list price of Farxiga brand name in the form of a kickback"
X Link 2024-06-05T01:31Z [---] followers, [---] engagements
"I cant pinpoint the exact time frame of when PBMs started to get really greedy and play the rebate extortion game. Insurances used to be chomping at the bit to drop payments to the pharmacy when a generic came to market"
X Link 2024-06-05T01:31Z [---] followers, [---] engagements
"Now they just pay shitty on the preferred Brand name products and yet are still collecting a shit ton of money from the manufacturers by way of rebate/kickbacks on the back end of the deal. #HowPBMsWork"
X Link 2024-06-05T01:31Z [---] followers, [---] engagements
"Its been [--] years now: where are you@FTC @linakhanFTC https://www.frierlevitt.com/articles/ftc-votes-5-0-to-approve-study-of-rotten-pbm-abusive-and-anti-competitive-practices/#::text=On%20Monday%2C%20June%206%2C%202022%2C%20the%20Federal%20Tradeand%20other%20providers%20that%20dispense%20 https://www.frierlevitt.com/articles/ftc-votes-5-0-to-approve-study-of-rotten-pbm-abusive-and-anti-competitive-practices/#::text=On%20Monday%2C%20June%206%2C%202022%2C%20the%20Federal%20Tradeand%20other%20providers%20that%20dispense%20"
X Link 2024-06-06T16:03Z [---] followers, [---] engagements
"Andrew Witty said he was deeply deeply sorry in his opening statement to Congress. That would be justice served if they found him guilty of insider trading. I dont know does his face look like hes sorry https://t.co/eNB9p7mTeo This article reports that on 2/21/2024 the day Change Healthcare suffered a cyberattack five of United Health top executives sold $17.7 Million of company stock. The five included the CEO Andrew Witty as well as the General Counsel. The following https://t.co/eNB9p7mTeo This article reports that on 2/21/2024 the day Change Healthcare suffered a cyberattack five of"
X Link 2024-06-07T03:45Z [---] followers, [---] engagements
"@pcmanet PBMs dont work with pharmacies. The only time we hear from PBMs is when they make formulary changes mid month or when they send us a desk audit notification. More lies"
X Link 2024-06-07T16:27Z [---] followers, [----] engagements
"Quick translation from Express Scripts regarding Medicare bonus pool fees: We violated Medicare laws but even though we got caught we still arent going to admit that we broke any laws"
X Link 2024-06-10T20:08Z [---] followers, [----] engagements
"How many times does this need repeated You cannot just blame the drug manufacturer for high drug prices. If you arent including the big PBM CEOs in these hearings you arent accomplishing anything. I know Bernie Sanders has heard of manufacturer kickbacks to PBMs before. I am pleased that Novo Nordisk CEO Lars Jrgensen has reconsidered his position and agreed to testify voluntarily on a solo panel before the HELP Committee. I look forward to his explaining why Americans pay up to 15x more for Ozempic and Wegovy than people in other countries. https://t.co/ZciObH5ptb I am pleased that Novo"
X Link 2024-06-16T02:21Z [---] followers, [---] engagements
"I most liked the part where the Walgreens CEO said they would renegotiate with the PBMs over reimbursements. Yeah. You go ahead and do that. CNBC anchors discuss how Walgreens can't make it because it doesn't own a pharmacy benefit manager. https://t.co/OJ5vnKZoxb CNBC anchors discuss how Walgreens can't make it because it doesn't own a pharmacy benefit manager. https://t.co/OJ5vnKZoxb"
X Link 2024-06-27T16:29Z [---] followers, [----] engagements
"@PMC_Pharmacy When you bill a brand name drug thru a Part-D plan for 30-day supply and youd lose $40 but when you bill for a 90-day supply youd lose 5x more"
X Link 2024-07-04T03:23Z [---] followers, [--] engagements
"Apparently @ExpressScripts doesnt care whether a dialysis patient has access to their medication. Drug cost: $1575.68 Copay: $834.56 Ins. Paid: $652.05 Total Reimbursement: $1486.61 $89 loss to the pharmacy just on COG Have to tell the patient to go elsewhere. #PBMabuse"
X Link 2024-07-12T18:03Z [---] followers, [----] engagements
"Heres some free drug pricing advice: Sign up for a free EzriRx account. Search for your top [--] most expensive generic drugs that you routinely purchase. Compare the best prices with secondary wholesalers on EzriRx and go set up accounts with those wholesalers directly"
X Link 2024-07-17T01:27Z [---] followers, [---] engagements
"@GSK @GSKUS BCBS in Ohio reimburses under cost for Shingrix. Didnt even pay an administration fee to the pharmacy. What the hell is going on here Patient had a Zero copay though so they were happy of course. How am I supposed to continue giving vaccinations at a loss"
X Link 2024-07-25T13:28Z [---] followers, [--] engagements
"@Pharmassists Same. Either they are MAC drugs or they are some other made up formula from the PBM. Ex. express scripts acquisition pricing or Caremark acquisition pricing"
X Link 2024-07-31T01:39Z [---] followers, [--] engagements
"Had a 30-day supply been allowed the loss would have only been roughly in the $40-$60 range. Why Because PBMs suck at math. They suck at most everything they do hence why they keep getting sued. @AccPharmacist I can top that unfortunately. Ran a Rybelsus today for [--] day supply. PBM rejected stating it is a maintenance med and must dispense [--] day supply. I tried [--] day and was reimbursed $298 below cost. Wasnt able to fill it. Now a Walmart patient @AccPharmacist I can top that unfortunately. Ran a Rybelsus today for [--] day supply. PBM rejected stating it is a maintenance med and must"
X Link 2024-08-01T02:11Z [---] followers, [---] engagements
"Insurance requires a DAW [--] for Farxiga since they dont want to cover the must less expensive generic. Re-processed with DAW [--] and they still want to pay $310 UNDER COST Last month insurance paid $552 now paying $254. Guess I wont be filling this one"
X Link 2024-08-16T14:28Z [---] followers, [----] engagements
"@Nenaadvocacy @MattieRheumMD @mcuban Plan sponsor called back. They cannot tell me why there was a price difference between July/August. They instructed me to call the PBM. The PBM was the first place I called who transferred me [--] times then at the end told me to call the Plan Sponsor. What a runaround"
X Link 2024-08-16T15:43Z [---] followers, [---] engagements
"Weve turned away roughly 20-30% of our lifelong customers since January. Last thing on Earth I thought I would have to do but because of turning those huge losses away- we are actually more profitable. What other business would make more money with fewer customers You can make good money as an independent pharmacy if you can say no. A lot. Just sacrifice your heart and desire to help people. Because if you fill every prescription that comes your way that's bankruptcy my friend. How fucked up is that You can make good money as an independent pharmacy if you can say no. A lot. Just sacrifice"
X Link 2024-08-17T17:43Z [---] followers, [----] engagements
"Same patient same NDC same insurance. Two different MAC Prices from July and August. Why the difference MAC prices are completely fabricated by the PBM to manipulate drug pricing"
X Link 2024-08-27T14:39Z [---] followers, 155.2K engagements
"@PMC_Pharmacy Ours had an adjustment coding beginning with CS:MAN18907 or CS:MAN18908 Probably depends on your Central Pay system through the PSAO if you utilize one though. Our total payback was less than $200 Womp womp womp"
X Link 2024-08-28T01:42Z [---] followers, [---] engagements
"Huh I thought that the big PBM CEOs said that they actually pay independent pharmacies MORE than their own mail-order pharmacies. I must have misheard them. This wouldnt be the first time they lied under oath. Veterans and military members are steered to Express Scripts mail order pharmacy. Sometimes the letters that they receive from Express Scripts will claim to save money if they use Express Scripts. BUT when veterans and military members look at the letters or the claims that https://t.co/Vux5YWr44B Veterans and military members are steered to Express Scripts mail order pharmacy."
X Link 2024-09-03T15:46Z [---] followers, [----] engagements
"Anyone out there willing to purchase a drug for $1410 and then turn around and sell it for $1332 Yeah me neither. This patient has dual coverage with Medicare and Medicaid. We cant afford to help them on this one"
X Link 2024-09-07T15:38Z [---] followers, [----] engagements
"@PMC_Pharmacy @Pharmassists I agree. The big PBMs are making the contract terms so abysmal that no pharmacy would ever want to be part of their networks. Then the patient has no choice but to search for a pharmacy in-network or use mail order (where they receive less than subpar service at best)"
X Link 2024-09-12T13:47Z [---] followers, [--] engagements
"@pcmanet Rebates are a good thing Im sure they are a great revenue source for those offshore GPOs created by @ExpressScripts in [----] and by @OptumRx in [----]. There are good PBMs out there but the market is so distorted and vertically integrated they dont stand a chance in hell"
X Link 2024-09-13T04:19Z [---] followers, [---] engagements
"Express Scripts Sues FTC Demands Withdrawal of PBM Report The PBMafia will do everything to protect their profits at all costs. Suing a regulatory agency because you dont like what they said about you is a on a whole other level. https://www.evernorth.com/articles/express-scripts-sues-ftc-demands-withdrawal-pbm-report https://www.evernorth.com/articles/express-scripts-sues-ftc-demands-withdrawal-pbm-report"
X Link 2024-09-17T12:18Z [---] followers, [----] engagements
"@InsOligopoly Even though the PBMs share most of those rebates back with the plan sponsors the PBM still makes that plan sponsor pay more than what they reimburse the pharmacy. If thats not enough proof for employers that they are getting ripped off then I dont know what else to say"
X Link 2024-09-17T16:05Z [---] followers, [---] engagements
"@ms543257 @latta4congress Damn. Those numbers are insane Were just a small fraction of that but probably about 20% Medicaid which has helped some since the Gainwell takeover. The Medicare Part D/MA plans can be the killer with the aging population. Ive sent 20-25% of those Rxs away since January"
X Link 2024-09-20T02:38Z [---] followers, [--] engagements
"@pcmanet Only looks different now that the big [--] PBMs have bastardized the market"
X Link 2024-09-20T21:07Z [---] followers, [--] engagements
"PBMs: the manufacturer alone sets prices Also PBMs: Lets pay the pharmacy $113 in January $119 in April $91 in June $27 in July and $34 in September. Everyone else: why would you do that PBMs: Its the plan sponsors fault"
X Link 2024-09-20T21:16Z [---] followers, [----] engagements
"Do any of your companies comply with the federal Anti-Kickback Statue Oh thats right: you all refer to them as rebates Absolutely not a kickbackat all"
X Link 2024-09-21T15:19Z [---] followers, [----] engagements
"Drug on the left = $570 Drug on the right = $356 Which drug would you want to purchase knowing that the tablets are identical and are made in the same manufacturing plant The cheaper one obviously right Then why do major PBMs exclude the cheaper one"
X Link 2024-09-24T17:39Z [---] followers, 170.3K engagements
"Oh @SenSanders got a written commitment from the PBMs did he How about when @JamesComer requested the big [--] PBM CEOs to correct their statements from the last House Oversight Committee hearing knowing that all [--] committed perjury And he got nothing in response. Get Real Novo Nordisk's CEO tried to blame pharmacy benefit managers for Ozempic's high cost. But @SenSanders called his bluff and revealed he got written commitments from PBMs not to penalize Novo Nordisk if drug prices dropped. Novo's CEO still wouldn't commit to lowering prices. https://t.co/8hJnjzsx4g Novo Nordisk's CEO tried to"
X Link 2024-09-24T22:31Z [---] followers, [----] engagements
"@SamitBhatt This certainly contributed to our current situation albeit only [--] years ago: https://www.fiercehealthcare.com/payer/cigna-closes-67b-express-scripts-acquisition https://www.fiercehealthcare.com/payer/cigna-closes-67b-express-scripts-acquisition"
X Link 2024-09-25T04:01Z [---] followers, [---] engagements
"@SamitBhatt And this one just [--] month prior to the @Cigna and @ExpressScripts merger https://www.fiercehealthcare.com/payer/cvs-closes-69-billion-acquisition-aetna https://www.fiercehealthcare.com/payer/cvs-closes-69-billion-acquisition-aetna"
X Link 2024-09-25T04:03Z [---] followers, [---] engagements
"Devoted and @CVSHealth undercut pharmacies by paying them under cost on every prescription but lets go ahead and give the member $174 back into their Social Security check every month and lets give them $82 per month so they can pay their rent or mortgage. That makes sense"
X Link 2024-10-04T20:37Z [---] followers, [---] engagements
"Devoted Health Plans Low-cost insulin includes [--] of the most expensive insulin products on the market right now. TRESIBA BASAGLAR ADMELOG and FIASP are preferred due to the rebates they give to the PBM. It has nothing to do with whats least expensive for the patient"
X Link 2024-10-04T20:44Z [---] followers, [---] engagements
"Pharmacies arent allowed to influence patients to choose a particular Medicare Drug/MA plan or offer ANY financial incentive to persuade them. So how is the plan sponsor allowed to give the customer a FREE $10 GIFT CARD just for talking to them about their plan"
X Link 2024-10-04T20:51Z [---] followers, [----] engagements
"@Benefitsguynick No need for my customers to sign up for the payment plan. If their insurance is paying me under my cost they can get it filled at the pharmacy in the next town right along with all of their other underwater claims. Im beyond done subsidizing OTHER peoples prescriptions"
X Link 2024-10-05T02:23Z [---] followers, [--] engagements
"Dennis Carlton has written reports or testified in favor of dozens of mergers and charges at least $1350/hour. In his career he has made about $100 million. Once again proving that @pcma has to pay people to say nice things about them. Preeminent analysis details #PBMs' role in managing drug costs shows the evidence does not support critics' claims https://t.co/kKEJZtytpU https://t.co/o4DguOvzOF Preeminent analysis details #PBMs' role in managing drug costs shows the evidence does not support critics' claims https://t.co/kKEJZtytpU https://t.co/o4DguOvzOF"
X Link 2024-10-11T02:28Z [---] followers, [---] engagements
"EpiphanyRx was bought by Navitus in [----]. Navitus is owned by Costco Wholesale Corporation. These local employees will have to travel over [--] minutes to the nearest Walgreens or over an hour to the nearest Costco for maintenance meds now"
X Link 2024-10-22T20:32Z [---] followers, [---] engagements
"One additional layer of middlemen are the Pharmacy Benefit Optimizers or Administrators. They essentially exist to ensure that the PBMs are doing what they say they are doing. So a middlemans middleman if you will. It is even worse than that. They hire benefit consultants to help them choose the PBM. The benefits consultants fail to disclose that they receive a kickback on each prescription filled. There is often a non disclosure clause that prevents access to claims data for the It is even worse than that. They hire benefit consultants to help them choose the PBM. The benefits consultants"
X Link 2024-11-08T03:12Z [---] followers, [---] engagements
"First prescription of the day Restasis eye drops: Generic not covered cost = $85 Brand name required cost = $632 Patient cost with deductible= $512 Thanks @CVSHealth @SilverScriptPDP you are really doing a fantastic job at managing prescription benefits for patients"
X Link 2024-11-08T14:29Z [---] followers, [----] engagements
"Just filled [--] prescriptions for a commercially insured patient with @OptumRx coverage. They bought a $20 stuffed animal while they were here. We made more profit on that stuffed animal than all [--] of their prescriptions combined. Fix this @RobertKennedyJr @linakhanFTC"
X Link 2024-11-08T14:41Z [---] followers, [----] engagements
"This is equivalent to a police department getting sued by a guilty perpetrator. The PBM bullshit train keeps on chugging along. https://www.benefitspro.com/2024/11/21/cvs-cigna-and-unitedhealth-sue-ftc-claiming-pbm-probe-violates-constitutional-rights/ https://www.benefitspro.com/2024/11/21/cvs-cigna-and-unitedhealth-sue-ftc-claiming-pbm-probe-violates-constitutional-rights/"
X Link 2024-11-22T03:03Z [---] followers, [----] engagements
"Patient: It really sucks that you wont take so many different insurances next year. Me: Youre correct it does suck. You know what sucks more Signing a 1-sided contract that will guarantee a LOSS on roughly 90% of prescription claims processed. Im fucking done with that"
X Link 2024-11-26T20:22Z [---] followers, [---] engagements
"@Kacijohnsonrx @JohnJohnkwasnik @RonDeSantis @GovRonDeSantis @DrNealDunnFL2 @ShaneAbbottFL @DrOz @DOGE @VivekGRamaswamy @elonmusk Even if you were able to get those medications from the wholesaler for free youd still be losing money on the transaction"
X Link 2024-11-27T20:50Z [---] followers, [---] engagements
"@Kacijohnsonrx @JohnJohnkwasnik @RonDeSantis @GovRonDeSantis @DrNealDunnFL2 @ShaneAbbottFL @DrOz @DOGE @VivekGRamaswamy @elonmusk And you know mail order isnt filling any of those medications for at least a $30-40 profit margin and thats being conservative. I think its all planned out by design to push Indys out of existence for some reason. Good luck to America for the next pandemic of vaccines"
X Link 2024-11-27T20:56Z [---] followers, [--] engagements
"Manufacturers alone set the prices of medications - @JCScottPCMA @pcmanet @ExpressScripts @CVSHealth @OptumRx Also PBMs: literally setting a different price every few months"
X Link 2024-11-27T21:27Z [---] followers, [---] engagements
"@Kacijohnsonrx @kmccor2014 @RPhFarm @RonDeSantis @GovRonDeSantis @DrNealDunnFL2 @ShaneAbbottFL @DrOz @DOGE @VivekGRamaswamy @elonmusk Ohio was one of the first (if not the first) to tackle spread pricing in Medicaid. It took years to educate people but we eventually got it fixed to have a reasonable dispensing fee + drug cost. Its helped pharmacies tremendously and is saving Ohio Medicaid millions"
X Link 2024-11-28T01:45Z [---] followers, [--] engagements
"@Kacijohnsonrx @kmccor2014 @RPhFarm @RonDeSantis @GovRonDeSantis @DrNealDunnFL2 @ShaneAbbottFL @DrOz @DOGE @VivekGRamaswamy @elonmusk Not signing contracts is tough. Especially when a lot of pharmacies have a high Medicare/Medicaid population. @kmccor2014 doesnt take insurance at all. Good for him. Vast majority of pharmacies arent able to do cash only"
X Link 2024-11-28T01:49Z [---] followers, [--] engagements
"@Kacijohnsonrx @kmccor2014 @RPhFarm @RonDeSantis @GovRonDeSantis @DrNealDunnFL2 @ShaneAbbottFL @DrOz @DOGE @VivekGRamaswamy @elonmusk If HR [----] eventually gets signed into law it has similar elements to what Ohio accomplished for Medicaid. Would just be on a national scale which is much needed at this point"
X Link 2024-11-28T01:53Z [---] followers, [--] engagements
"Heres a better idea: Pass HR [----]. As soon as humanly possible. WSJ article "Medicare Payouts Vary Widely for Same Rx" says reason [--] huge Rx price differences [--] seniors is complicated Rx system & powerful middlemen called PBMs Congress can help seniors by passing my bipart PBM transparency & accountability bills WSJ article "Medicare Payouts Vary Widely for Same Rx" says reason [--] huge Rx price differences [--] seniors is complicated Rx system & powerful middlemen called PBMs Congress can help seniors by passing my bipart PBM transparency & accountability bills"
X Link 2024-11-28T02:00Z [---] followers, [----] engagements
"@Kacijohnsonrx @kmccor2014 @RPhFarm @RonDeSantis @GovRonDeSantis @DrNealDunnFL2 @ShaneAbbottFL @DrOz @DOGE @VivekGRamaswamy @elonmusk We are roughly 20% Medicaid with another 40-50% Medicare. We need some good regulatory action to right the ship. I might as well close up shop if I lost all of those customers"
X Link 2024-11-28T02:04Z [---] followers, [--] engagements
"Andrew Witty genuinely believes that his company does good things for people who utilize United Healthcare for their insurance. We should believe him. After all I heard his hours long testimony for the Change Healthcare debacle earlier this year. He seemed very genuine then as well. This entire post is said tongue in cheek obviously. Have a great weekend. United CEO Andrew Witty gave an address to the company today (video leaked to me). Some highlights: - "we guard against the pressures that exist for unsafe care or for unnecessary care." - "There are very few people in the history of the US"
X Link 2024-12-07T12:59Z [---] followers, [----] engagements
"Im so exhausted seeing claim after claim paid under acquisition cost. When I tell patients that I cant fill their prescriptions anymore due to those losses Im not only losing them as a customer but my competitors get paid more for the same prescriptions. An overwhelming majority of patients are tired of the lack of empathy and care from the large chain pharmacies as well as the mail order pharmacies. We provide much better care and more efficient service but we continue to get shit on by the major players. What the hell is my purpose for even showing up to work anymore"
X Link 2024-12-09T17:33Z [---] followers, [----] engagements
"Friends dont let friends enroll into Medicare Advantage plans. Example: @DevotedHealth @CVSHealth Medicare Advantage plan that we will not be contracted with for [----]. Brand name Farxiga: List price $570 [--] month supply pharmacy is paid $25.76 under cost [--] month supply pharmacy is paid $119.13 under cost So if we did this for an entire year filling [--] month at a time we would be paying $6840 to acquire the drug only to LOSE $309.12 just on cost of goods. If we filled this every [--] months wed be paying $6840 to acquire the drug only to LOSE $476.52 on cost of goods. Would anyone be okay with"
X Link 2024-12-09T21:38Z [---] followers, [----] engagements
"United Healthcare Group is #4 on the Fortune [---] list. The [--] companies above them are Walmart Amazon and Apple. Profits over patients has been the motto for a very long time for @UHC How does an insurance company incur that much profit Surely it isnt because they are covering medical and prescription claims. They have the highest denial rate across all insurance companies. Public understanding of the insurance world is the last thing that you would want from the standpoint of the insurer. Then the public would know exactly how their well earned dollars are being squandered"
X Link 2024-12-10T15:16Z [---] followers, [--] engagements
"CVS Caremark is rolling out a new discount card program for Medicare recipients called RxSavingsPlus for Medicare. Just another tool used to abuse pharmacies. The member will have a 100% cost share for claims not covered under traditional Medicare Part D using this discount card. I have no doubt that GoodRx is the processor for these cards. I wont be utilizing these cards for anyone. If the claim isnt covered by their insurance then my obligation to my insurance contract is complete at that point. Not covered. No one is going to tell me what to charge for a cash price at my own pharmacy"
X Link 2024-12-10T21:35Z [---] followers, [----] engagements
"@KyleP762 Im sure thats the best part in their eyes They pay nothing toward the claim but get to split the clawback fee with the discount card company. What another great way to provide nothing of value to the system but they still profit"
X Link 2024-12-10T23:40Z [---] followers, [---] engagements
"No one chooses to use mail order or specialty pharmacy. PBMs force it upon patients and make it so they dont have any other options. Mail order pharmacies have the absolute WORST customer reviews Ive ever had the privilege of reading. Mail order offers better service than any community pharmacy When you call a mail order pharmacy youre lucky to get a person within [--] minutes; let alone a person who can actually speak English and is empathetic toward their customers. Give me a fucking break. You all are fucked in the head"
X Link 2024-12-12T01:19Z [---] followers, [---] engagements
"Effective immediately Im going to be an even bigger asshole than I already was. If no one in Congress cares about my continuing existence then why should I give a rats ass about anyone elses problems. I dont get paid enough filling prescriptions to care anymore. If your insurance underpays me get fucked and get out of my pharmacy. The good patients will stay and the assholes will leave. Head on down to CVS or Walmart Im sure they will have an even more stressed overworked new pharmacy grad who wont take any of their shit either. Godspeed to anyone else who owns an independent pharmacy in"
X Link 2024-12-20T03:08Z [---] followers, [----] engagements
"Patient came in yesterday with a letter from @STRSOhio. The letter states that their PBM/Plan @CVSHealth / @SilverScriptPDP wont be covering Lantus next year. Well color me fucking surprised. The least expensive long-acting insulin on the market right now by a few hundred dollars and they arent going to cover it Follow the money. Which one will be covered then Basaglar Toujeo Semglee Must be one hell of a rebate (kickback) to @STRSOhio & @CVSHealth"
X Link 2024-12-20T16:24Z [---] followers, [---] engagements
"@HokiePharmacist Id say lets complain and call them out on this but really who out there actually cares anymore Seems like we have been all set out to sail with no one coming in sight over the horizon. Im trying to stay optimistic but damn its getting near impossible to stay positive"
X Link 2024-12-21T22:31Z [---] followers, [---] engagements
"Its not the patients fault. Its their insurance and pharmacy benefit manager. I merely vent my anger on here and share exactly whats on my mind. I dont speak to my patients in this manner whatsoever. Even if it is warranted in a few rare instances. But why does it somehow become my job to educate the patient on how the entire system is set up to pilfer as much money from the patient and then turn around and pay my pharmacy less money than a product costs me to purchase. Ive done more educating than Ive ever dreamed of doing. But when I tell a customer point blank Im going to be losing $15 $30"
X Link 2024-12-22T01:24Z [---] followers, [--] engagements
"Im actually very easy going and highly professional in real life. My takes on here are a simply a therapeutic way for me to vent my anger and frustration that stems from the pharmacy I own. Many others than interact with me on X share the exact same sentiment- so for that I thank you. Misery loves company"
X Link 2024-12-22T21:23Z [---] followers, [----] engagements
"Just a quick thought: If youre out of refills on your prescriptions transferring your entire profile to another pharmacy isnt going to make additional refills magically appear out of thin air. In fact it will only delay things even more. Merry Christmas"
X Link 2024-12-26T15:01Z [---] followers, [----] engagements
"Every year I spend a tremendous amount of time delving into the intricacies of Medicare Part D and Medicare Advantage plans for our customers. They come to us for advice and they want to do whatever they can to keep their medications with a local independent pharmacy (as long as its also in our best interest to continue filling for them as well). Each year it becomes a little easier especially when now only a handful of plans will cover our acquisition cost of expensive branded medications. One particular pain in the ass came in today and said he didnt change his Part D plan for next year"
X Link 2024-12-27T03:51Z [---] followers, [----] engagements
"What a great start to my Friday: #7 oxycodone 5mg tabs - Paid [--] cents #6 Azithromycin 250mg tabs - Paid [--] cents I just might be able to retire by the time Im dead"
X Link 2024-12-27T14:21Z [---] followers, [----] engagements
"Its downright degrading and disrespectful to the profession of pharmacy. Thought it would be a great accomplishment to be a proud independent pharmacy owner someday. Now that Im an owner 3-1/2 years in Im definitely not proud about it. Meanwhile some jackasses in suits march up to Capitol Hill a few times a year and lie their fucking faces off to Congress and donate heavily so nothing changes. Some patients love me and Im sure others despise me. But at the end of the day patients only want whats best for them- they dont give a shit about my business and me staying open to fill their Ozempic"
X Link 2024-12-28T03:12Z [---] followers, [---] engagements
"I have said something very similar to this to my technicians just a few days ago. No longer can we just blindly accept new patients. You simply dont want to take the risk of a profile transfer for 10-15 meds and be losing money on nearly all of them. So if we get calls about people wanting to transfer in I am usually going to be straightforward and inquire what insurance they have before we waste both their time and ours. We are the gatekeeper of medication after all- so who knew it was going to all boil down to whether or not their insurance is profitable enough Its not a good look to be so"
X Link 2024-12-28T03:23Z [---] followers, [---] engagements
"@okiepharm Thats about right Too bad I cashed both of them out- so jokes on them"
X Link 2024-12-28T17:25Z [---] followers, [---] engagements
"This story is from May [----] but I just stumbled across it today. Customers employees of independent Evans City pharmacy mourn sudden death of longtime owner: Unfortunately the stress that this place put on him because of whats going on it took the life out of him said employee Dana Cucklar. The aspect when I think back basically working for free to take care of all of us is what he was doing; he loved us indescribably said a longtime customer. He cared so deeply about his patients customers and this community and I feel we took it granted because he was always not sometimes always here said"
X Link 2025-01-03T04:13Z [---] followers, [----] engagements
"https://www.wpxi.com/news/local/customers-employees-independent-evans-city-pharmacy-mourn-sudden-death-longtime-owner/7XAFDHGLGZC3TGE5EXQFKUSGNA/outputType=amp https://www.wpxi.com/news/local/customers-employees-independent-evans-city-pharmacy-mourn-sudden-death-longtime-owner/7XAFDHGLGZC3TGE5EXQFKUSGNA/outputType=amp"
X Link 2025-01-03T04:13Z [---] followers, [---] engagements
"Cost of Prolensa 0.07% = $355 Cost of bromfenac 0.07% = $46 @SilverScriptPDP @CVSHealth doesnt cover the generic product which costs almost 8x LESS than brand name Prolensa. Once again proving that PBMs dont care about what costs the patient less only what they can squeeze out of the manufacturer in rebate money"
X Link 2025-01-03T17:07Z [---] followers, [----] engagements
"Heres a fun claim from today. Prescription written for Myrbetriq: Patient co-pay $47 Included a little message to consider formulary generic Okay Ill bite. In the past 18-24 months I have rarely seen any insurance/PBM cover a generic over the branded product. Maybe just maybe they finally are giving in to the pressure. Re-processed the claim for the authorized generic mirabegron. Patient copay now $101.13 and its only paid as a transitional fill. There went that thought. AARP/OptumRx continue to play the rebate game. I should have known better. 😉"
X Link 2025-01-07T03:38Z [---] followers, [----] engagements
"Yeppp. The customer also said that it was an also option for them to pay cash and then they could submit their receipts to the insurance company. What a great idea. Ill cash it out for $10 then the insurance can reimburse the patient $1.55. See how they fucking like it. Welcome to our world"
X Link 2025-01-08T04:05Z [---] followers, [---] engagements
"Stop writing prescriptions for Dificid. No pharmacy in their right mind would take a $316 LOSS on a $5100 drug"
X Link 2025-01-09T21:55Z [---] followers, [----] engagements
"Januvia had more than a $200 reduction in list price for this year. Guess who no longer covers the drug on their formulary None other than CVS Caremark/ @CVSHealth Why would that be Cant say that I didnt see that one coming. Greedy bastards. Big PBMs love to blame big pharma for keeping their list prices high. But when big pharma lowers their list price then PBMs no longer cover those drugs"
X Link 2025-01-11T15:41Z [---] followers, [----] engagements
"@sarahleighc96 @CVSHealth Good question. Ill have to look into that"
X Link 2025-01-11T20:47Z [---] followers, [--] engagements
"A customer came in this afternoon complaining about their service from mail order. Something or other changed and they didnt receive their medication even though they ordered it at the end of the year. Long story short they asked if I could get them a few days worth of their medications. Never met this person never seen them in our town before let alone my pharmacy. I explained the easiest way would be for their Doctor to send us prescriptions for a 7-14 day supply. Being that weve never filled for this person they would have to take some initiative and get that ball rolling if they want us"
X Link 2025-01-14T02:03Z [---] followers, [----] engagements
"Patient wanted usual monthly refills. Same drug NDCs as [----] same employer sponsored insurance in [----] as they have now. See if you can spot the differences in reimbursement: - Atorvastatin 10mg #30 tabs. We were paid $11.35 in [----] NOW being paid $0.34. Co-pay $0 - Tamsulosin 0.4mg #60 caps. We were paid $18.22 in [----] NOW being paid $6.39. Co-pay $6.39 - Glimepiride 2mg #120 tabs. We were paid $37.57 in [----] NOW being paid $2.80. Co-pay $0 - Metformin 1000mg #60 tabs. We were paid $8.45 in [----] NOW being paid $0.94. Co-pay $0 - Montelukast 10mg #30 tabs. We were paid $9.07 in [----] NOW being"
X Link 2025-01-16T21:09Z [---] followers, [----] engagements
"@tmac622 @rtinfow @gbunny @EdGainesIII @UHC Best advice to keep looking I suppose. Im looking for a plumber to give me top notch financial planning advice. Know of any lol I love how people with almost Zero knowledge on a specific subject spout off like they are field experts. Chaps my ass every time"
X Link 2025-01-18T03:21Z [---] followers, [--] engagements
"@tmac622 @rtinfow @gbunny @EdGainesIII @UHC Id like to request a copy of that double blinded placebo-controlled trial and see those results please. 🙏 Sounds like a wild time"
X Link 2025-01-18T03:29Z [---] followers, [--] engagements
"@HokiePharmacist Up until the UHC killing in December the guy hadnt even heard of OptumRx. And yet he seems to know more about PBMs than we pharmacists do"
X Link 2025-01-18T15:55Z [---] followers, [---] engagements
"Congress can swiftly vote to shut down TikTok now in effect. Can we put insurance industry owned PBMs next on the list of things to ban swiftly Or are we just going to let all retail pharmacies burn to the ground sit around some more and start scratching our collective heads about what should have been done a long time ago"
X Link 2025-01-19T03:51Z [---] followers, [----] engagements
"Can anyone out there purchase Ozempic for $878 Apparently @AnthemBCBS thinks thats how much it costs pharmacies to purchase it from a wholesaler. @novonordiskus - this patient wont have access to your medication. At least not from any independent pharmacy"
X Link 2025-01-22T15:06Z [---] followers, [----] engagements
"My biggest gripe with copay cards is essentially the manufacturer is getting hit up for money twice. They get extorted by the PBMs by exchanging rebate money for the coveted formulary placement but then they have to turn around and offer more money to the patient to lower their copay at the point of sale. Where does the liability of the insurance company/ PBM come into play I guess it doesnt matter to them much if the patient gets their medication or not as long as their profits keep rolling"
X Link 2025-01-22T16:13Z [---] followers, [--] engagements
"Every time a manufacturer agrees to lower their list price that drug suddenly becomes non-formulary because the PBM continues to favor the more expensive products in which they can extract more rebate dollars. Its a revolving door of corruption. Ask me how I know. It happens all of the time"
X Link 2025-01-23T16:36Z [---] followers, [--] engagements
"Between [----] and [----] the company closed [---] locations and opened [---] new stores "Even after the realignment work 85% of people in the U.S. will still live within [--] miles of a CVS Pharmacy" the spokesperson said. Gee- I wonder how many of those [---] new stores are in the same exact areas in which there once was an independent pharmacy but they got run out of business by their PBM CVS/Caremark. Why is CVS opening new stores anyway CVS Health CEO David Joyner stated not long ago that there were too many pharmacies He obviously meant there are too many other competing pharmacies."
X Link 2025-02-25T03:22Z [---] followers, [---] engagements
"PBM @ExpressScripts out here creating drug shortage issues by pigeonholing themselves by only covering Semglee and the long acting insulin biosimilar - Insulin glargine-yfgn. The price difference between the biosimilar and Lantus Solostar is less than $5. Maybe just cover the least expensive product indefinitely I know I know- then you wouldnt be able to collect that sweet rebate money from Semglee"
X Link 2025-02-28T16:30Z [---] followers, [---] engagements
"Help me make @ExpressScripts famous today. Last year this employer insured patients insurance paid $34.06 for a 90-day supply of atorvastatin. This year that same insurance is now paying us $1.03 for the same 90-day supply. According to the patient nothing changed on their end as far as their insurance benefits are concerned. So what happened exactly Would @ExpressScripts mail order only pay themselves $1.03 to fill this prescription Highly doubt it"
X Link 2025-03-03T15:02Z [---] followers, [----] engagements
"Name me another business model where a business puts up nearly $9k and is expected to take a LOSS on the product sold Ill wait For [--] rxs this morning we bought the medicine for $8657 and LOST $354. Insanity #stopPBMabuse For [--] rxs this morning we bought the medicine for $8657 and LOST $354. Insanity #stopPBMabuse"
X Link 2025-03-10T18:35Z [---] followers, [----] engagements
"Eventually patients will have just a few run down overworked @cvspharmacy to get their meds filled. Or they could always use mail order also owned by the top [--] pharmacy benefit managers: @CVSHealth @ExpressScripts @OptumRx Your local caring hometown pharmacies will be long gone. Cant say we didnt warn everyone Thanks @SenateDems @HouseDemocrats @HouseGOP @SenateGOP @DOGE @elonmusk @RobertKennedyJr @realDonaldTrump We are on the verge of a tsunami of closings nationwide if significant PBM reform is not enacted immediately. Many are hanging by a thread. We are on the verge of a tsunami of"
X Link 2025-03-11T02:37Z [---] followers, [----] engagements
"Legislation needs to be passed to ensure no PBM can also be a pharmacy or have any type of ownership interest whatsoever. If this cant be done then eliminate the need for PBMs. So sick and tired of them making billions while other communities are losing their long-term pharmacies forever. . These PBM-owned mail order specialty and retail pharmacies captured nearly half of all prescription revenues in [----]. #PBMs . These PBM-owned mail order specialty and retail pharmacies captured nearly half of all prescription revenues in [----]. #PBMs"
X Link 2025-03-11T22:05Z [---] followers, [----] engagements
"This is going to age like milk on a hot summer day. Now that Walgreens is being scarfed up by a private equity firm what are the chances of this very Walgreens that welcomed customers of [--] Closed Rite Aid locations in the same town last year will be on the chopping block next Oh and if it does get shut down- will the prescriptions be sent to Walmart across the street or down a few blocks to a 2-star review @cvspharmacy My money is on the latter. More money for the vertically integrated hogs in suits. Seen in Findlay Ohio. Findlay had [--] Rite Aid Locations just several blocks apart. Both will"
X Link 2025-03-14T03:49Z [---] followers, [----] engagements
"Hey @OptumRx @PatrickConwayMD I thought you claimed under oath that you dont ever steer patients to your own pharmacies. The lie detector test determined that was a lie: After [--] fills then must use OptumRx Mail Service or Walgreens Further question would be if you only pay me $1.68 to dispense this medication and patient copay is $0 how does switching to another pharmacy benefit the patient in any way Is it all just a bait and switch so you can overcharge the plan sponsor by a few hundred percent Everyone is onto the games you play with people. @OptumRx s announcement yesterday to stabilize"
X Link 2025-03-21T13:50Z [---] followers, [----] engagements
"Hey @AnthemBCBS @CVSHealth @cvspharmacy I heard that you dont steer patients to your affiliated pharmacies: Must fill 90-days at CVS/Mail. Grace fill applied I can fill a 30-day supply and LOSE $36.40 or fill a 90-day supply and LOSE $109.51. Hmm tough decision there. Maybe Ill just let CVS or CVS mail order fill this one after all since you wont pay me enough to care to fill it"
X Link 2025-03-21T16:14Z [---] followers, [----] engagements
"Thanks for the information @medmutual but I own my own pharmacy and will be filling my prescriptions there probably @kroger I heard you are all back in the @TRICARE pharmacy network again too- glad thats working out for you. For the rest of us independent pharmacies out there @TRICARE still wont pay for the majority of medications above our acquisition cost so Im very happy for you"
X Link 2025-03-26T02:18Z [---] followers, [---] engagements
"Make PBMs your greatest concern. You know the same PBMs/Insurance company conglomerates behind the biggest data breach of [----] where the private health information of nearly [---] million Americans was leaked. Yeah. Focus on that. @UHC @UnitedHealthGrp @DOGE @realDonaldTrump 23andMes bankruptcy is of great concern to the @FTC. Today I sent a letter to the companys Acting U.S. Trustee overseeing the bankruptcy about the potential sale or transfer of millions of American consumers sensitive personal information. 23andMes bankruptcy is of great concern to the @FTC. Today I sent a letter to the"
X Link 2025-04-02T02:45Z [---] followers, [----] engagements
"Who is @ExpressScripts Oh you know just one of the largest pharmacy benefit managers AND also a large mail order pharmacy. Do you know why independent pharmacy owners are so fed up Indulge me for a second Lets imagine all [-----] or so independent pharmacies in the United States were allowed to join forces and start their own pharmacy benefit manager company collectively. Every independent pharmacy would be paid 20-40x as much for prescriptions dispensed at one of our [-----] locations nationwide but if youd rather go to a local @cvspharmacy or @OptumRx mail-order or @ExpressScripts mail-order"
X Link 2025-04-02T03:22Z [---] followers, 92.2K engagements
"Earlier today I had a commercially insured patient call and question the price of their cephalexin antibiotic prescription. According to their @ExpressScripts insurance their co-pay should have been $0 through their employers plan. I had to inform them that I wouldnt be filling their antibiotic for the [--] CENTS reimbursement that @ExpressScripts was going to pay. If there is a pharmacy out there filling antibiotics for less than $1.00- you are part of the problem. I told them our cash price which was more than fair and they agreed to that price over the phone. Less than [--] minutes later after"
X Link 2025-04-03T01:57Z [---] followers, [----] engagements
"According to PBM @CVSHealth: "House Bill [----] would cripple pharmacy care access and affordability in Arkansas. It endangers Arkansans by eliminating access to vital community pharmacies eroding patient safety and making prescription drugs more expensive Hmm sucks to be on the other side of the coin doesnt it You just described what every small-town independently owned pharmacy has been experiencing for at least the past 10-15 years. @CVSHealth @OptumRx @ExpressScripts @Humana etc. have collectively been driving independent pharmacies out of existence because they have been allowed to do so."
X Link 2025-04-10T02:44Z [---] followers, [----] engagements
"Wholesale cost of #180 metformin 1000mg tablets = $2.76 Wholesale cost of 120dram vial to dispense #180 metformin = $1.46 @AnthemBCBS thinks its perfectly acceptable to pay $3.78 TOTAL for this prescription. $0.00 dispensing fee for the pharmacy $0.00 co-pay for the patient Side note: this is an employer sponsored plan so you know the employer is being billed many times more for this prescription by the PBM through spread pricing tactics. This is a big reason behind why pharmacies are closing. @pcmanet @RiordanMcClain @TimBarhorst @DOGE @realDonaldTrump"
X Link 2025-04-12T15:55Z [---] followers, [----] engagements
"Have a taste of your own medicine @CVSHealth @pcmanet @JCScottPCMA @davidjoyner Much smaller independent pharmacies have been closing in droves all thanks to big PBMs like @CVSHealth purposely setting their profit margins so low they can no longer compete on a fair playing field. Chickens are coming home to roost. CVS closing stores in Arkansas following law banning PBMs from owning pharmacies HB1150 prohibits state permits to pharmacies owned by pharmacy benefit managers effective Jan. [--] [----]. https://t.co/wmXucZYw4w https://t.co/B9fcU2sLor CVS closing stores in Arkansas following law"
X Link 2025-04-18T22:33Z [---] followers, [----] engagements
"You just named off all of the things that PBMs do. You played yourself on that one"
X Link 2025-04-30T14:26Z [---] followers, [---] engagements
"The greedy self-serving pricks at @ExpressScripts clearly dont give a shit about a recently diagnosed brain cancer patient of mine: Paying us nearly $10 under acquisition cost on a Class II scheduled narcotic. Shame on you. I hope someday all of their CEOs get an incurable diagnosis and they are forced to try [--] different pharmacies until they can find one who would take this kind of loss. We are going to do the right thing and take care of this patient no thanks to @ExpressScripts"
X Link 2025-05-05T20:10Z [---] followers, [----] engagements
"Much like when their F-up last year cost them millions of dollars for a security breach that could have easily been prevented. Hospitals Physicans and Pharmacies werent getting paid for months but it was all GOOD United Healthcare conveniently owns their own bank @Optum Bank to lend out high interest money for the problem they created I wish @UHC would host a yacht party and all get lost at sea. Hurricane Luigi"
X Link 2025-05-06T02:35Z [---] followers, [--] engagements
"Medicare Part D plan from @AARP @UHC prefers Brand name Restasis eye drops vs. the much less expensive generic. Restasis cost for #60 = $633 Generic cyclosporine #60 = $85 This means that @abbvie is paying more than a 85% rebate to the PBM in order to get the net cost of Restasis to be cheaper than the generic. What a great example of pay to play for formulary placement"
X Link 2025-05-06T16:52Z [---] followers, [----] engagements
"Happy Monday More price manipulation in the form of MAC pricing courtesy of @ExpressScripts Two very different profit margins just [--] months apart for the same medication same NDC same quantity same insurance. In February our COG margin was $33.92 In May our COG margin dropped to $7.00 How fair is that Does mail order also get the same percentage decrease"
X Link 2025-05-12T15:43Z [---] followers, [---] engagements
"@DrOzCMS Patients cant afford to purchase their medications and pharmacies cant afford to dispense them due to losses incurred by under-payments from pharmacy benefit managers. They need to be addressed in this mess too. If not more so than big pharma"
X Link 2025-05-13T03:02Z [---] followers, [---] engagements
"CVS Health Statement on Accepted Rite Aid Asset Bids From article: CVS Pharmacy is Americas leading and best run national retail pharmacy This is satire right Every single @cvspharmacy Ive ever been in was a total mess and usually had many 1-star reviews. I guess its pretty easy to purchase more than 50% share of prescription records of a failed competitor when your parent company owns a major health insurance company a major pharmacy benefit manager minute clinics a private label drug manufacturer group purchasing organization 9k+ retail pharmacies and mail order/specialty pharmacy."
X Link 2025-05-16T20:04Z [---] followers, [----] engagements
"Why is @GoodRx promoting vaccinations Its not like they are footing the bill. GoodRx pays NOTHING towards ANYTHING. They just steal your private data and sell it to the highest bidder. Let this be a warning for anyone who claims @GoodRx sAvEs Me MoNeY on my medication. No They dont save you shit. The big box pharmacy was probably just overcharging you 150% more than they should have been for a cash price. Use an independent pharmacy instead. That is if you still have one nearby that hasnt been decimated by @CVSHealth @OptumRx @UHC or @ExpressScripts"
X Link 2025-05-19T02:29Z [---] followers, [----] engagements
"Humira prescription sent to our community pharmacy on May 9th. Prior authorization required We waited and waited some more with some back and forth between the patient doctor and insurance company. Drug approved for a net $307 LOSS This was a test claim because we werent allowed to fill it. It had already been filled through mail order on May 16th. How did @ExpressScripts mail order poach my patients prescription when my pharmacy was the one who initiated the prior authorization Nevertheless I guess I should be thankful that I dont have to tell the patient the truth of why I cant fill this"
X Link 2025-05-19T22:29Z [---] followers, [----] engagements
"Provider shall report to Caremark when it has received an overpayment from Caremark What qualifies as an overpayment You mean when @CVSHealth pays me [--] cents above my acquisition cost of a medication Would that count How about you assholes send us checks for the years and years of prescription UNDER-payments. (Cashiers check preferred) Apparently its fucking comedy week over at @CVSHealth CVS/Caremark"
X Link 2025-05-23T16:35Z [---] followers, [----] engagements
"For any of the retail pharmacists on here that received a notification from @ExpressScripts today about the ES1000 network how is a contract legally binding when the receiving party doesnt have to sign anything to be accepted into the network If you wish to decline you must do so within [--] days of the notice"
X Link 2025-05-23T20:02Z [---] followers, [----] engagements
"Going to be a whole hell of a lot more of these types of patient interactions when Rite Aid is fully gone and Walgreens starts their closures. Many people enjoy the level of service that the independent pharmacies offer (if they havent already closed). Sadly we cannot and should not blindly accept new patients for this very reason: More business through the door doesnt equal higher profitability. When a new patient wants to transfer to an independent pharmacy the first question we have to ask shouldn't have to be "what insurance do you have" Do better @ExpressScripts @Humana @Aetna. I'm"
X Link 2025-05-25T23:58Z [---] followers, [----] engagements
"Whoop-de-doo there has already been [--] independent pharmacies close down in Ohio in [----] and we arent even halfway through the year yet. @cvspharmacy @CVSHealth deserve everything they get. Maybe if they played nicely with others they wouldnt have found themselves in this predicament. CVS closing all [--] pharmacy locations in Arkansas Governor Sarah Huckabee Sanders signed into law House Bill [----] ENDING the conflict interest of pharmacy benefits managers owning pharmacies PBMs are who set the insane prices Instead of complying CVS is leaving. This is HUGE https://t.co/1Ve3zXFeXO CVS closing"
X Link 2025-05-27T16:51Z [---] followers, [----] engagements
"Jury Awards Major Damages Against Omnicare and CVS Health https://www.hmpgloballearningnetwork.com/site/pln/commentary/jury-awards-major-damages-against-omnicare-and-cvs-health https://www.hmpgloballearningnetwork.com/site/pln/commentary/jury-awards-major-damages-against-omnicare-and-cvs-health"
X Link 2025-05-28T19:52Z [---] followers, [----] engagements
"Can anyone purchase Ozempic for $858.92 @ExpressScripts thinks we can. I disagree"
X Link 2025-05-30T19:34Z [---] followers, [----] engagements
"Ozempic has a $819 retail price through GoodRx through CVS Walgreens Walmart or Target. What a steal. My primary wholesaler cant even sell it for me for less than $972. At that rate I should just get a prescription for myself at CVS with the GoodRx coupon and then turn around and dispense it for my patients who need it. Oh wait that would be illegal. Makes me wonder what price those big pharmacies are able to purchase it Gotta be less than $819 right Or are they taking loss processing through GoodRx Food for thought- I cant financially support my patients need for their prescriptions to be"
X Link 2025-05-31T17:39Z [---] followers, 14.7K engagements
"@realdocspeaks @novonordisk Sounds like we need to eliminate PBMs. They clearly arent getting the job done"
X Link 2025-06-01T02:17Z [---] followers, [---] engagements
"@TPNdustries I used to be the most calm chill and patient person. Now everyday Im on constantly on edge the littlest things piss me off for days and Im always overthinking and spacing out. Pharmacy ownership is not great for mental health"
X Link 2025-06-03T23:48Z [---] followers, [---] engagements
"Idaho wants to turn over Medicaid to UnitedHealth Group. Great idea guys https://t.co/YZUFVlYHRn Idaho wants to turn over Medicaid to UnitedHealth Group. Great idea guys https://t.co/YZUFVlYHRn"
X Link 2025-06-04T02:55Z [---] followers, [---] engagements
"@TrekDocFan What a colossal mess CVS is trying so hard to rule the roost. But failing miserably"
X Link 2025-06-04T03:31Z [---] followers, [--] engagements
"United Healthcare showing their true colors on this one CENSORED:The Modern Medical Mafia docuseries has now been removed from Prime Video and Vimeo after complaints by UnitedHealthcare and OptumRx claiming its not truthful.My son Coles death is 100% true. So are the stories of every other victim in this fight. #PBMReform #truth https://t.co/82YDj5ADty CENSORED:The Modern Medical Mafia docuseries has now been removed from Prime Video and Vimeo after complaints by UnitedHealthcare and OptumRx claiming its not truthful.My son Coles death is 100% true. So are the stories of every other victim in"
X Link 2025-06-04T20:49Z [---] followers, [---] engagements
"All day every day. CVS Caremark OptumRx and Express Scripts are all blame-shifting rebate extorting scum bags who all need their day of reckoning. Sooner rather than later. CVS Caremark is supposed to negotiate with drug manufacturers to save money on drugs for the state employees plan but theyre keeping much of those savings for themselves claimed Thomas Friedman executive administrator of the State Health Plan who works in the state CVS Caremark is supposed to negotiate with drug manufacturers to save money on drugs for the state employees plan but theyre keeping much of those savings for"
X Link 2025-06-07T02:07Z [---] followers, [----] engagements
"Prescription for tramadol 50mg #120 tablets: We need a terminal distributor license a licensed pharmacist and also a DEA license in order to dispense this drug. Total reimbursement = $1.54 Not even close to enough money to cover the our cost of dispensing let alone the cost of the drug itself. This is not insurance This is extortion of your local community pharmacy. I dont give AF that the patient had a $0 co-pay. Your drug isnt covered I myself as the pharmacist and owner is contributing more towards your medication cost than your insurance company is. Pay cash or go somewhere else. For"
X Link 2025-06-09T18:00Z [---] followers, [----] engagements
"The last [--] months of fill history of the same medication for a employer-insured patient: Each month the patient was responsible for the full price of the medication. Their insurance contributed nothing towards any of these claims. Funny how PBMs firmly tell Congress and others that they arent responsible for setting the price of medications. What do you call this then"
X Link 2025-06-09T19:54Z [---] followers, [----] engagements
"I would argue that if CVS Caremark (PBM) wouldnt have put so many independent pharmacies out of business in the last [--] years patients would still have plenty of local access to the pharmacy of their choosing. Its about leveling the playing field. CVS is crying wolf because a state is finally taking bold action against their anti-competitive abuses. Would it make sense for McDonalds to set the profit margins for Burger King or Wendys No it wouldnt. Thats essentially what CVS Caremark has done to their competitors. Drive them out of business with lower than acquisition cost reimbursements"
X Link 2025-06-10T03:08Z [---] followers, [--] engagements
"2024 @CVSHealth contribution to Pharmaceutical Care Management Association @pcmanet = $7296000 No wonder @JCScottPCMA doesnt mind spouting off lies to Congress a few times a calendar year. Glad the money PBMs are bilking from community pharmacies are going towards such a great cause CVS Health Corporation - Contributions /dues to trade associations and coalitions January [--] [----] to December [--] [----] https://t.co/e0nbNzCyMC CVS Health Corporation - Contributions /dues to trade associations and coalitions January [--] [----] to December [--] [----] https://t.co/e0nbNzCyMC"
X Link 2025-06-11T18:28Z [---] followers, [----] engagements
"Had an @OptumRx desk audit sitting on the fax machine this morning. [--] products in total. All Brand name drugs. Probably in total looking at over $50k worth of drugs they are attempting to recoup. Dating back to January [----]. Wish me well"
X Link 2025-06-12T13:58Z [---] followers, 219.8K engagements
"Because @CMSGov doesnt give AF about pharmacies surviving. Why isnt CMS doing this with the pharmacies as well https://t.co/CFXgeGSxe9 Why isnt CMS doing this with the pharmacies as well https://t.co/CFXgeGSxe9"
X Link 2025-06-14T23:42Z [---] followers, [----] engagements
"Time to burn this shit heap down to the ground. Insurance companies PBMs all of it. Set the bitch on fire and walk away. Board Certified OBGYN exposes what they must go through just to get one prescription approved by health insurance companies This is what doctors are dealing with in [----]. So my patient needs a medication an indicated medication for her condition. So I send the prescription to https://t.co/cCZs9KRDzV Board Certified OBGYN exposes what they must go through just to get one prescription approved by health insurance companies This is what doctors are dealing with in [----]. So my"
X Link 2025-06-18T04:54Z [---] followers, [----] engagements
"Top [--] PBMs = 95% market share All other PBMs + Cash pay patients = 5% of the market This is the competitive market that @pcmanet and @JCScottPCMA are always touting. 🚨 2024: ()🚨 The pharmacy benefit manager (PBM) market remains highly concentratedwith nearly 80% of equivalent https://t.co/7S4kAXcSYv 🚨 2024: ()🚨 The pharmacy benefit manager (PBM) market remains highly concentratedwith nearly 80% of equivalent https://t.co/7S4kAXcSYv"
X Link 2025-06-18T12:32Z [---] followers, [----] engagements
"Thought it would be a good time to revive this post with all of the @AstraZeneca news lately Drug on the left = $570 Drug on the right = $356 Which drug would you want to purchase knowing that the tablets are identical and are made in the same manufacturing plant The cheaper one obviously right Then why do major PBMs exclude the cheaper one https://t.co/S6QOci97ET Drug on the left = $570 Drug on the right = $356 Which drug would you want to purchase knowing that the tablets are identical and are made in the same manufacturing plant The cheaper one obviously right Then why do major PBMs"
X Link 2025-06-19T05:35Z [---] followers, [----] engagements
"Pharmacy was paid [--] cents for dispensing [--] prescriptions but the plan sponsor (her husbands employer) was billed $161.00 Holy spread pricing Batman VanderHouwen described one instance where she filled three of her own prescriptions and was reimbursed just [--] cents. My husband's employer who holds the insurance was billed $161 for those prescriptions she said. And I received [--] cents. @KREM2 https://t.co/HHQ602ZJ67 VanderHouwen described one instance where she filled three of her own prescriptions and was reimbursed just [--] cents. My husband's employer who holds the insurance was billed $161"
X Link 2025-06-19T16:45Z [---] followers, [----] engagements
"Want a sure fire way to piss off your local pharmacist Bring in any prescription that was filled from a mail-order pharmacy or another retail pharmacy and start asking questions about it GTFOH with that. Call the place you got it filled; that falls under the category of not my problem"
X Link 2025-06-21T03:46Z [---] followers, [----] engagements
"Indy Drug Co. will accept pretty much any insurance plan including Medicare Wish them the best of luck- probably not a good idea to take on many of Rite Aids customer base without vetting them first. With the recent news of pharmacies closing there's so many patients that are just on an island and patients that can't drive can't get out need help managing their medications." @WJACTV https://t.co/G65IQFJcnK With the recent news of pharmacies closing there's so many patients that are just on an island and patients that can't drive can't get out need help managing their medications." @WJACTV"
X Link 2025-06-24T02:49Z [---] followers, [----] engagements
"Been seeing a lot more of these types of rejects here lately. Any coincidence @CVSHealth @cvspharmacy @Aetna @AetnaHelp that you are purposely trying to steer more patients with all of the recent news about your terrible business model Must fill 90-day supply But when I try to bill a 90-day supply as you stated my pharmacy is coincidentally not in the 90-day network. So if I cant bill a 30-day supply and I cant bill a 90-day supply then patient has to pay cash or transfer out to @cvspharmacy Patient had a $0 co-pay before so take a wild guess which option he is choosing This needs to be"
X Link 2025-06-25T16:23Z [---] followers, [----] engagements
"The ruling stems from a False Claims Act lawsuit brought by whistleblower Sarah Behnke a former actuary at Aetna who accused CVS Caremark Corp. of artificially inflating drug prices submitted to the Centers for Medicare & Medicaid Services (CMS) while paying pharmacies like Rite Aid and Walgreens significantly less No Say it aint so Better question is why is @CVSHealth @Aetna allowed to continue participating in Medicare Relator has proven damages with reasonable certainty Judge Goldberg wrote emphasizing that Caremarks conduct resulted in inflated Part D drug prices and distorted CMS"
X Link 2025-06-26T22:58Z [---] followers, [----] engagements
"If the dumbasses in Congress were worth a damn they wouldve done something by now. There is enough overwhelming evidence across the nation to sign seal and deliver a message to the PBM parasites once and for all. But that wont happen as long as the money continues to flow. No legislator can pretend to be ignorant to the issue anymore; not with all of the bad publicity the PBMs have been receiving over the past couple of years. So what gives Small businesses are the backbone of America right That is just a political catch phrase to get elected to a position in which they then screw over said"
X Link 2025-06-27T03:37Z [---] followers, [----] engagements
"Ive been researching for days looking for any information regarding the tragic deaths of two pharmacists who took their own lives in Lancaster Pennsylvania. I usually have a knack for finding information online quickly but this has been difficult to track down. What are you trying to hide @CVSHealth @cvspharmacy This story needs to make national headlines. Two obviously overworked and overburdened pharmacists are no longer here with us because of a corporation who failed them. My biggest fear is that this type of news will become more prevalent as pharmacies shut down nationwide. Patients are"
X Link 2025-06-27T04:49Z [---] followers, [----] engagements
"Its time to Take Action to Protect Patients Not Profits -The Pharmacists Fight Back Act - The Patients Before Monopolies Act -The Health Savings for All Act Need to Happen. Support them Please #MarchToAMillion and #JusticeForCole @JonHusted @boblatta @berniemoreno"
X Link 2025-06-28T02:45Z [---] followers, [---] engagements
"Imagine going to get an oil change for your car: The technician replaces your oil filter drains your old oil and refills it with new oil you pay for the service and youre on your way for another 3-5k miles. Now also imagine that same shop not being reimbursed their cost for the oil filter and replacement oil. They also get paid nothing for their time/labor. That is the simplest explanation of retail community pharmacy"
X Link 2025-06-28T14:53Z [---] followers, [----] engagements
"@RPhFarm 🤣 Also forgot the part where Valvoline and Mobil [--] audit the automotive shop for their invoices showing that they used their brand of oil and not some cheap knock off while charging the customer for brand name oil"
X Link 2025-06-28T15:09Z [---] followers, [---] engagements
"Congress is somewhere with their thumby up their bummy cashing in their checks from their big insurance donors @RepJamesComer @RepMTG @RepBuddyCarter @realDonaldTrump @SpeakerJohnson @DrOzCMS @DonaldJTrumpJr An independent pharmacy goes out of business EVERY DAY Where is congress @RepJamesComer @RepMTG @RepBuddyCarter @realDonaldTrump @SpeakerJohnson @DrOzCMS @DonaldJTrumpJr An independent pharmacy goes out of business EVERY DAY Where is congress"
X Link 2025-06-28T18:59Z [---] followers, [---] engagements
"🚨FACT: I might have to close down my independent pharmacy since there was yet again no PBM reform included at the federal level. My American family take-home pay will be REDUCED to ZERO because I will be out of a job. 🚨 FACT: When we pass President Trumps historic tax relief take-home pay for a typical American family will INCREASE by OVER $10000 per year. 🚨 FACT: When we pass President Trumps historic tax relief take-home pay for a typical American family will INCREASE by OVER $10000 per year"
X Link 2025-06-29T03:23Z [---] followers, [----] engagements
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