#  @InsOligopoly InsuranceOligopoly InsuranceOligopoly posts on X about insurance, cvs, $ci, $cvs the most. They currently have [-----] followers and [---] posts still getting attention that total [---------] engagements in the last [--] hours. ### Engagements: [---------] [#](/creator/twitter::1796320562010030080/interactions)  - [--] Week [-----] -85% - [--] Month [-------] +951% - [--] Months [-------] +43% - [--] Year [-------] -52% ### Mentions: [--] [#](/creator/twitter::1796320562010030080/posts_active)  - [--] Week [--] -3.70% - [--] Month [--] +300% - [--] Months [---] +20% - [--] Year [---] +89% ### Followers: [-----] [#](/creator/twitter::1796320562010030080/followers)  - [--] Week [-----] +0.47% - [--] Month [-----] +6% - [--] Months [-----] +28% - [--] Year [-----] +91% ### CreatorRank: undefined [#](/creator/twitter::1796320562010030080/influencer_rank)  ### Social Influence **Social category influence** [stocks](/list/stocks) [finance](/list/finance) [celebrities](/list/celebrities) [countries](/list/countries) [technology brands](/list/technology-brands) [automotive brands](/list/automotive-brands) [cryptocurrencies](/list/cryptocurrencies) [currencies](/list/currencies) [travel destinations](/list/travel-destinations) [social networks](/list/social-networks) **Social topic influence** [insurance](/topic/insurance), [cvs](/topic/cvs), [$ci](/topic/$ci), [$cvs](/topic/$cvs), [$unh](/topic/$unh), [$hum](/topic/$hum), [money](/topic/money), [elon musk](/topic/elon-musk), [acquisition](/topic/acquisition), [paid](/topic/paid) **Top accounts mentioned or mentioned by** [@afergusonftc](/creator/undefined) [@aagslater](/creator/undefined) [@seckennedy](/creator/undefined) [@oigathhs](/creator/undefined) [@mcuban](/creator/undefined) [@meadorftc](/creator/undefined) [@commpharmacy](/creator/undefined) [@drozcms](/creator/undefined) [@justiceatr](/creator/undefined) [@pcmanet](/creator/undefined) [@expressscripts](/creator/undefined) [@cvshealth](/creator/undefined) [@elonmusk](/creator/undefined) [@mrddmia](/creator/undefined) [@cvspharmacy](/creator/undefined) [@ftc](/creator/undefined) [@gailaslater](/creator/undefined) [@mholyoakftc](/creator/undefined) [@bedoyaftc](/creator/undefined) [@waysmeanscmte](/creator/undefined) **Top assets mentioned** [CVS Health Corp (CVS)](/topic/cvs) [Cigna Corp (CI)](/topic/$ci) [UnitedHealth Group (UNH)](/topic/$unh) [Humana Inc (HUM)](/topic/$hum) [AbbVie Inc (ABBV)](/topic/$abbv) [Novo-Nordisk (NVO)](/topic/$nvo) [Mastercard, Inc. (MA)](/topic/$ma) [Cencora, Inc. (COR)](/topic/$cor) [McKesson Corporation (MCK)](/topic/$mck) [AstraZeneca PLC (AZN)](/topic/$azn) [Walgreens Boots Alliance Inc (WBA)](/topic/$wba) [Eli Lilly and Company (LLY)](/topic/$lly) [Dogecoin (DOGE)](/topic/doge) [Novartis AG (NVS)](/topic/novartis) [Alphabet Inc Class A (GOOGL)](/topic/$googl) [GoodRx Holdings, Inc. (GDRX)](/topic/$gdrx) [Microsoft Corp. (MSFT)](/topic/microsoft) [Moon Tropica (CAH)](/topic/$cah) ### Top Social Posts Top posts by engagements in the last [--] hours "@HokiePharmacist I had to go alias because last time got a cease and desist from the $ESI clowns" [X Link](https://x.com/InsOligopoly/status/1799040897784725602) 2024-06-07T11:29Z [---] followers, [--] engagements "@DrugChannels @CVSHealth @abbvie @DeutscheBank Sure. When you own the PBM and the PBM says it will only pay for their product" [X Link](https://x.com/InsOligopoly/status/1802002197397250280) 2024-06-15T15:36Z [--] followers, [--] engagements "Its bad real bad. Make no mistake its not a were not making enough. The insurance oligarchs couldnt survive with this reimbursement. With their 86%market share its indentured servitude. $0.35 $0.38 -$27.43 $0.83 TOTAL @JusticeATR @FTC @OIGatHHS Very curious if anyone outside of pharmacy finds tweets like this at all compelling or useful Very curious if anyone outside of pharmacy finds tweets like this at all compelling or useful" [X Link](https://x.com/InsOligopoly/status/1803937124380557478) 2024-06-20T23:45Z [--] followers, [--] engagements "Breaking news: PBM stakeholders set to study auto industry for possible entry into market after reports of consumers being offered $6000-10000 discounts WITHOUT a middleman. Turns out consumers can expect to both NOT pay full MSRP nor middleman markups in a free market system Typical politician. This is why nobody trusts people like you. Typical politician. This is why nobody trusts people like you" [X Link](https://x.com/InsOligopoly/status/1804352605356790027) 2024-06-22T03:15Z [--] followers, [---] engagements "@redlgb1969 @NACDS @nytimes They threatened States not to regulate them following the Rutledge v @pcmanet case that made it to SCOTUS. SCOTUS ruled state law requiring PBMs to pay pharmacies no less than their acquisition costs for prescription drugs was not preempted by ERISA Yet they dont anyway" [X Link](https://x.com/InsOligopoly/status/1804359393300857093) 2024-06-22T03:42Z [--] followers, [--] engagements "We need PBM middleman negotiating discounts for buyers (actually non fiduciary PBMs work for employer/payor not patent) like buyers need a PBM middleman fee to negotiate a $10000 off MSRP discount for @chevrolet Tahoe. [--] middleman Cost + always cheaper then MSRP- @mcuban The @nytimes has never met a market it doesn't loath. Why would they attack PBMs @SenToomey Because government price setting is the only alternative to PBMs. @SecPompeo @RyanCostello The @nytimes has never met a market it doesn't loath. Why would they attack PBMs @SenToomey Because government price setting is the only" [X Link](https://x.com/InsOligopoly/status/1804456205160493148) 2024-06-22T10:07Z [--] followers, [--] engagements "Bank loan: interest penalty & fees fully disclosed Realtor: my commission is 2.5% Versus PBM: how we operate is trade secret Spending: I can freely shop at Publix Kroger or Ingles I can use Visa or MasterCard and retailer pays 3% fee Versus PBM: we decide drug/pharmacy/fee @TexanHealthCare Lol a pcma front group tweeting propaganda @TexanHealthCare Lol a pcma front group tweeting propaganda" [X Link](https://x.com/InsOligopoly/status/1804470811853508826) 2024-06-22T11:05Z [--] followers, [---] engagements "@TheTRT_KING @MarkPompe13371 I suspect his recent weight loss wasnt from hard work and sacrifice. If his PBM covered one of the $1200 GLP-1s then hes probably a smitten kitten when it comes to the mafia" [X Link](https://x.com/InsOligopoly/status/1804682069144154570) 2024-06-23T01:05Z [--] followers, [--] engagements "As an independent pharmacist I can attest the PBMs are serious obstructionists and professional manipulators who have one goal: to extract as much revenue from the drug supply chain as they can get away with. At everyones demise the payor the pharmacy the patient CVS/CareMark Drug cost $9.06 PBM assigned patient copay $13.98 PBM chargeback from pharmacy $5.50 Gross profit left for pharmacy $8.48 PBM bill/payment from payor OptumRx Drug cost $952.99 PBM assigned patient copay $45 PBM payment to pharmacy $905.80 Pharmacy LOSS on COGS $2.19 PBM rebate from Pharma 60% ($571) PBM bill/payment from" [X Link](https://x.com/InsOligopoly/status/1805771827437879740) 2024-06-26T01:15Z [--] followers, [----] engagements "Let me break it down for the PBM/Insurer oligopoly lobby. Payors please pay attention. Drugs have acquisition costs and average wholesale prices (AWP). PBMs bill payors AWP-20% and tell you they negotiated you a 20% discount. PBM will then pay the pharmacy AWP-88% and keep the 68% spread Pharma will pay PBM 50-60% rebate for brand. Eliquis cost $576.57. AWP is $713.28 PBM will pay pharmacy AWP-25.5%=$531.39 PBM will then bill payor AWP-10% again claiming they got you a discount. PBM gets (AWP-10) $641.95 plus (60% rebate) $345.94=$987.89 Pays pharmacy $531.39 loosing $45.18 Payor pays $641.95" [X Link](https://x.com/InsOligopoly/status/1806364608745136131) 2024-06-27T16:30Z [--] followers, [--] engagements "$CVS @CVSHealth PBM CareMark is Fortune [--] $UNH PBM @OptumRx is Fortune [--] Before $CI bought @ExpressScripts ESI was Fortune [--] while Cigna was 73Interestingly at same time @Boeing was [--]. The vertical integration violates the Sherman Act and helps the smokes and mirrors that is the insurance oligopoly. No other industry the size of healthcare: Real estate-buying a home Banking-loans Vehicle-parts & servicing Mandates the customer explicitly use a middleman perform the function otherwise would pay more. Everyone in the room know they are leeches and not only allow it promote it. What does that" [X Link](https://x.com/InsOligopoly/status/1806413375355687419) 2024-06-27T19:44Z [---] followers, [---] engagements "When should we expect $CI to buy $WBA so they can copy the CVS/Health-CareMark/CVSPharmacy/Aetna oligopoly Now that $WBA is cheaper to buy and Cignas PBM ExpressScripts ex CEO Tim Wentworth is at the helm @MariaBartiromo @BeckyQuick @JoeSquawk @WaysMeansCmte @WaysandMeansGOP @JusticeATR @FTC @OIGatHHS @JusticeOIG Its almost like the failure of Walgreens is on purpose" [X Link](https://x.com/InsOligopoly/status/1806487791322214865) 2024-06-28T00:40Z [---] followers, [--] engagements "@HokiePharmacist Former CEO of ESI is $WBA president. Ill bet my ass they flatlined the stock on purpose so Cigna/ExpressScripts could buy up cheap and have a copycat of CVS/Health/Pharmacy/CareMark/Aetna" [X Link](https://x.com/InsOligopoly/status/1806488668896423998) 2024-06-28T00:43Z [---] followers, [---] engagements "@RealJamesWoods I bet she can Hawk Tuah" [X Link](https://x.com/InsOligopoly/status/1806738483895324829) 2024-06-28T17:16Z [---] followers, [--] engagements "Pharmacy is no longer a profession. A retail pharmacist is an indentured servant. Patients are suffering too with deficient outcomes and higher prices. Meanwhile @UHC $UNH pays @AARP $600 million annually in royalties to put their logo on Medicare Part D materials. @WaysMeansCmte @WaysandMeansGOP @GOPoversight @OversightDems @RyanCostello @SeanParnellUSA @SenTedCruz @RealPNavarro @SenatorCantwell @linakhanFTC @MHolyoakFTC @JusticeATR @OIGatHHS @JDVance1 This is insane Unfortunately PBMs have most of the influential lobbying groups such as AARP in their pockets. What about PharmDs Unless you" [X Link](https://x.com/InsOligopoly/status/1813913336800493726) 2024-07-18T12:26Z [---] followers, [----] engagements "@A_Ciaccia @pharmalot @KwameRaoul PBM oligarchs make so much money its cheaper to pay a multimillion dollar fine then to operate ethically" [X Link](https://x.com/InsOligopoly/status/1815913794419269934) 2024-07-24T00:56Z [---] followers, [--] engagements "How else do you think @UHC $UNH make @FortuneMagazine [--] when they make no product and stock no inventory.they have market share and leverage to literally do whatever they want too Steer patients to their own mailorder Force patients use their specialty pharmacy Force expense brand medications as formulary for rebate kickback Audits Charge backs Prior authorizations Denials Pay below cost of product/service Offer provider buyouts to become employee (once theyve put you out of business) @ftc @linakhanFTC @BedoyaFTC @RKSlaughterFTC @MHolyoakFTC @JusticeATR @WaysMeansCmte @WaysandMeansGOP" [X Link](https://x.com/InsOligopoly/status/1823788343752376715) 2024-08-14T18:26Z [---] followers, [---] engagements "If I dispense a [--] day supply of this med: Cost: $7057 Under paid $685 If I dispense [--] day supply: Cost: $2352 Under paid: $41 PBMs like OptumRx owned by $UNH shouldnt offer take it or leave contracts paying below cost. Since they are also a pharmacy they should be required to indicate where drug could be bought for the price they are reimbursing. @RepJamesComer @RepBuddyCarter @SeanParnellUSA @mikepompeo @pcmanet @JackPosobiec @RealEJAntoni @charliekirk11 @WaysMeansCmte @WaysandMeansGOP @GOPoversight @OversightDems @FTC @linakhanFTC @RKSlaughterFTC @BedoyaFTC @MHolyoakFTC @JusticeATR" [X Link](https://x.com/InsOligopoly/status/1830235093614358990) 2024-09-01T13:23Z [---] followers, [---] engagements "#60 Metformin 1000mg for $0.88 #90 Amphetamine Salts 20mg for $10.10 Federal employee contract offering=below cost reimbursement Wonder what PBM CareMark owned by $CVS who also owns Aetna pays themselves for these claims Yes @Aetna reimbursement is the worst @RepJamesComer @RepBuddyCarter @WaysMeansCmte @WaysandMeansGOP @GOPoversight @OversightDems @FTC @JusticeATR @linakhanFTC @RKSlaughterFTC @BedoyaFTC @MHolyoakFTC @OIGatHHS @SeanParnellUSA @mrddmia @mikepompeo @RealEJAntoni @RealPNavarro @realdocspeaks @DrugChannels @mcuban @JoeSquawk @mariaaspan @MariaBartiromo If PBM is paying AWP-20.7%" [X Link](https://x.com/InsOligopoly/status/1830240777282224314) 2024-09-01T13:46Z [---] followers, [----] engagements "@CVSHealth @cvspharmacy @Aetna @GOPoversight @OversightDems @WaysMeansCmte @WaysandMeansGOP @RepJamesComer @SpeakerJohnson @JDVance @jimcramer @SquawkStreet @FTC @linakhanFTC @RKSlaughterFTC @BedoyaFTC @MHolyoakFTC @mcuban How does $CVS become @FortuneMagazine Global [---] #10 their PBM Caremark charges 47000% markup when they get paid while paying independent pharmacies $8.48 for a medication that costs $9.06 while patient pays $13.98 & PBM clawsback $5.50 Paying $924.65 for medication costing $944.31 making pharmacy subsidize insurance $19.66 Paying $0.35 for claim cost $0.59 Offering take it" [X Link](https://x.com/InsOligopoly/status/1834221539627090138) 2024-09-12T13:24Z [---] followers, [---] engagements "It shouldnt be legal. Definitely not moral. Drug space explained in one slide. Drugs have [--] prices: AWP average wholesale price Acquisition price (wholesale price) Net cost (after rebate) AWP is the MSRP inflated sticker price no one pays is number manufacturers use to value their product and is number PBMs use to charge plans/payors and the number @GoodRx and @SingleCare use to calculate their discount. Also the number PBM uses to reimburse pharmacy for brand drugs via a AWP minus a discount. Acquisition price is price pharmacy pays to wholesaler to stock in inventory. This is the number PBM" [X Link](https://x.com/InsOligopoly/status/1834309298077200782) 2024-09-12T19:13Z [---] followers, [----] engagements "Every market Mastercard doesnt steer/force me to buy products and services from corporations they own. As a consumer Im free to choose what grocery store I want what gas station I want and what auto parts store I want. When I have USAA insurance they dont decide what brand vehicle I drive. Payors use PBMs because the payors are unaware of alternative. The PBM says these are your choices all choices benefit the PBM. Multiple entities have researched and documented how PBMs use spread pricing brand rebates and use of their own mail order to gouge the system. Payors are unaware that a generic" [X Link](https://x.com/InsOligopoly/status/1834400410825576472) 2024-09-13T01:15Z [---] followers, [--] engagements "PBMs refuse to provide documents requested by @FTC and refuse to correct misleading statements made to Congress regarding patient steering and paying competitors fairly. Now one major PBM is suing because to them transparency equals defamation How you know you are over the target https://www.healthcaredive.com/news/pbm-house-oversight-committee-testimony-caremark-express-scripts-optum-rx/726808/ https://www.healthcaredive.com/news/pbm-house-oversight-committee-testimony-caremark-express-scripts-optum-rx/726808/ Retract the report after the following is done: The insurance companies must not" [X Link](https://x.com/InsOligopoly/status/1836067376535658581) 2024-09-17T15:39Z [---] followers, [---] engagements "@pelterkevin Dont forget the brand rebate of over $250 (50% of cost) paid by manufacturer to PBM otherwise the competitor drug Xarelto is the formulary choice" [X Link](https://x.com/InsOligopoly/status/1836071993222783428) 2024-09-17T15:57Z [---] followers, [---] engagements "Its always nice to get paid $9 for ADHD medication that cost $26 and requires a DEA license and a stack of compliance and regulation to stock. PBM is like a casino house always wins @RepAuchincloss @linakhanFTC @RKSlaughterFTC @BedoyaFTC @MHolyoakFTC @RepJamesComer @JDVance Wall Street is putting Main Street out of business when we do a better job and provide better employee quality of life I need to know is it actually possible to buy [--] Adderall 20mg generic for $7.15 Because of course ESI says I can get it for -$3. Which is the price I need to buy it at to make the $10 minimum to survive." [X Link](https://x.com/InsOligopoly/status/1836143472438378704) 2024-09-17T20:41Z [---] followers, [----] engagements "Curious is it really seeking asylum if you safely travel through multiple countries to get to US border or if the @DHSgov flies you directly in So [--] million immigrants over the last [---] years are all legitimately seeking life threatening asylum With a smartphone app With NGOs getting billions With our own government bussing and flying. With zero vetting" [X Link](https://x.com/InsOligopoly/status/1836382222980415756) 2024-09-18T12:30Z [---] followers, [--] engagements "Yep. Entity (PBM) that provides the least amount of value in drug supply chain makes the most from it. More then the inventor-manufacturer More then the wholesaler More then the pharmacy dispensing Combined PBM requiring a 74% rebate in order to be on formulary.$692 to the PBM to be a middle man that is supposed to lower cost.meanwhile the PBM is reimbursing the pharmacy BELOW acquisition cost for the same medication.@pcmanet how do you talk your way out of this one PBM requiring a 74% rebate in order to be on formulary.$692 to the PBM to be a middle man that is supposed to lower" [X Link](https://x.com/InsOligopoly/status/1839310549257171140) 2024-09-26T14:26Z [---] followers, [----] engagements "@cvspharmacy @CVSHealth @FTC @linakhanFTC @BedoyaFTC @RKSlaughterFTC @MHolyoakFTC @RepJamesComer @nytimes How about you pay independents what you pay yourself You buying brand symbicort for $100.35 You survive on $0.50 for #60 metoprolol You buying Ozempic 2mg for $924.35 You paid pharmacy $8.78 for #35 Leflunomide 10mg. The AWP is $689. What did you collect from employer Pharmacy industry run by PBMs is collusion extortion and indentured servitude. As if there was any doubt before this comment it is now in black and white. PBMs are actively trying to close independent pharmacies. We need" [X Link](https://x.com/InsOligopoly/status/1847778099347280147) 2024-10-19T23:13Z [---] followers, [---] engagements "@carnivorePharm @cvspharmacy @CVSHealth @FTC @linakhanFTC @BedoyaFTC @RKSlaughterFTC @MHolyoakFTC @RepJamesComer @nytimes Then the 90% of customers preferring to use their insurance will choose another pharmacy" [X Link](https://x.com/InsOligopoly/status/1847829892726977019) 2024-10-20T02:39Z [---] followers, [--] engagements "Ive got receipts. Do you have any in defense Refills arent allowed/covered at independent but are at PBM owned mail order This is patient steering This is the CVS/Caremark rates for [----]. Take it or leave it offering. 30% of my business. Can $WMT accept these rates Can CVSPharmacy $CVS accept these rates Can $KR accept these rates This is extortion Amlodipine 10mg. #30 fill PBM paid pharmacy $0.35. Any claims leaving CVSPharmacy or Caremark mail order for $0.35 This is indentured servitude After offering below cost contract pharmacy drops @TRICARE network. Patient gets letter saying they wont" [X Link](https://x.com/InsOligopoly/status/1848532363656986711) 2024-10-22T01:10Z [---] followers, [----] engagements "@Liz_Cheney WOMD=$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$" [X Link](https://x.com/InsOligopoly/status/1852689271422959891) 2024-11-02T12:28Z [---] followers, [--] engagements "@HokiePharmacist 10-4. As a multi store independent pharmacy owner censored by ExpressScripts and a fellow fan of college football Ive followed you for awhile" [X Link](https://x.com/InsOligopoly/status/1854275175552049584) 2024-11-06T21:30Z [---] followers, [--] engagements "@cardinalhealth @CencoraGlobal @McKesson $CAH $COR $MCK @PioneerRx @Commpharmacy @novonordiskus @EliLillyandCo $NVO $LLY and all the PSAO and buying groups how much money are you loosing selling incretin mimetics Because last month I bought $107042 worth and lost $1843 plus the cost of dispensing. You guys hurting You guys missing any tee times Didnt think so. My two 40+ year old pharmacies are about to close. [--] people unemployed and the next home oxygen supplier is [--] miles away. Smoke your cigars and sleep well. @FTC @linakhanFTC @BedoyaFTC @RKSlaughterFTC @MHolyoakFTC @mcuban" [X Link](https://x.com/InsOligopoly/status/1854933965800718594) 2024-11-08T17:08Z [---] followers, [---] engagements "ExpressScripts offered a take it or leave it contract. Regrettably I had to leave it. We dont make enough profit to subsidize a PBM. After grassroots outrage ESI sent a reconsideration email. The only problem is it was the same under cost reimbursement. My email reply telling them that my @USNavy veteran father and grandfather deserved to use their son/grandson pharmacy. Never heard from PBM again. Tell me PBM could you accept these rates Why do you get to make $17 per prescription @TRICARE @OIGatHHS @JusticeOIG @BergerMontague @FrierLevitt Dear @TRICARE These veterans deserve choice of" [X Link](https://x.com/InsOligopoly/status/1855386837562650663) 2024-11-09T23:07Z [---] followers, 647.9K engagements "Remember when $CI paid $67 Billion for ESI When ESI described as largest company you didnt know about was Fortune [--] while a company everyone knows about Boeing was Fortune [--]. Wonder what they do with this leverage Ask a provider And a pharmacist too since @CMSGov doesnt consider pharmacists providers. @linakhanFTC @BedoyaFTC @BedoyaFTC @MHolyoakFTC @BergerMontague @FrierLevitt @mrddmia @RobertKennedyJr @DonaldJTrumpJr https://www.fiercehealthcare.com/payer/cigna-closes-67b-express-scripts-acquisition Make this 👇👇👇Make sense @Cigna profits over patients. #NotHealthCare" [X Link](https://x.com/InsOligopoly/status/1855723981803798758) 2024-11-10T21:27Z [---] followers, [---] engagements "@warrisbokhari @Cigna @mcuban @RepAuchincloss @HokiePharmacist @RuthReader @chrissyfarr @WSJ @nytimes Its not like $CI cant afford it. 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/InsOligopoly/status/1855725212009894300) 2024-11-10T21:32Z [---] followers, [---] engagements "@SenJohnThune Is a life time politician the best person to lead" [X Link](https://x.com/InsOligopoly/status/1855942761280630878) 2024-11-11T11:56Z [---] followers, [--] engagements "We manage your pharmacy plan and were a pharmacy No conflict of interest there PBM offers contracts they couldnt accept PBM makes $17 even when another pharmacy fills the prescription. If you have Main Street Pharmacy Twitter account and you post this stuff the PBM sends a cease and desist @FTC @linakhanFTC @BedoyaFTC @RKSlaughterFTC @MHolyoakFTC @JusticeATR @RealEJAntoni @elonmusk @VivekGRamaswamy congrats on #DOGE while we wait for leaderboard of wasteful spend here is to start multi billion $$$ savings by fixing #TRICARE remove express script as PBM and bring direct reimbursement to" [X Link](https://x.com/InsOligopoly/status/1856882752173301857) 2024-11-14T02:12Z [---] followers, [----] engagements "CVS Caremark knows the number is inflated. My tax id has two NPIs and two NCPDP so I can do LTC billing. One pharmacy business one building one tax id. CVS will count me as two. They are just that dishonest CVS Caremark is claiming to have 27k independent pharmacies in their network despite less than 20k in existence. Goes to show how much the PCMA studies on the number of pharmacies can be relied on. #Pharmacy #TwitteRx https://t.co/M4lbZCrlAP CVS Caremark is claiming to have 27k independent pharmacies in their network despite less than 20k in existence. Goes to show how much the PCMA" [X Link](https://x.com/InsOligopoly/status/1856884454704517254) 2024-11-14T02:18Z [---] followers, [---] engagements "Been running an independent for [--] years. In [----] the 60+ year old CVS RPh PIC town favorite pharmacist quit on the spot and came to work with us. He retired [----]. In [----] the 40+ year old CVS RPh who was his store partner quit and came to work with us. In [----] the CVS lead technician came to work with us. This week the current local CVS RPH PIC sent this text to our tech who left CVS. Hate to bother you but I needed to ask you a question about when did you know you had to jump ship My quality of life is just zero now $CVS Excellent video on how CVS is stealing from everyone and putting" [X Link](https://x.com/InsOligopoly/status/1856897939597136073) 2024-11-14T03:12Z [---] followers, [----] engagements "@PeteHegseth" [X Link](https://x.com/InsOligopoly/status/1856906087330464058) 2024-11-14T03:44Z [---] followers, [--] engagements "Dont believe the PBM lobby propaganda Cigna closed its $67 billion acquisition of Express Scripts in December less than a year after the companies agreed to combine it marked the creation of a greater than $140 billion revenue healthcare colossus. How did the companies combine so quickly ESI company most never heard of was @FortuneMagazine [--] while @Boeing was [--]. Vertically integrating the PBM into the insurer was necessary to hide the real cost revenue profit of the PBM mafia machine. Its laughable the lobby talks of greed when they are the poster child of greed and malfeasance. Missouri" [X Link](https://x.com/InsOligopoly/status/1857112101023817849) 2024-11-14T17:23Z [---] followers, [---] engagements "@MomAngtrades [--] adults. $3100 per month. $8500 deductible. No dental no vision. $100 copays. $500 ER copay. We employ [--] people. [--] full time. Living paycheck to paycheck. Hedge funds politicians and corporate monopolies have destroyed the middle class" [X Link](https://x.com/InsOligopoly/status/1857241415350169679) 2024-11-15T01:57Z [---] followers, [--] engagements "@kylenabecker @mattgaetz Let me know who is will primary against @JohnCornyn so I can donate to their campaign" [X Link](https://x.com/InsOligopoly/status/1857407613874434128) 2024-11-15T12:57Z [---] followers, [--] engagements "So I was preparing for staff meeting and looking over P&L Independent pharmacy financials [----] Jan-Aug DME sales $166370 DME COGS $93457 (44%) Pharmacy sales $2418652 Pharmacy COGS $1948577 (20%) Gross profit $704374 [----] Jan-Aug DME sales $155834 DME COGS $96198 (38.3%) -5.7% YOY Pharmacy sales $2948046 Pharmacy COGS $2397985 (18.6%) Gross profit [------] $449408 in increased purchasing=$73730 addl profit (16.4%) [----] Jan-Aug DME sales $141663 DME COGS $75829 (46.5%) +8.2% YOY Pharmacy Sales $2982248 (+1.16%) Pharmacy COGS [-------] (+6.88%) Gross Profit $690575 $165076 increased purchasing for" [X Link](https://x.com/InsOligopoly/status/1858684803832304002) 2024-11-19T01:32Z [---] followers, [---] engagements "So this happened yesterday. Local business owner sold business and got new insurance 10/01/24. Pharmacy wasnt presented new ins. and billed old insurance a claim on 10/22/24. He was mailed a bill for the claim. $CVS PBM CVS/Caremark and @AnthemBCBS got some explaining to do. Rx claim: Drug cost $28.62 PBM allowed $34.39 PBM paid pharmacy $19.39 Patient copay to pharmacy $15.00 $ANTM sent a bill to patient for $432.71 Is this what CVS/Caremark billed Anthem For a claim it paid $19.39 and said was worth $34.39 Is this the value of PBMs All stakeholders know this is going on failure to regulate" [X Link](https://x.com/InsOligopoly/status/1861443586379657656) 2024-11-26T16:15Z [---] followers, [----] engagements "@RepRaulRuizMD @POTUS Pharmacy loses money every time we dispense because the PBM doesnt pay acquisition cost and only pays a $0.05 dispensing fee" [X Link](https://x.com/InsOligopoly/status/1861616778532544873) 2024-11-27T03:43Z [---] followers, [--] engagements "This is morally reprehensible. Can someone explain to me where I should get the money to feed my family and pay my employees with the reimbursements that the PBMs set below @RonDeSantis @GovRonDeSantis @DrNealDunnFL2 @ShaneAbbottFL @DrOz @DOGE @VivekGRamaswamy @elonmusk We have peoples lives in our hands but https://t.co/oGgKo5WDBn Can someone explain to me where I should get the money to feed my family and pay my employees with the reimbursements that the PBMs set below @RonDeSantis @GovRonDeSantis @DrNealDunnFL2 @ShaneAbbottFL @DrOz @DOGE @VivekGRamaswamy @elonmusk We have peoples lives in" [X Link](https://x.com/InsOligopoly/status/1861973508877844505) 2024-11-28T03:20Z [---] followers, [---] engagements "Customer sold his business and his insurance changed from Anthem with CVS/Caremark as pharmacy benefit manager PBM to UHC. We didnt know his insurance changed and billed insurance on file. Claim didnt reject. PBM allowed pharmacy claim $34.39 PBM paid pharmacy $19.39 PBM billed Anthem $432.71 Anthem billed patient. This is called spread pricing. Why does PBM bill plan $432.71 when it paid $19.39 on a product/service it said was worth $34.39 Is it because the AWP of claim was $953.20 so by billing $432.71 its sold as a 55% discount Corporations are overpaying PBMs Insurance plans are" [X Link](https://x.com/InsOligopoly/status/1863774467345846462) 2024-12-03T02:37Z [---] followers, [----] engagements "@GrumpPharmacist Direct with ESI. PSAO with everyone else. CVS/Caremark direct contract offer for [----] on left. PSAO Caremark offer on right. Theres no best option only less worse" [X Link](https://x.com/InsOligopoly/status/1864331322040189369) 2024-12-04T15:29Z [---] followers, [--] engagements "@HokiePharmacist Did @pcmanet release a statement when Ashleigh died because of CVS malfeasance" [X Link](https://x.com/InsOligopoly/status/1864479790045995359) 2024-12-05T01:19Z [---] followers, [----] engagements "Explain this: Pharmacy bills insurance on file. Anthem BCBS. Insurer partners with pharmacy benefit manager (PBM) CVS/Caremark. PBM allows $34.39 PBM pays pharmacy $19.39 Except customer has new insurance with UHC/OptumRx in effect. So Anthem sends a bill to customer for $432.71. Even though PBM only paid $19.39 Did CVS/Caremark bill Anthem $432.71 Did Anthem mark up charge $432.71 is 45% of the $953.20 AWP. Is this how PBMs justify their existence by claiming they got payor a 55% discount when all day everyday retail charge for cash claim is $43.62 @AFergusonFTC @gailaslater" [X Link](https://x.com/InsOligopoly/status/1864500983335932295) 2024-12-05T02:44Z [---] followers, [---] engagements "Not condoning murder. Insurance companies are out of control. Drop provider from network explicitly to create a more narrow exclusive network for the sole purpose of increasing the insurance company leverage on the remaining network. This is one reason providers then get a buyout offer later. @AFergusonFTC @gailaslater @JusticeATR @JusticeOIG @FTC" [X Link](https://x.com/InsOligopoly/status/1864699623606010343) 2024-12-05T15:53Z [---] followers, [--] engagements "@LindseyGrahamSC POTUS [--] took a bullet and [--] months later became POTUS [--] (winning popular vote and all [--] swing states). He gets the Cabinet of his (our) choosing. Any republican who disagrees must be primaried. Period. Full stop" [X Link](https://x.com/InsOligopoly/status/1864811814954930381) 2024-12-05T23:19Z [---] followers, [--] engagements "@POTUS What about North Carolina We doing all we can for American Taxpaying Citizens" [X Link](https://x.com/InsOligopoly/status/1864812077233090652) 2024-12-05T23:20Z [---] followers, [--] engagements "@TractorSupply employee insurance uses OptumRx as its Pharmacy Benefit Manager (PBM). When we bill this blood thinner PBM pays us $553.09 when it costs $562.90 That sucks. The best part is when OptumRx bills TS they dont charge $553.09 they charge a % discount of AWP. AWP is $855.94. They will charge $727.55 (85%) even though they paid pharmacy $553.09 and claim we the PBM got you a 15% discount. The better part is the PBM will also get a 50-60% rebate from the manufacturer of Eliquis. $281-$337 Meanwhile patient premiums are unaffordable coverages are denied and independent pharmacies being" [X Link](https://x.com/InsOligopoly/status/1864870241743855774) 2024-12-06T03:11Z [---] followers, [---] engagements "@MikeSington Probably on his way home from an event catered by lobbyists" [X Link](https://x.com/InsOligopoly/status/1865005062830911757) 2024-12-06T12:07Z [---] followers, [---] engagements "Not condoning murder. I understand the lack of sympathy UHC Pharmacy Benefit Manager OptumRx prevents me from filling [--] day supply and then offers [--] day mailorder. Thrown out of their home medical network because they purposely wanted a more narrow network that gives them more control and leverage. Underpay claims" [X Link](https://x.com/InsOligopoly/status/1865532973082141118) 2024-12-07T23:04Z [---] followers, [----] engagements "@Godlesswh_re Popular vote AND all swing states but racism" [X Link](https://x.com/InsOligopoly/status/1865560997559161052) 2024-12-08T00:56Z [---] followers, [--] engagements "@rekesk @EliLillyandCo @novonordiskus @novonordisk @EliLillyandCo Id like to know too. I cant continue to subsidize you and @CencoraGlobal" [X Link](https://x.com/InsOligopoly/status/1865564121560682699) 2024-12-08T01:08Z [---] followers, [--] engagements "@tomcolicchio ALL seven swing states Electoral College Popular vote" [X Link](https://x.com/InsOligopoly/status/1865776557471551781) 2024-12-08T15:12Z [---] followers, [--] engagements "@MattWallace888 @Civil_Disco Persian" [X Link](https://x.com/InsOligopoly/status/1865803987800424546) 2024-12-08T17:01Z [---] followers, [---] engagements "Holy crap. @realDonaldTrump @RobertKennedyJr @DrOz know about the @pcmanet middle men and that nobody knows who they are and that the (PBM) middlemen makes more then the drug companies Please regulate this mafia And saves billions while saving Main Street Its good to see Trump knows what a PBM is and that theyre the ones siphoning all the money from the system✊ https://t.co/yjyYH63U14 Its good to see Trump knows what a PBM is and that theyre the ones siphoning all the money from the system✊ https://t.co/yjyYH63U14" [X Link](https://x.com/InsOligopoly/status/1865862488455295053) 2024-12-08T20:54Z [---] followers, [----] engagements "@txsalth2o If a freaking insurance company can afford stadium sky boxes and custom cookies with their logo providers like your brother who work for decades and sacrifice to become practitioners while accumulating over half a million in school loan debt deserve every penny" [X Link](https://x.com/InsOligopoly/status/1866318047763439738) 2024-12-10T03:04Z [---] followers, [---] engagements "@Timcast Mustve bought the bumper to bumper extended warranty" [X Link](https://x.com/InsOligopoly/status/1866569419285205166) 2024-12-10T19:43Z [---] followers, [--] engagements "@JackPosobiec Seems like the ones who want to confiscate the guns are more likely to illegal use them to commit murder then the ones who support the Second Amendment and own them responsibly" [X Link](https://x.com/InsOligopoly/status/1866570458860228762) 2024-12-10T19:47Z [---] followers, [--] engagements "@KirkHerbstreit @NFLonPrime @RamsNFL @49ers" [X Link](https://x.com/InsOligopoly/status/1866630890413072896) 2024-12-10T23:47Z [---] followers, [--] engagements "I have heard there are some huge disparities in some NADAC pricing. Believe able with three massive wholesalers few regionals 340B GPOs. Sort of like trying to decide what college football team makes playoffs. Seems crazy consumer knows price and is free to choose in every other sector of our economy except healthcare and the agreed solution is an oligopoly telling you trust us were the best option" [X Link](https://x.com/InsOligopoly/status/1866679740771471783) 2024-12-11T03:01Z [---] followers, [--] engagements "@VivekGRamaswamy PBM mail order waste" [X Link](https://x.com/InsOligopoly/status/1866911321305784821) 2024-12-11T18:21Z [---] followers, [---] engagements "@IndyRxVoice @Change_HC @Commpharmacy @TruthRX @SenWarren @SenMarkey Because their mother ship has other priorities" [X Link](https://x.com/InsOligopoly/status/1866990149659398518) 2024-12-11T23:35Z [---] followers, [--] engagements "Judge: why do you bill an imaginary overly inflated amount no one pays Me: because thats how the insurance mafia created the system Judge: Why would they do that Me: because their existence relies on showing value by getting and sometimes paying a discount of billed amount even when payor still pays a higher amount known as the spread Judge: do you charge this imaginary amount to customers without insurance Me: Hell no. Id be ripping them off besides without a middleman insurance to tell me the price to charge I have to figure that out on my own. Cost plus seems reasonable. Judge: insurance" [X Link](https://x.com/InsOligopoly/status/1867031796996547011) 2024-12-12T02:20Z [---] followers, [--] engagements "@realdocspeaks lol especially since they told @RepJamesComer and the @GOPoversight @OversightDems they pass 100% of rebates on. If that was true wouldnt that be on every lobby press release We gave [---] million of rebate dollars to X and [---] million of rebate dollars to Y" [X Link](https://x.com/InsOligopoly/status/1867034416331002323) 2024-12-12T02:31Z [---] followers, [--] engagements "@JCScottPCMA @pcmanet Im going to watch this many many times and share with many many patients. Look forward to reading your press release that says its anecdotal. @AFergusonFTC @gailaslater @BedoyaFTC @RKSlaughterFTC @MHolyoakFTC (you going down with this ship) @mrmeador @ChuckGrassley @HawleyMO @SenWarren @JusticeATR You have the evidence the PBMs are gaming the system for their benefit at patient payor and pharmacy peril. Them doing it is shameful. Allowing them to continue to do it is malfeasance. Its been a tough year politically for Predator.er Pharmacy Benefit Managers and their" [X Link](https://x.com/InsOligopoly/status/1867328482784543190) 2024-12-12T21:59Z [---] followers, [---] engagements "@ArthritisSTL @UHC @askUHC He cant talk now because hes in his Gulfstream at [-----] feet and his phone is in airplane mode" [X Link](https://x.com/InsOligopoly/status/1867335526736347269) 2024-12-12T22:27Z [---] followers, [---] engagements "Im the third busiest pharmacy out of [--] in my community. The only one in a [--] mile radius offering home oxygen CPAP supplies hospital beds delivered and billed to insurance. The only plans I am out of network is @TRICARE and @WellcarePlans. Why Its the same underwater contract. Kicker is my other pharmacy 20ish miles away is still in network because the underwater contract wasnt offered because there are not enough pharmacies for network coverage. So your contract is not based on the product and service you provide nor your value to the system. Its strategic. Cigna/ESI look at coverage map and" [X Link](https://x.com/InsOligopoly/status/1867962291422949557) 2024-12-14T15:58Z [---] followers, [--] engagements "PBMs are not getting the savings they say they are. In fact that cause prescription drugs to be exponentially higher from extorting rebates on brands from manufacturers billing payors a factor of usual & customary (U&C) or average wholesale price AWP but paying pharmacies cost and pocketing the spread. Furthermore as vertically integrated companies they force or steer patients to their own mail order and specialty med pharmacies. What PBMs do is worse than what BIG Pharma does because BIG PBMs control the machine. As an independent pharmacy operator and ultraMAGA patriot I hope the warroom is" [X Link](https://x.com/InsOligopoly/status/1868025436648726564) 2024-12-14T20:09Z [---] followers, [----] engagements "@realDonaldTrump @JDVance @nataliegwinters @JackPosobiec @SeanParnellUSA @charliekirk11 @RealPNavarro @Bannons_WarRoom @maureen_bannon @TuckerCarlson @joerogan @Kash_Patel @HawleyMO @SenWarren @ChuckGrassley @RepJamesComer @RepAuchincloss @mrmeador @AFergusonFTC @mrddmia @VivekGRamaswamy @elonmusk @RobertKennedyJr @SenToomey The Boss knows about the "middlemen" The Pharmacy Benefit Manager (PBM) $UNH owns @OptumRx $CI owns @ExpressScripts $CVS owns CareMark brand rebates spread pricing mandatory PBM mailorder mandatory PBM owned specialty pharmacy DIR fees GER fees clawbacks audits patient" [X Link](https://x.com/InsOligopoly/status/1868057750309372317) 2024-12-14T22:17Z [---] followers, [--] engagements "Harms PBMs. Helps everyone else H.R. [----] - Delinking Revenue from Unfair Gouging (DRUG) Act In addition to the direct savings patients and employers can receive from access to lower priced medicines the Congressional Budget Office assessed the impact of increased PBM transparency and this targeted policy and determined it would save the government $654 million over the next decade. Additionally the DRUG Act includes several other reforms to address PBM marketplace abuses: Bans spread pricing when a PBM charges the health plan more than they paid for a medicine; Prohibits PBMs from paying" [X Link](https://x.com/InsOligopoly/status/1868080528135491871) 2024-12-14T23:47Z [---] followers, [---] engagements "@tedcruz @RandPaul @chiproytx @ByronDonalds @RepScottPerry @NancyMace @RepAndyBiggsAZ @RepEliCrane @RepDavid @nataliegwinters @AndrewHGiuliani @SenToomey Its not Big Pharma benefiting Its Big PBM. Vertically integrated companies that completely control the pharmaceutical space" [X Link](https://x.com/InsOligopoly/status/1868090092524372268) 2024-12-15T00:26Z [---] followers, [---] engagements "@tedcruz @RandPaul @chiproytx @RepEliCrane @AndrewHGiuliani @nataliegwinters We can be against Pharma AND PBMs at same time. When Cigna bought PBM ExpressScripts in [----] for $52 Billion ExpressScripts a company a lot of people never heard of was Fortune [--]. Boeing on the other hand was [--] Vertical integration has created silos of insurer PBM GPO mailorder specialty mailorder provider & private labeler. And the leverage to steer pharmacy business from independent pharmacies and pressure physicians to sell practices to provider. They extort brand rebates from manufacturers. Instead of claiming" [X Link](https://x.com/InsOligopoly/status/1868270635463434581) 2024-12-15T12:23Z [---] followers, [---] engagements "HR6283 DRUG ACT (delinking) HR9096 Pharmacist fight back Desperately needed PBM CVS/Caremark Paid pharmacy $0.73 for atorvastatin 20mg #30 PBM OptumRx Patient pays $35.44 copay PBM clawsback $29.98 Pharmacy keeps $5.46 PBM CVS/Caremark Clawing back fees called Generic Effective Rate GER $4566 from [----] PBM wont allow independent pharmacy patient pharmacy of choice to fill [--] day supply. Have to get from PBM owned mailorder pharmacy. Why @nataliegwinters @AndrewHGiuliani @SenToomey Bipartisan group in Congress seeks to lower drug prices by targeting pharmacy benefit managers" [X Link](https://x.com/InsOligopoly/status/1868279140308111511) 2024-12-15T12:57Z [---] followers, [----] engagements "@northwoods1980 Nope. Youre going to pay for @RuthsChris but get @Applebees Why Because not everyone is paying for their meal and the executive board room eats for free" [X Link](https://x.com/InsOligopoly/status/1868306456522772482) 2024-12-15T14:45Z [---] followers, [----] engagements "@Crimsontider Spoken like a trained lobbyist. I thought you were a free thinker. I dont care about consumers I have to earn the business of my consumers. PBMs with their leverage and steering dont How dare you consumer-patients are also my Sunday school class. consumer-customers are my neighbors who I also help as a county volunteer firefighter. consumers are also my Freemason Brethren. Consumers came to me for home oxygen tanks when hurricane Helene caused power outages and big city providers were no show. Youre right as a job creator and taxpayer how dare I expect more than $0.50 or $0.36" [X Link](https://x.com/InsOligopoly/status/1868341028148674625) 2024-12-15T17:03Z [---] followers, [---] engagements "your "facts" are nothing more than the PBM lobby @pcmanet paid for brochure. All glossy and everything. Here are facts: The FTC sent compulsory orders to the six largest PBMs CVS Caremark Express Scripts OptumRX Humana Prime Therapeutics and MedImpact Healthcare Systems seeking information on fees pharmacy reimbursement methods rebates formulary design and other business practices. Months later the FTC issued additional orders to Zinc Health Services Ascent Health Services and Emisar Pharma Services. Not all requested information was returned. A true economic study will never be performed" [X Link](https://x.com/InsOligopoly/status/1868351051562192927) 2024-12-15T17:42Z [---] followers, [---] engagements "He probably won't accept your offer. He's on the board of a private equity firm Apollo Global Management and will only respond to requests by highest bidder. Tried researching and found no clear correlation. He was against Medicare Part D which is good since Part D was a boondoggle for pharma and the insurance oligopoly. And he was president of the @club4growth which is supposed be steadfastly conservative and anti-big government. But the PBM greed and insurance subsidization is anything but. Maybe the think the PBM of [----] is the PBM of [----]. As #POTUS4547 said the (PBM) middlemen are making" [X Link](https://x.com/InsOligopoly/status/1868367446358573407) 2024-12-15T18:48Z [---] followers, [---] engagements "If the PBMs are so gifted at their job why: Are they not separate entites like they were CVS bought Caremark in [----] $21 billion UHC buys Catamaran in [----] for $12.8 billion and builds OptumRx Cigna bought ExpressScripts in [----] for $67 billion when ESI was Fortune [--] and Cigna was Fortune [--] Why are they not fiduciary Why are they not transparent Why are they vertically integrated with Insurer provider pharmacy GPO like a shell corporation If they were so good at their jobs why would pharma raise their prices and prescription spend continue to rise" [X Link](https://x.com/InsOligopoly/status/1868402419194876256) 2024-12-15T21:07Z [---] followers, [--] engagements "Crony corporations Look no further than the vertically integrated insurer/PBM Isnt odd that in [----] Cigna bought PBM ExpressScripts for $67 billion when ExpressScripts was [--] on Fortune list and Cigna was [--]. BTW Boeing was [--]. Should not have ExpressScripts bought Cigna Or did the PBM mafia know the scrutiny of their practices was imminent Why does PBM pay Pharmacy $19.39 on a claim they say is worth $34.39 have the patient pay $15 but then bill payor $432 Where is the value there This isnt propaganda from @pcmanet @lowerhealthcost or @Commpharmacy This is real life community pharmacy data." [X Link](https://x.com/InsOligopoly/status/1868455632518394250) 2024-12-16T00:38Z [---] followers, [----] engagements "@mass_marion @HokiePharmacist @PatientTexas @nataliegwinters @realDonaldTrump @Free2CareHC @drleegross @RepBuddyCarter @AMACAction @60PlusAssoc @JustTheNews @MarkMeadows @RobertKennedyJr @IWF PBMs launched the same misinformation campaign in [----]. If you disrupt their revenue stream or make them be transparent they shout Grandmas prescription drugs will triple in price https://www.fiercehealthcare.com/payer/pbms-launch-counterattack-following-trump-administration-s-plan-to-end-drug-rebates" [X Link](https://x.com/InsOligopoly/status/1868501111386382354) 2024-12-16T03:39Z [---] followers, [---] engagements "@DefiyantlyFree Wait the f#@k. @GOP @TheDemocrats using our tax dollars to buy one mail truck that cost the same as [--] Ferraris but Im the scumbag for complaining PBMs are paying me $0.75 or $0.14 to fill a prescription" [X Link](https://x.com/InsOligopoly/status/1868506524668330305) 2024-12-16T04:00Z [---] followers, [--] engagements "You mean PBMs offer contracts to third party administrators and employers that say theres a mail order requirement So when customers use their pharmacy of choice they are told after requesting a needed refill that pharmacy is NOT allowed to bill refills Now their option is to pay cash which 95% do or wait for medication to be transferred to PBM owned mailorder or CVS if PBM is CVS/Caremark and wait and wait and wait. Supposedly this is cheaper for plan So big PBM companies have zero cost of goods sold At least I can fill antibiotics #20 SeptraDS generic PBM allows $0.83 PBM pays $0.34 Patient" [X Link](https://x.com/InsOligopoly/status/1868652329039228987) 2024-12-16T13:40Z [---] followers, [----] engagements "@carnivorePharm Napoleon Bonaparte is quoted as saying If you start to take Vienna take Vienna. This quote is a reminder to be dedicated to whatever you set out to do no matter how difficult boring or frustrating it may be. @Bannons_WarRoom" [X Link](https://x.com/InsOligopoly/status/1868663357567619129) 2024-12-16T14:23Z [---] followers, [--] engagements "borderline nauseating Our side has @mass_marion @realdocspeaks @A_Ciaccia @3AxisAdvisors @Greg_Reybold and others with actual patient and claim data showing how PBMs are gaming system. Providing concise professional and transparent information. Their side has @UnpopularPharm and @Jeffery1313 who do nothing but act like instigators for the insurance/PBM mafia. No proof just innuendo and slander. Your team: Paid pharmacy $19.39 and had patient pay almost as much $15 for a claim it said was worth $34.39. Then billed plan $432.71 How do you defend that I want the TRUTH Can you handle the truth Do" [X Link](https://x.com/InsOligopoly/status/1868693073284251766) 2024-12-16T16:22Z [---] followers, [----] engagements "Not hating just making an observation. Apparently these social media personalities who all appear to have little to no healthcare profession nor policy experience all use the same marketing agency. In case they and their followers didn't realize: Conservatives for lower healthcare costs @lowerhealthcost was created by lobbyist 8/2023. A common tactic of lobbyist is to create broad and noble sounding names to mislead. Americans for Pharma Reform @BustBigPharma formed 8/2024 by what looks like a VA based political operative Entities clearly formed to grift and lobby for Insurance/PBM to push" [X Link](https://x.com/InsOligopoly/status/1868850084320092227) 2024-12-17T02:45Z [---] followers, [----] engagements "Just now noticed the #UnitedHealthcare It makes sense now. UHC is Global Fortune [--] and all the working class conservatives are okay with that What do they make What do they create apparently were through with Big Tech and now Big Pharma is the boogie man. No critique of Big Insurance /PBM @Iwendtster One last thing its keeping me up: You never answered my question How much would it cost for you to change your profile pic to @InsOligopoly s for [--] hours Because Id give $100 out of my kids college fund to see that. @Iwendtster One last thing its keeping me up: You never answered my question How" [X Link](https://x.com/InsOligopoly/status/1868888685317423420) 2024-12-17T05:19Z [---] followers, [---] engagements "Be sure to use network pharmacy Imagine if Visa or MasterCard said Be sure to use a network grocery store or your groceries will not be covered. or You will pay full cost of groceries. These patients used a network pharmacy and not only paid full price but the PBM got a clawback from copay. Thats right when you use your insurance the insurance actually makes money Drug cost $1.17 Patient copay $10.02 PBM takes $5.87 cut Pharmacy keeps $4.15 Patient is paying PBM $5.87 for their prescription and pharmacy gets $4.15 for doing all the work. PBMs bad for patient and bad for pharmacy" [X Link](https://x.com/InsOligopoly/status/1868993086673535413) 2024-12-17T12:14Z [---] followers, [--] engagements "Can anyone other than the Big Insurance/PBM lobby @pcmanet @lowerhealthcost & shills @SenToomey @Crimsontider tell me what the value of the mega PBM's are in this example Blood Pressure medication Losartan Potassium generic for Cozaar #90 tablets for a [--] day supply. Billed to OptumRx owned by United Heatlhcare Drug cost $4.62 my cash price would be $19.62 PBM says charge patient $49.98 copay PBM then gets (clawsback) $37.24 of the $49.98 Pharmacy keeps $12.74 BTW @DrugChannels this is similar to transactions we see with @GoodRx Without a PBM patient could pay $19.62 which I think is less" [X Link](https://x.com/InsOligopoly/status/1869207626225000574) 2024-12-18T02:26Z [---] followers, [----] engagements "@noahkaufmanmd Top of the food chain Crushing providers doing all the work As they put you out of business they send you a buyout offer There is nothing in our economy with this leverage except maybe the military industrial complex" [X Link](https://x.com/InsOligopoly/status/1869403136571633784) 2024-12-18T15:23Z [---] followers, [--] engagements "@RaheemKassam I thought Earl Grey was the standard What happens if theres no cream and sugar" [X Link](https://x.com/InsOligopoly/status/1869413080016564667) 2024-12-18T16:03Z [---] followers, [--] engagements "@APCorporate are you aware your electronic prescription software is adding a @GoodRx competitor Hippo discount card message on your orders This coupon is managed by Change Healthcare PBM OptumRx all owned by $UNH @AFergusonFTC @mrmeador @gailaslater" [X Link](https://x.com/InsOligopoly/status/1869448931257811447) 2024-12-18T18:25Z [---] followers, [--] engagements "Tall ask. @AARP received(s) hundreds of millions in yearly royalty payments from $UNH for putting the AARP logo on their PBM OptumRx @MedicareGov Part D cards. .@AARPadvocatespoured $60 MIL into the #IRA which exempted #PBMs from anti-kickback corruption laws enabling them to pocket rebates meant for #seniors. @AARP don't celebrate yetshow real leadership by supporting Congress' PBM reforms. @BobJohnson9964 https://t.co/gFMeeIfaIj .@AARPadvocatespoured $60 MIL into the #IRA which exempted #PBMs from anti-kickback corruption laws enabling them to pocket rebates meant for #seniors. @AARP don't" [X Link](https://x.com/InsOligopoly/status/1869475968248938802) 2024-12-18T20:12Z [---] followers, [----] engagements "Congratulations to Big Insurance/Big PBM 🔥🔥🔥 Youve accomplished something even the robber barons of the Gilded Age couldnt Create and maintain a monopoly that common working class conservatives like. Generic Lipitor PBM pays $0 ✅ Patient pays $1.80 copay ✅ ✅ PBM bills payor 50%U&C $190 and says youre welcome for the discount ✅✅✅ Pharmacy gets $0.02😡 Patient pays $1.80 plus premiums while PBM pays $0 and gets $190 😡😡 Payors & patients paying 💰For a $16.80 claim😡😡😡" [X Link](https://x.com/InsOligopoly/status/1869500261305086404) 2024-12-18T21:49Z [---] followers, [----] engagements "Good times. My two stores will close this year and [--] people will have to find another job. All the while social media influencers paid to schill for the insurance/PBM lobby are laughing at us and rejoicing in our demise. Stupid part is Im still a pharmacist. I can find another job making significantly more and get cheaper health insurance. I stay in the fight for my employees customers and the working class. Then the working class wants to call me Pharma and shit on me" [X Link](https://x.com/InsOligopoly/status/1869893161411063938) 2024-12-19T23:50Z [---] followers, [----] engagements "@cb_doge @elonmusk @RepJeffries Thank you for getting the Insurance/PBM reform out. Do you have any openings for my roughly [--] employees I didnt realize when @realDonaldTrump said he was going to do something about the middleman he meant community pharmacy" [X Link](https://x.com/InsOligopoly/status/1869920531304100286) 2024-12-20T01:39Z [---] followers, [----] engagements "@cartedellchar @cb_doge @elonmusk @RepJeffries @realDonaldTrump 💋" [X Link](https://x.com/InsOligopoly/status/1869922712568709157) 2024-12-20T01:48Z [---] followers, [--] engagements "@Blake_Allen13 @BrandiChane Cheers boys Community pharmacy invented @CocaCola called the most trusted profession and became part of the fabric of America. Thanks to PBMs the @GOP and influencers were the flung bottle cap in the trash. How much is a made in China Yeti cup" [X Link](https://x.com/InsOligopoly/status/1869954122943811658) 2024-12-20T03:52Z [---] followers, [---] engagements "The pharmacist and main tech from local @cvspharmacy have been working with me for a little over a year. Tech regularly communicates with the new $CVS pharmacist via text. His recent text: Hey Karen how are you Hate to bother you but I needed to ask you a question about when did you know you had to jump ship My quality of life is just zero now Most retail pharmacies are seriously understaffed. I stare at the ceiling half the night worrying about a mistake I might have made by not having enough help. #Pharmacy Most retail pharmacies are seriously understaffed. I stare at the ceiling half the" [X Link](https://x.com/InsOligopoly/status/1870818467323998493) 2024-12-22T13:07Z [---] followers, [----] engagements "You all realize this same post for @lowerhealthcost So called conservatives for lower health care costs is actually created by the pharmacy benefit manager lobby This is Big Insurance with their vertically integrated PBMs claiming to be a grass roots conservative group telling you delinking the rebates they extort from pharma is a gift to Pharma. Pharma still pays the rebate difference is it goes to patient/consumer not the insurance company. I thought transparency was supposed to be the universal disinfectant. As an independent pharmacist I can show you what PBMs pay me and what patients pay" [X Link](https://x.com/InsOligopoly/status/1870824859720196454) 2024-12-22T13:32Z [---] followers, [--] engagements "@JackPosobiec Im going to do something about the middleman (pharmacy benefit manager middleman). Watch and wait" [X Link](https://x.com/InsOligopoly/status/1870942645372981316) 2024-12-22T21:21Z [---] followers, [--] engagements "@JackPosobiec Poland doesnt have pharmacy benefit manager middleman" [X Link](https://x.com/InsOligopoly/status/1870942979227304282) 2024-12-22T21:22Z [---] followers, [--] engagements "Three Pharmacy Benefit Managers control 76% of prescriptions dispensed in US. They reimburse pharmacies per take it or leave it contracts rates different for different pharmacies are non-fiduciary to payor nor patient and vertically integrated into insures and their own mailorder pharmacies. If Pharmacy Benefit Managers are necessary and the best and practically only possible solution to managing pharmacy benefits for employers Why then are there NOT: Vehicle Purchase Managers Home Ownership Managers Children Rearing Managers" [X Link](https://x.com/InsOligopoly/status/1873470370742706582) 2024-12-29T20:45Z [---] followers, [----] engagements "PBMs are the ENRON Bernie Madoff wastes of this generation Vertically integrated so fees and revenue can be passed through Leverage to offer take or leave contracts steer to own pharmacy If they are so necessary for discounts and functioning of pharmaceutical delivery why are there not anything similar when you buy a $50000 vehicle" [X Link](https://x.com/InsOligopoly/status/1874265883352457357) 2025-01-01T01:26Z [---] followers, [---] engagements "Question #1 for the PBM lovers Does any claim leave the PBM/Insurance owned pharmacy for: $0.38 @mcuban @jimcramer Do you know of any Fortune [---] company getting only a $0.38 bill from OptumRx CVS/Caremark ExpressScripts or Humana" [X Link](https://x.com/InsOligopoly/status/1877408299139649733) 2025-01-09T17:33Z [---] followers, [----] engagements "Question #7 for PBM lovers. Imagine youre [--] years old. Imagine youre on @SocialSecurity Imagine you have a Medicare Part D plan managed by Humana. You get a UTI. Doctor prescribes an antibiotic and pyridium. The insurance/PBM says patient needs to pay $15.28 copay so PBM can charge back $7. Insurance companies who collect premiums and get government subsidies Why also do they charge back patient copays @RobertKennedyJr @regardthefrost" [X Link](https://x.com/InsOligopoly/status/1877420834827948134) 2025-01-09T18:23Z [---] followers, [----] engagements "@commit2seniors @AARP @AARPadvocates AARP will advocate for their master and their masters agenda: get money for United Healthcare" [X Link](https://x.com/InsOligopoly/status/1877531624763441634) 2025-01-10T01:43Z [---] followers, [--] engagements "Shocker. PBM laws with no teeth exist in every State. Pharmacy Associations and @Commpharmacy like to pat themselves on the back when a law passes yet nothing changes. The SCOTUS ruled 9-0 against @pcmanet and for Arkansas with regards to ERISA yet they still claim ERISA protects the PBM" [X Link](https://x.com/InsOligopoly/status/1877555100799111284) 2025-01-10T03:16Z [---] followers, [--] engagements "Yep. This was the breakdown in [----]. Yet the screech is always Big Pharma Big Pharma Big Pharma Still need to know how it was that Fortune [--] @Cigna bought Fortune [--] @ExpressScripts Should ESI had been the one to buy $CI Seriously @elonmusk @VivekGRamaswamy @DOGE when are going to scrutinize Big PBM and Big Insurer" [X Link](https://x.com/InsOligopoly/status/1878091159408378046) 2025-01-11T14:46Z [---] followers, [--] engagements "Agree. PBM trying to underpay us their competitor into buyout or oblivion Wholesaler/PSAO doesnt care because whether we buy the product or the next/other pharmacy the same amount of product will be bought and dispensed. One reason independents have no voice nor leverage. We dont control reimbursement were not at negotiation table and we are not an exclusive supplier of goods like the PBMs have created with their mailorder/specialty med and with the insurer owning the PBM thanks @FTC @JusticeATR We have a bona fide value in service delivery clinical services and other things like compounding" [X Link](https://x.com/InsOligopoly/status/1878098884515504384) 2025-01-11T15:17Z [---] followers, [--] engagements "@benningtonbrew @kpharmd12 @CVSHealth Actually we only count them. The Pharma direct to consumer advertising and provider prescriptions does the pushing" [X Link](https://x.com/InsOligopoly/status/1878230546867712219) 2025-01-12T00:00Z [---] followers, [--] engagements "@tmac622 Like if @ATT @Apple and @AskAmex was a company And @Verizon @SamsungMobileUS and @Mastercard was a company And they controlled the price of phones if you were allowed to use the credit card to buy and steered business to themselves @AFergusonFTC @gailaslater @JusticeATR" [X Link](https://x.com/InsOligopoly/status/1878594368036323724) 2025-01-13T00:06Z [---] followers, [--] engagements "21% of my PBM claims are ZERO remits That means in [--] out of [--] times I fill prescription on insurance the PBM is not paying anything but gets to: Decide what patient pays Decide what pharmacy makes Use claim data to bill payor Use claim data to audit pharmacy Use claim data to clawback retroactive point of sale fees And sometimes they wont cover inexpensive medically necessary medications like a numbing agent for a severe sore throat What the PBMs are doing is reprehensible Knowing that they do this and allowing it is malfeasance Glad to see @FTC use @costplusdrugs markups to show just how" [X Link](https://x.com/InsOligopoly/status/1879578231508258818) 2025-01-15T17:15Z [---] followers, [----] engagements "@tmac622 @BCAToday @BCBSAlabama @CVSHealth @Optum @RepLedbetter @willainsworthAL @GovernorKayIvey Well it is Sweet Home Alabama aint it" [X Link](https://x.com/InsOligopoly/status/1880443423867781243) 2025-01-18T02:33Z [---] followers, [--] engagements "My PBM mafia life Episode [--] Walgreens RPh found out the store is closing and called out. On a Friday. Fun fact $WBA software can process a prescription without RPh intervention. How do I know I close at [--]. At closing I check que and see a oseltamivir 75mg for a [--] year old. I call patient to see if they would like me to wait on them to come get. They say yes. I try to fill and get reject. I call @Humana and am told Walgreens filled. I call Walgreens and store mgr tells me they have to process orders within a certain time so system did it on its own I call Walgreens in next town and ask if" [X Link](https://x.com/InsOligopoly/status/1881168888320393726) 2025-01-20T02:36Z [---] followers, [----] engagements "@SteveMooreRx @DutchRojas Could it be because in USA @novonordisk has to give PBM the other half ($500) to get it covered by insurance=formulary" [X Link](https://x.com/InsOligopoly/status/1883228425965686993) 2025-01-25T19:00Z [---] followers, [--] engagements "PBM CVS/Caremark pays independent pharmacy $0.17 for atorvastatin 10mg #30. ✅take it or leave it PBM contracts ✅PBM has 35% of market ✅PBM owned competition mail-order ✅PBM parent Corp runs CVS Pharmacy Does this leave $WMT $CVS $AMZN for $0.17 Does ANY Fortune [---] company pay PBM only a $0.17 prescription bill Then why is it okay to do it to Main Street @AFergusonFTC @mrmeador @JusticeATR" [X Link](https://x.com/InsOligopoly/status/1883231660688224651) 2025-01-25T19:13Z [---] followers, [----] engagements "My PBM mafia life episode [--] MUST FILL 90-DAY SUPPLY REFILLS ARE NOT COVERED MOVE TO MAIL ORDER 90-DAY FILLS FOR REDUCED COPAYS ✅PBM decides patient copay ✅PBM decides pharmacy reimbursement ✅PBM operates mail order ✅PBM prevents refills at independent ✅PBM uses non negotiable contract terms to steer to own mail order Since PBM mailorder pharmacies are bigger than independent do their costs go to zero Should we close all grocery stores in favor of @Costco Patients should have choice of pharmacy including use of their benefits Pharmacy market should not be controlled by self serving PBMs" [X Link](https://x.com/InsOligopoly/status/1883944874468143183) 2025-01-27T18:27Z [---] followers, [----] engagements "@RepRoKhanna PBM CareMark owned by Fortune [--] CVSHealth allegedly paid me $0.17 to fill a prescription known as a statin which is also monitored by @CMSGov for compliance so I have to bill on insurance" [X Link](https://x.com/InsOligopoly/status/1884051989094621246) 2025-01-28T01:32Z [---] followers, [---] engagements "@Breaking911 When PBM (CVS/Caremark) pays pharmacy $19.39 but then bills Anthem $432.71 for claim As Bruce Willis said welcome to party pal @elonmusk" [X Link](https://x.com/InsOligopoly/status/1887312532353720629) 2025-02-06T01:29Z [---] followers, [----] engagements "Cigna bought PBM ExpressScripts in [----] for $54 billion. At the time ExpressScripts was Fortune #25 while $CI was only Fortune #73 We dropped @TRICARE network in [----] because of this below cost contract. Walgreens closed in our town so I asked for a contract. They send the same contract Why are insurance companies allowed to profit in healthcare but not providers For the record our wholesaler costs are: AWP-22.66% WAC-7.19% @elonmusk @DOGE" [X Link](https://x.com/InsOligopoly/status/1887319480507744380) 2025-02-06T01:56Z [---] followers, [--] engagements "In [----] $UNH paid @AARP $627 million in royalties The Biden-Harris administration's Medicare Part D demonstration program is estimated to cost between $5 billion and $10 billion over three years. The program is intended to keep premiums down by providing a government subsidy to insurers. https://www.wsj.com/articles/aarps-interests-diverge-from-its-members-11567120882 https://www.wsj.com/articles/aarps-interests-diverge-from-its-members-11567120882 https://www.wsj.com/articles/aarps-interests-diverge-from-its-members-11567120882" [X Link](https://x.com/InsOligopoly/status/1887327418844913792) 2025-02-06T02:28Z [---] followers, [---] engagements "UHC United Health Cartel Cash Sadly the AARP has become little more than a marketing scam for its big corporate financial sponsors UnitedHealth and its wholly-owned OptumRx pharmacy business. Doing so has become quite lucrative: Research shows that in [----] AARP received $627 million from UnitedHealth. https://www.americancommitment.org/aarp-just-unitedhealth-marketing-scam/ Ever wonder why healthcare remains expensive and complex Follow the money. UnitedHealth Group the nations largest private insurer has spent $5.86 https://t.co/3QO3HQaCtl" [X Link](https://x.com/InsOligopoly/status/1888252799160598897) 2025-02-08T15:45Z [---] followers, [---] engagements "@RepLuna Now do the pharmacy benefit managers: UnitedHealthcare/OptumRx $UNH CVSHealth/Aetna/Caremark $CVS Cigna/ExpressScripts $CI" [X Link](https://x.com/InsOligopoly/status/1888264298591383857) 2025-02-08T16:31Z [---] followers, [---] engagements "Question for @Commpharmacy @GOP and @TheDemocrats When youre done with the tee-times meet and greats and lobbyists cocktail hour; do you happen to know when PBM reform will actually happen While PBM CVS/Caremark had a banner stock day; since @aetna pays me $0.17 to fill a maintenance med I couldnt pay my business loan payment. Even after transferring the daily max allowed from personal savings to cover store (employee) payroll" [X Link](https://x.com/InsOligopoly/status/1889860629965742382) 2025-02-13T02:14Z [---] followers, [----] engagements "@AFergusonFTC @BoesingLoretta Viscous Lidocaine. The solution to a really bad sore throat. Commonly ordered by providers with other ingredients for pharmacists to make up a magic mouthwash. Global Fortune [--] $UNH UnitedHealth says oh bad so sad we wont pay for it" [X Link](https://x.com/InsOligopoly/status/1894588145632530766) 2025-02-26T03:19Z [---] followers, [---] engagements "Drug supply chain is confusing and convoluted like our tax code. @elonmusk The lack of transparency and fiduciary responsibility of the pharmacy benefit managers (PBMs) is by design. They are the sole gatekeepers and major beneficiary of drug spend. GLP-1 drug class is the latest golden goose. As evidenced by manufacturer coupon: @novonordisk pays PBM/Insurance a 51.6% rebate $679.52 ($1315.30 cost) for medication to get covered on formulary. This nets $635.78 to big Pharma This adds $679.52 revenue to big Insurance making $43.74 more than manufacturer This doubles the cost of drug This" [X Link](https://x.com/InsOligopoly/status/1894892924858515868) 2025-02-26T23:30Z [---] followers, [----] engagements "Unfortunate that @DrugChannels with all his data professes the same narrative as the PBM lobby and their enablers: PBMs are overall good. Examples of fraud waste abuse notwithstanding. No where else in our economy do we accept middleman as the best solution to manage without question There are no middleman managing your grocery usage There are no middleman managing your vehicle usage There are no middleman managing your room & board When did we stop wanting to fix a problem because it was complex @DrugChannels @BlueShieldCA There is no medication that should only be $1. Cant even buy a soft" [X Link](https://x.com/InsOligopoly/status/1895927427760587081) 2025-03-01T20:01Z [---] followers, [----] engagements "@pcmanet @DrugChannels care to comment GPO admin fees Brand rebates (extorted) from Pharma @Cigna $CI bragging about their specialty drug mail order John 1:5 The light shines in the darkness and the darkness has not overcome it. While we possess the receipts we will continue to shine the light Where there is mystery there is margin. There is much mystery in how PBMs have set up their overseas group purchasing organizations and how they define the 'specialty' drugs that they steer to their affiliated pharmacies. https://t.co/51FPFBiPjB Where there is mystery there is margin. There is much" [X Link](https://x.com/InsOligopoly/status/1896284121791381741) 2025-03-02T19:39Z [---] followers, [--] engagements "@DouglasEmhoff Confirmed shes only qualified to open a bag of processed chemical laden junk food in to a bowl. @realDonaldTrump we are so lucky you were elected" [X Link](https://x.com/InsOligopoly/status/1896388089192550419) 2025-03-03T02:32Z [---] followers, [----] engagements "Hey @novonordisk @AstraZenecaUS @Amgen @EliLillyandCo @JNJNews @GileadSciences @GSK @abbvie @AbbottNews @bmsnews @JanssenUS @Novartis @Merck @pfizer @TakedaPharma @Roche @SanofiUS @tevapharm How do you feel about the PBM lobby (@UHC @OptumRx @CVSHealth @Cigna @ExpressScripts @Humana ) Saying challenges with medication cost-sharing result from high list prices set by #BigPharma While they extort 50-60% of list price as rebate paid to PBM When are you going to set the record straight Two-thirds of insured adults under [--] are worried about affording their Rx. Many challenges with medication" [X Link](https://x.com/InsOligopoly/status/1897420523799462117) 2025-03-05T22:54Z [---] followers, [---] engagements "Transferred @novonordisk Rybelsus to @cvspharmacy today. Why Because @Humana paying us $34.62 below are cost. How much Humana paying CVS to fill How much Pharma paying Humana for rebate How much @HHSGov @CMSGov paying Humana for claim @Commpharmacy @elonmusk @SecKennedy PBM monopoly is destroying pharmacy" [X Link](https://x.com/InsOligopoly/status/1897453238493868235) 2025-03-06T01:04Z [---] followers, [---] engagements "Doctor of Pharmacy degree $250000 Pharmacist license $400 @DEAHQ license $800 Store pharmacy license $500 @PioneerRx software $2000/month Business/liability insurance $2500/mth Preop diazepam 5mg #3 @AnthemBCBS and their PBM allows $0.12 PBM pays zero. Total amount to patient as copay. Twelve cents @elonmusk @SpeakerJohnson @AFergusonFTC @gailaslater PBMs and the insurance monopoly are destroying community pharmacy" [X Link](https://x.com/InsOligopoly/status/1897494012354826378) 2025-03-06T03:46Z [---] followers, 12.3K engagements "@elonmusk @liz_churchill10 Can independent community pharmacies not have to subsidize the insurance mafia when you do it If government pays $1500 we should be able to make $20" [X Link](https://x.com/InsOligopoly/status/1898819916318540196) 2025-03-09T19:35Z [---] followers, [---] engagements "This was a manufacturer/Pharma coupon for Wegovy made by @novonordisk Acquisition cost from wholesaler: $1315.30 Manufacturer/Pharma coupon paid pharmacy: $679.52 This is the same amount PBM mafia extorts/embezzles as a brand rebate Patient pays: $650 copay Pharmacy makes: $14.22 No insurance If this was via insurance PBM would collect $679.52 PBM would bill payor $1500+ From the $2179.52 PBM would pay pharmacy $1235 and make patient pay $45 Patient would pay $45 instead of $650 But PBM would make $944.52 Pharmacy would lose $35.30 Patient is paying $$$ in premiums with deductibles" [X Link](https://x.com/InsOligopoly/status/1898874489993044462) 2025-03-09T23:12Z [---] followers, [--] engagements "Since its obvious @realDonaldTrump @SpeakerJohnson @GOP @TheDemocrats @elonmusk care about every interest group except community independent pharmacists and refuse to reign in the PBM/insurance oligarchs does anyone know what @cvspharmacy pays on average per script Have a couple pharmacies with about [--] employees thatll be for sale soon" [X Link](https://x.com/InsOligopoly/status/1899450290438377726) 2025-03-11T13:20Z [---] followers, [---] engagements "@RepMikeCollins @POTUS You funded all of Bidens budget Have no @DOGE cuts But well do something about it in September 🤡show" [X Link](https://x.com/InsOligopoly/status/1899635384226660713) 2025-03-12T01:35Z [---] followers, [--] engagements "Make this make sense PBM CVS/Caremark $CVS Drug: @novonordiskus Wegovy 2.4mg Wholesaler acquisition cost $1315.30 One plan PBM pays $1290.87 Patient pays $0 Pharmacy looses $24.43 Second plan PBM pays $1320.93 Patient (with coupon help) pays $24.97 Pharmacy makes $30.60 You either loose big Or make average Why does same product/service have infinite different reimbursement where PBM always wins" [X Link](https://x.com/InsOligopoly/status/1899821305400094819) 2025-03-12T13:54Z [---] followers, [---] engagements "@carnivorePharm @tmac622 @realDonaldTrump Unfortunately I only have [--] options: Fight and Faith to keep being an independent pharmacist Sell to CVS and be a CVS pharmacist Swallow a bullet Im not a quitter and the other [--] options are equally terminal" [X Link](https://x.com/InsOligopoly/status/1900014025490268220) 2025-03-13T02:40Z [---] followers, [--] engagements "Echo Mike @elonmusk What is a PBM Its paying for dealer installed protection package Its asking for a box fan in a tornado Its USAID for insurance monopoly Its parasitic drag Its a tower in class G airspace Its wearing a double breasted suit in the swimming pool" [X Link](https://x.com/InsOligopoly/status/1900529777838039465) 2025-03-14T12:49Z [---] followers, [---] engagements "@novonordiskus @EliLillyandCo @GSKUS @Novartis @Merck @pfizer @JNJNews @Roche @AbbottNews @SanofiUS @AstraZenecaUS @bmsnews @abbvie congratulations the lobby for PBMs says you no longer have to pay 50-60% brand rebates for insurance formulary coverage. You may cut your list price in half and insurance copays will remain the same. @AFergusonFTC @gailaslater @mrddmia Bills would encourage more generic and biosimilar competition in the Rx market to help lower costs for patients. https://t.co/nYG3ej7qaK https://t.co/o3wZSjFnj2 Bills would encourage more generic and biosimilar competition in the" [X Link](https://x.com/InsOligopoly/status/1902534043767341186) 2025-03-20T01:33Z [---] followers, [---] engagements "@BrentAWilliams2 Valid because $UNH shareholders expect oligarchs to be careful how they spend company assets" [X Link](https://x.com/InsOligopoly/status/1904810338937086229) 2025-03-26T08:19Z [---] followers, [--] engagements "Curious If patient fills [--] month supply of birth control at $CVS pharmacy or PBM Caremark company owned mailorder are those pharmacies only paid $4.73 What is employer/payor/plan billed by PBM PBM with 35% market leverage pays independent below cost of drug AND below the cost to dispense. Yet they will pay themselves [--] times this. This is racketeering. @AFergusonFTC @gailaslater" [X Link](https://x.com/InsOligopoly/status/1906705478715134317) 2025-03-31T13:49Z [---] followers, [----] engagements "Monday morning and Ive been waiting for refrigerator repair tech appointment scheduled 8-12. Got me thinking why: Without the need of a Benefit Manager ✅consumers pay mortgage/rent ✅consumers pay car loans/lease ✅consumers pay home/car insurance ✅consumers purchase gas & food ✅consumers purchase electricity ✅consumers purchase phone ✅consumers purchase internet ✅consumers purchase appliances ✅consumers purchase pets & vet care Yet ❌consumers want free healthcare ❌consumers want $0 prescription copays Legislators tell insurance/PBM oligopoly to do their thing well pick up the tab We cant have" [X Link](https://x.com/InsOligopoly/status/1906733138656563336) 2025-03-31T15:39Z [---] followers, [---] engagements "Question for stakeholders: @CVSHealth $CVS owner of PBM CareMark PBM used by @CarelonRx that adjudicated pharmacy claims for plan @Amerigroup At what wholesaler on planet Earth can an EpiPen Jr. be acquired for below $99.49 No actually $87.99 since $11.50 was dispensing fee. With an AWP of $592.81 I bet the plan and CarelonRx and the PBM made some sweet spread when only paying pharmacy doing the work of buying the medication storing the medication dispensing the medication counseling the patient how to use maintaining records for insurance audit and accepting liability of dispensing; $100" [X Link](https://x.com/InsOligopoly/status/1907815950465810557) 2025-04-03T15:22Z [---] followers, [----] engagements "@JackPosobiec Good question. Replaced a @Frigidaire refrigerator last year that was [--] years old and survived [--] moves. The new Frigidaire that is almost a year old is awaiting a condenser replacement under warranty" [X Link](https://x.com/InsOligopoly/status/1909404544661848254) 2025-04-08T00:34Z [---] followers, [---] engagements "Question for $CVS since they own Aetna and PBM CareMark. And Im just the little guy. What wholesaler offers testosterone 200mg/ml injectable one ml vial for $2 You paid independent pharmacy $0.34 and patient paid $3.62 copay for total $3.96 claim. Is this was @cvspharmacy gets when they process the claim By the way thanks for the $0.05 dispensing fee because Im sure it only costs CVS pharmacy or Caremark mailorder a nickel to dispense a medication. For those in Government that care in addition to a pharmacist license and pharmacy license this prescription also requires a DEA license to" [X Link](https://x.com/InsOligopoly/status/1909678651177591029) 2025-04-08T18:44Z [---] followers, [----] engagements "Question for @ExpressScripts owned by $CI You paid independent community pharmacy $0.62 to fill blood pressure medication. $0.00 dispensing fee Do you get $0.00 dispensing fee when filled by your mail order BTW the medication costs $0.55. Appreciate the $0.07 profit @AFergusonFTC @gailaslater @mrddmia @GOPoversight @OversightDems" [X Link](https://x.com/InsOligopoly/status/1909801058198512009) 2025-04-09T02:50Z [---] followers, [---] engagements "@RepGregMurphy Remind me what invention is $UNH responsible for What do they innovate @AFergusonFTC I thought monopolies were illegal" [X Link](https://x.com/InsOligopoly/status/1910359285977973042) 2025-04-10T15:48Z [---] followers, [---] engagements "@timburchett @eBay Two things to not skimp on: Shoes Tires Only thing in contact with Terra Firma" [X Link](https://x.com/InsOligopoly/status/1911506491837677811) 2025-04-13T19:47Z [---] followers, [--] engagements "Big Pharma is pharmaceutical manufacturers of Wall Street Independent community pharmacy is Main Street. We are pharmacist who are local employers and with our staff provide pharmaceutical care. We are indentured servants not partners of PBM Big Insurance is vertically integrated Wall Street companies who incorporate pharmacy benefit managers (PBM) to create monopolies. PBMs control drug pricing through rebates (favoring high cost) steer patients to own pharmacy and do the other things for corporate revenue. They use their leverage to control and manipulate. They should simply be claims" [X Link](https://x.com/InsOligopoly/status/1912609109469253971) 2025-04-16T20:48Z [---] followers, [----] engagements "@mrddmia @AFergusonFTC @AAGSlater Hoping for [--]. @AFergusonFTC and @gailaslater sue @UHC @CVSHealth and @Cigna to divest them of their vertically integrated pharmacy benefit manager @OptumRx CareMark and @ExpressScripts respectively that has yielded an insurance monopoly" [X Link](https://x.com/InsOligopoly/status/1912908745417327018) 2025-04-17T16:39Z [---] followers, [---] engagements "@vincehaley @russvought @AAGSlater @DAGToddBlanche @mrddmia @DutchRojas OMB Don Dempsey PBMs CVS/Caremark OptumRx ExpressScripts Humana 90% of market Take it or leave it contracts They own their own pharmacies/mail order GLP-1 drug class filled 03/01/2025 to 04/17/2025 [---] fills Drug cost: $136111.63 Patient copays: $5478.30 PBM paid: $128107.56 Pharmacy LOST: $2525.77 on cost of drug plus cost to dispense Questions: According to PBM lobby problem is I pay too much. If so why is the loss variable by plan even though same drug and same PBM What is the PBM paid for these claims How much rebate" [X Link](https://x.com/InsOligopoly/status/1913000508085711125) 2025-04-17T22:43Z [---] followers, [---] engagements "Remember when these buyout letters were circulating when dispensing fees went to $0.10 and DIR fees went from $65000 a year to $190000 Theyve been trying to put us out of business ever since they bought Caremark. @AAGSlater @AFergusonFTC @mrddmia 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 https://t.co/2XptM0WXSq Have a taste of your own medicine @CVSHealth @pcmanet" [X Link](https://x.com/InsOligopoly/status/1913363416451870989) 2025-04-18T22:46Z [---] followers, [----] engagements "@SeinfeldTV Season [--] Episode [--] [----] Kramer:Oh they got a cure for cancer. Its all big business. [--] years ago we already knew Big Insurance/Big Pharma was a hoax $UNH stock was around $0.50 a share Today its $425.33 @AFergusonFTC @AAGSlater With all the vertical integration and monopoly has anything other than stock price gotten better" [X Link](https://x.com/InsOligopoly/status/1914478546648457393) 2025-04-22T00:37Z [---] followers, [---] engagements "@nataliegwinters Maybe consider putting your hair back in a ponytail so you wont offend the ugly chicks so much" [X Link](https://x.com/InsOligopoly/status/1915219732342415621) 2025-04-24T01:42Z [---] followers, [---] engagements "@mrddmia Actual justice Not another strongly worded letter Or [--] minutes on Hannity" [X Link](https://x.com/InsOligopoly/status/1915221391562916187) 2025-04-24T01:48Z [---] followers, [---] engagements "@oatsdoc Magats-plural I thought we werent supposed to indict an entire group for the crimes of one" [X Link](https://x.com/InsOligopoly/status/1915838434444189781) 2025-04-25T18:40Z [---] followers, 55.7K engagements "They used lawfare to garner the felon tag. Spare me. The waste in government spending is atrocious. If the program saysto feed starving children why does $0.01 on the dollar go to food and $0.99 to administrative cost We have starving people in America who should be fed first" [X Link](https://x.com/InsOligopoly/status/1915961052497424539) 2025-04-26T02:48Z [---] followers, [----] engagements "The biggest culprit to US drug prices is the entity that explicitly says their role is to lower drug prices. The [--] largest pharmacy benefit manager (PBM) CVS/Caremark OptumRx ExpressScripts Humana. They get 50-60% rebates from drug manufacturer. They bill payer an amount 100-6000 times paid to pharmacy for claim. This is called spread pricing. They also use audits patient steering and mandatory use of their own pharmacy to close independents and grow themselves. Aetna (owned by CVSHealth) BP med Patient copay $0.00 PBM pays pharmacy $0.29 for drug PBM pays pharmacy $0.10 to dispense What does" [X Link](https://x.com/InsOligopoly/status/1921713792011952167) 2025-05-11T23:47Z [---] followers, [--] engagements "The biggest culprit to US drug prices is the entity that explicitly says their role is to lower drug prices. The [--] largest pharmacy benefit manager (PBM) CVS/Caremark OptumRx ExpressScripts Humana. They get 50-60% rebates from drug manufacturer. They bill payer an amount 100-6000 times paid to pharmacy for claim. This is called spread pricing. They also use audits patient steering and mandatory use of their own pharmacy to close independents and grow themselves. Aetna (owned by CVSHealth) BP med Patient copay $0.00 PBM pays pharmacy $0.42 for drug PBM pays pharmacy $0.10 to dispense What does" [X Link](https://x.com/InsOligopoly/status/1921714288940441692) 2025-05-11T23:49Z [---] followers, [--] engagements "The biggest culprit to US drug prices is the entity that explicitly says their role is to lower drug prices. The [--] largest pharmacy benefit manager (PBM) CVS/Caremark OptumRx ExpressScripts Humana. They get 50-60% rebates from drug manufacturer. They bill payer an amount 100-6000 times paid to pharmacy for claim. This is called spread pricing. They also use audits patient steering and mandatory use of their own pharmacy to close independents and grow themselves. Aetna (owned by CVSHealth) Migraine injection Patient copay $50 PBM pays pharmacy $665.08 for drug PBM pays pharmacy $0.10 to" [X Link](https://x.com/InsOligopoly/status/1921716516426232160) 2025-05-11T23:58Z [---] followers, [--] engagements "The biggest culprit to US drug prices is the entity that explicitly says their role is to lower drug prices. The [--] largest pharmacy benefit manager (PBM) CVS/Caremark OptumRx ExpressScripts Humana. They get 50-60% rebates from drug manufacturer. They bill payer an amount 100-6000 times paid to pharmacy for claim. This is called spread pricing. They also use audits patient steering and mandatory use of their own pharmacy to close independents and grow themselves. ExpressScripts (owned by Cigna) Allergy med Patient copay $0.00 PBM pays pharmacy $0.38 for claim PBM pays pharmacy $0.00 to" [X Link](https://x.com/InsOligopoly/status/1921718258220102015) 2025-05-12T00:05Z [---] followers, [--] engagements "They make la costra nostra blush. Claim went thru even though customer had changed insurance so they billed him. Patient copay $15 PBM (CVS/Caremark) paid $19.39 PBM billed plan Anthem/Elevance Health billed customer $432.71 Why is claim worth $19.39 when PBM paying pharmacy but worth $432.71 when PBM and plan seek payment" [X Link](https://x.com/InsOligopoly/status/1922002517715533825) 2025-05-12T18:54Z [---] followers, [--] engagements "@DerrickEvans4WV Quick someone tell them dollar general has Cheetos BOGO for a limited time" [X Link](https://x.com/InsOligopoly/status/1922279662312411392) 2025-05-13T13:16Z [---] followers, [--] engagements "FYI. GoodRx might get you a discount but may not be your best option. They and their PBM clawsback $7.42 of the $8.55 copay paid at register. And they get and sell your data. @mcuban @ScottAdamsSays I just checked the price of one medication I buy. I have used a Good Rx coupon at my local chain pharmacy. The cost that Cost Plus says is their purchase price is more than I pay retail at my drug store with Good Rx. So Cost Plus is not always the cheapest option. @mcuban @ScottAdamsSays I just checked the price of one medication I buy. I have used a Good Rx coupon at my local chain pharmacy. The" [X Link](https://x.com/InsOligopoly/status/1922740823692619855) 2025-05-14T19:48Z [---] followers, [----] engagements "@TheDrugMoney Bought a surplus military humvee" [X Link](https://x.com/InsOligopoly/status/1922816382019793220) 2025-05-15T00:48Z [---] followers, [--] engagements "Question for @CarelonRx and their PBM network CVS/Caremark @HHSGov @CMSGov @SecKennedy @DrOzCMS @AAGSlater @AFergusonFTC Can you explain/justify Medicare Part D (federally subsidized) claims like this: March Drug cost:$291.97 PBM pay:$201.36 Patient copay:$82.25 Pharmacy loss:$8.36 April Drug cost:$291.97 PBM pay:$198.60 Patient copay:$0 Pharmacy loss:$93.37 May Drug cost:$291.97 PBM pay:$163.76 Patient copay:$0 Pharmacy loss:$128.21 This medication doesnt exist in market place for purchase by anyone at $170 Is this a strategy by PBM to steer patient to PBM owned mailorder when I refuse to" [X Link](https://x.com/InsOligopoly/status/1925226853633077460) 2025-05-21T16:27Z [---] followers, [----] engagements "After tomorrows $28xxx.xx PSAO deposit posts this is how short I am paying $206885 drug bill due 5/25. Thats half of total monthly drug bill. $4800000 in yearly drug purchasing. $250000 in DME yearly equipment. 3rd busiest pharmacy of [--] Only home oxygen supplier in [--] mile radius Only pharmacy out of [--] that offers both daily home delivery AND drive thru Earn 76% of chain pharmacist salary No second home No family on payroll No boat vehicle plane on balance sheet @AAGSlater @AFergusonFTC @GOP @TheDemocrats @Bannons_WarRoom Middle class Americans are loosing the American Dream Main Street" [X Link](https://x.com/InsOligopoly/status/1925548373051879595) 2025-05-22T13:44Z [---] followers, [----] engagements "Happy Memorial Day Weekend Had to turn away a epi-pen jr prescription My net cost: Primary Wholesaler $195 EpiPen jr Secondary $214.88 EpiPen jr $216.57 EpiPen Secondary $253.28 epipen jr $222.28 EpiPen PBM payment: $159.37 Its unconscionable to turn away a prescription for anaphylaxis for a child Its morally reprehensible that PBMs demand we provide pharmacy services for below our cost. You cant get epi pen generics in our market for $130 @AAGSlater @AFergusonFTC @MeadorFTC @SecKennedy do something" [X Link](https://x.com/InsOligopoly/status/1926372064111312909) 2025-05-24T20:17Z [---] followers, [----] engagements "PBM CVS/Caremark owned by $CVS health Global Fortune [--] who also owns Aetna pays independent retail community pharmacy $0.36 TOTAL to buy store dispense adjudicate with insurance counsel patient maintain liability insurance and store records for [--] years. Curious what Aetna/PBM bills payor Curious what CVS Pharmacy is paid when they dispense. Is this why CVSHealth decided to close CVS in Arkansas rather than divest of PBM. 🤔 @AAGSlater @AFergusonFTC @MeadorFTC @SecKennedy @DrOzCMS" [X Link](https://x.com/InsOligopoly/status/1927798923730587968) 2025-05-28T18:47Z [---] followers, [----] engagements "My PBM life: Monday edition CVS/Caremark (largest PBM) Bill maintenance med [--] count PBM nah got to bill [--] day and of course not in [--] day network. Same patient bill acute med [--] count PBM accepts but sends full cost/copay of $10.33 to patient Why am I billing insurance They dont allow one claim and then on another pay nothing. What happens when CVS pharmacy or CVS/Caremark fills @AAGSlater @AFergusonFTC @MeadorFTC" [X Link](https://x.com/InsOligopoly/status/1929707075262616063) 2025-06-03T01:09Z [---] followers, [---] engagements "My PBM life Monday edition Part [--] CVS/Caremark (largest PBM) Bill [--] count anti inflammatory. PBM nah all you may bill is [--] day supply. Because they want patient to get [--] day supply from their mail order Same patient. Bill [--] count of diabetes med. PBM pays nothing patient responsible for full $3 copay Does PBM mailorder only get $3 for ANY prescription that leaves their facility Does any payor ever get only $3 bill from PBM @AAGSlater @AFergusonFTC @MeadorFTC @mrddmia" [X Link](https://x.com/InsOligopoly/status/1929709108187263256) 2025-06-03T01:17Z [---] followers, [---] engagements "My PBM Life Monday edition Part [--] Patient fill antiviral Last month Cost $374.22 PBM paid $398.58 Patient pay $0 This month Cost $374.22 PBM paid $0 Patient pay $140.68 Pharmacy under paid $233.54 Insurance like $CI owned ExpressScripts only works well for the insurance monopoly and maybe politicians like @AAGSlater @AFergusonFTC @MeadorFTC" [X Link](https://x.com/InsOligopoly/status/1929712416109027726) 2025-06-03T01:31Z [---] followers, [----] engagements "My PBM mafia life Tuesday edition: Since PBMs CVS/Caremark OptumRx ExpressScripts and Humana like to steer patients to their mail order community retail independent pharmacies do less maintenance medications and more acute medication needs. Behold Levofloxacin #7 Cost $2.46 PBM pay $0 Patient copay $2.46 Prednisone #5 Cost $0.41 PBM pay $0 Patient copay $0.34 No dispensing fee No profit Do $CI and @ExpressScripts profit when they adjudicate these claims What is the payor billed Why dont Fortune [---] companies have to live on these kinds of reimbursements @AAGSlater @AFergusonFTC @MeadorFTC" [X Link](https://x.com/InsOligopoly/status/1930230207413211159) 2025-06-04T11:48Z [---] followers, [---] engagements "A few years ago I used @RxPreferred to directly contract with local organization. Dont know specific details but they bailed after a year citing difficulties with PBM. We saved them money. One problem is the third party administrators consultants and brokers have a choke hold on the system. They like to dangle trinkets so that their system appears better than cost plus. We could be successful if we could get a large employer to use a cost plus transparent model" [X Link](https://x.com/InsOligopoly/status/1931002668874383519) 2025-06-06T14:58Z [---] followers, [--] engagements "@RedState CVS is like Will Ferrell in @OtherGuysMovie Gator dont play. CVS dont play @TruthRX" [X Link](https://x.com/InsOligopoly/status/1932233514872635722) 2025-06-10T00:29Z [---] followers, [---] engagements "My PBM mafia life Wednesday edition PBM CVSCAREMARK Pays independent $0.34 for #90 potassium chloride tablets while patient pays $4.16 This is less than the cost of the drug while only paying a $0.05 dispensing fee Laughable that CVSHEALTH/CVSPharmacy/CVSCaremark/Aetna fights regulatory legislation with Save Our Store mantra. @DrOzCMS @LAGovJeffLandry @SarahHuckabee @AAGSlater @AFergusonFTC How much does Medicare pay CVS to fill this medication Only $4.50 How much much does Medicare pay CVSCAREMARK mailorder to fill Only $4.50 How much does CVSCAREMARK pay CVSPHARMACY to fill Only $0.34" [X Link](https://x.com/InsOligopoly/status/1933177818520649824) 2025-06-12T15:01Z [---] followers, [----] engagements "@AGLizMurrill Former CVSCaremark President and now CVSHealth CEO says The country has too many pharmacies. Well Arkansas and Louisiana is helping him with that issue only because $CVS cares more about their PBM (& mailorder) business than their pharmacy direct patient care business" [X Link](https://x.com/InsOligopoly/status/1933240305391972621) 2025-06-12T19:09Z [---] followers, [---] engagements "@AGLizMurrill How do you become Global Fortune [--] Use your PBM market leverage to: underpay competition (Independents) steer business to self siphon brand rebates from pharma audit chargeback clawback pharmacy Send buyout letters to Independents Brag about to Congress" [X Link](https://x.com/InsOligopoly/status/1933257612675473655) 2025-06-12T20:18Z [---] followers, [----] engagements "My PBM Mafia Life Wednesday edition @Humana charges independent retail community pharmacy a $37.50 DIR Fee at point of sale of @EliLillyandCo Mounjaro. A pharmaceutical that has an estimated $526 rebate paid from manufacturer to PBM. Questions: How much does the taxpayer pay Humana for this Medicare Part D claim @DrOzCMS Since independent loses $37.50 buying and dispensing this medication how much does Humana make or lose when dispensing from their mail order What happens to that $500 rebate @pcmanet @JCScottPCMA what non 340B wholesaler sells this for $1000 or less @Commpharmacy" [X Link](https://x.com/InsOligopoly/status/1935439863777738964) 2025-06-18T20:49Z [---] followers, [---] engagements "My PBM Mafia Life-Early Friday edition Four days [----] prescriptions filled [---] brands (12%) [--] brands reimbursed below cost (24%) $420.59 @McKesson @cardinalhealth @CencoraGlobal How long can the [-----] Independent retail community pharmacies stay in business when 1/4 of the $1000 brands we purchased are reimbursed below our cost. We get you dont care. When were gone our business shifts to the grocery stores chains and mailorder who certainly already buy from you. @GOP @TheDemocrats fail to fix the problem. With $0-$24.97 copays patients dont care. Theres no fair reason we should suffer like" [X Link](https://x.com/InsOligopoly/status/1936087853265457588) 2025-06-20T15:44Z [---] followers, 101.6K engagements "My PBM Mafia Life-Friday afternoon edition PBM CVSCaremark $4632.55 brand medication Pharmacy reimbursement $0.10 dispensing fee $4.96 profit Medicare Part D taxpayer subsidized @SecKennedy @DrOzCMS @AAGSlater" [X Link](https://x.com/InsOligopoly/status/1936161118860324965) 2025-06-20T20:35Z [---] followers, [----] engagements "Customer comes in and says I need help Im out of this blood thinner and ESI mailorder is late. Never filled this prescription for patient so call doctor office then call PBM ExpressScripts for refill too soon over ride. All that patient advocacy to be paid $18.43 below my cost while the PBM will bill @TRICARE $800 for claim and get a $287 rebate from @bmsnews @RepDougCollins I thought you were opposed to these PBM tactics Tricare is being defrauded by ESI Tricare is being defrauded by ESI" [X Link](https://x.com/InsOligopoly/status/1936172310886568056) 2025-06-20T21:20Z [---] followers, [----] engagements "@JoelDavenp13054 @SecKennedy @DrOzCMS @AAGSlater I reversed and transferred to CVS pharmacy. Most certainly wouldve been audited a year from now. Not taking that risk for $5" [X Link](https://x.com/InsOligopoly/status/1936202506293416255) 2025-06-20T23:20Z [---] followers, [--] engagements "@MattDurst Well Cigna owns ExpressScripts so they are the same" [X Link](https://x.com/InsOligopoly/status/1936476897992434169) 2025-06-21T17:30Z [---] followers, [--] engagements "@monspubis2023 @carnivorePharm @SecKennedy @DrOzCMS @AAGSlater Paid 100% of my education in school loans and am [--] years into seven figure pharmacy business loans. I wouldnt go into pharmacy again if someone offered to pay for school and give me the pharmacies free and clear. Thats a fact" [X Link](https://x.com/InsOligopoly/status/1936500757131329925) 2025-06-21T19:05Z [---] followers, [--] engagements "Consider Im one of around [-----] independent retail community pharmacies losing over $600 per week dispensing $30000 in brands on top of only getting $0.17 to dispense [--] generic Lipitor I employ [--] people full time and [--] part time am the only home medical provider in [--] mile radius and out of [--] pharmacies in my community am the only one that has both drive thru and daily (free) delivery.what is that scaled up to [-----] What the wholesalers and PBMs are doing is like the banking industry. Privatize the gains and socialize the losses. The wholesalers and their PSAOs keep us life support to get" [X Link](https://x.com/InsOligopoly/status/1936961595277541829) 2025-06-23T01:36Z [---] followers, [---] engagements "@HHSGov @OIGatHHS @DrOzCMS @SecKennedy Do you know how much you pay Humana for [---] capsules of @abbvie Creon It cost independent retail community pharmacy $2445.72 for two bottles of [---] count. Insurance is paying $2427.93 And they audit every claim a year later because it must be dispensed in original bottle and is expensive. Our drug supply chain doesnt work for all stakeholders" [X Link](https://x.com/InsOligopoly/status/1937964193057046739) 2025-06-25T20:00Z [---] followers, [--] engagements "Be happy to be fully transparent with my purchase rebate (generic) etc FWIW Im a member of arguably one of the best buying groups in the country AND GeriMed combomed GPO for LTC and my rebate checks go in the bank to keep the doors open. Walgreens closed across the street in February. Im third busiest pharmacy in county package for nursing home sell home oxygen CPAP do vaccines and am barely able to pay bills" [X Link](https://x.com/InsOligopoly/status/1938381254233141275) 2025-06-26T23:37Z [---] followers, [--] engagements "@JDVance @ChuckGrassley @SenateGOP @LeaderJohnThune @SenJohnBarrasso @TomCottonAR Why are you removing legislation from Big Beautiful Bill that levels the playing field with Big Insurance (like $UNH $CVS $CI $HUM) by regulating PBMs and giving desperate relief to independent retail community pharmacies @GOPoversight held a PBM hearing on July [--] [----] @HouseJudiciary held PBM hearing September [--] [----] @HouseCommerce held a PBM hearing February [--] [----] @SenJudiciaryGOP held PBM hearing May [--] [----] @AAGSlater @AFergusonFTC @MeadorFTC appear to be aware of PBM monopoly and anti-trust activities" [X Link](https://x.com/InsOligopoly/status/1938411827580314006) 2025-06-27T01:39Z [---] followers, [----] engagements "@berniemoreno Once again no PBM reform Once again no relief for pharmacists Once again a handout for the insurance oligarchs" [X Link](https://x.com/InsOligopoly/status/1939033398355411077) 2025-06-28T18:49Z [---] followers, [----] engagements "@GuntherEagleman Dont bring the prescription to one of the [-----] independent community pharmacies. Were on strike until one of these resolutions or bills no matter how big small beautiful or ugly finally has a PBM reformation in it" [X Link](https://x.com/InsOligopoly/status/1939108695993970797) 2025-06-28T23:48Z [---] followers, [--] engagements Limited data mode. Full metrics available with subscription: lunarcrush.com/pricing
@InsOligopoly InsuranceOligopoly
InsuranceOligopoly posts on X about insurance, cvs, $ci, $cvs the most. They currently have [-----] followers and [---] posts still getting attention that total [---------] engagements in the last [--] hours.
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- [--] Week [--] -3.70%
- [--] Month [--] +300%
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- [--] Year [---] +89%
Followers: [-----] #
- [--] Week [-----] +0.47%
- [--] Month [-----] +6%
- [--] Months [-----] +28%
- [--] Year [-----] +91%
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Social Influence
Social category influence stocks finance celebrities countries technology brands automotive brands cryptocurrencies currencies travel destinations social networks
Social topic influence insurance, cvs, $ci, $cvs, $unh, $hum, money, elon musk, acquisition, paid
Top accounts mentioned or mentioned by @afergusonftc @aagslater @seckennedy @oigathhs @mcuban @meadorftc @commpharmacy @drozcms @justiceatr @pcmanet @expressscripts @cvshealth @elonmusk @mrddmia @cvspharmacy @ftc @gailaslater @mholyoakftc @bedoyaftc @waysmeanscmte
Top assets mentioned CVS Health Corp (CVS) Cigna Corp (CI) UnitedHealth Group (UNH) Humana Inc (HUM) AbbVie Inc (ABBV) Novo-Nordisk (NVO) Mastercard, Inc. (MA) Cencora, Inc. (COR) McKesson Corporation (MCK) AstraZeneca PLC (AZN) Walgreens Boots Alliance Inc (WBA) Eli Lilly and Company (LLY) Dogecoin (DOGE) Novartis AG (NVS) Alphabet Inc Class A (GOOGL) GoodRx Holdings, Inc. (GDRX) Microsoft Corp. (MSFT) Moon Tropica (CAH)
Top Social Posts
Top posts by engagements in the last [--] hours
"@HokiePharmacist I had to go alias because last time got a cease and desist from the $ESI clowns"
X Link 2024-06-07T11:29Z [---] followers, [--] engagements
"@DrugChannels @CVSHealth @abbvie @DeutscheBank Sure. When you own the PBM and the PBM says it will only pay for their product"
X Link 2024-06-15T15:36Z [--] followers, [--] engagements
"Its bad real bad. Make no mistake its not a were not making enough. The insurance oligarchs couldnt survive with this reimbursement. With their 86%market share its indentured servitude. $0.35 $0.38 -$27.43 $0.83 TOTAL @JusticeATR @FTC @OIGatHHS Very curious if anyone outside of pharmacy finds tweets like this at all compelling or useful Very curious if anyone outside of pharmacy finds tweets like this at all compelling or useful"
X Link 2024-06-20T23:45Z [--] followers, [--] engagements
"Breaking news: PBM stakeholders set to study auto industry for possible entry into market after reports of consumers being offered $6000-10000 discounts WITHOUT a middleman. Turns out consumers can expect to both NOT pay full MSRP nor middleman markups in a free market system Typical politician. This is why nobody trusts people like you. Typical politician. This is why nobody trusts people like you"
X Link 2024-06-22T03:15Z [--] followers, [---] engagements
"@redlgb1969 @NACDS @nytimes They threatened States not to regulate them following the Rutledge v @pcmanet case that made it to SCOTUS. SCOTUS ruled state law requiring PBMs to pay pharmacies no less than their acquisition costs for prescription drugs was not preempted by ERISA Yet they dont anyway"
X Link 2024-06-22T03:42Z [--] followers, [--] engagements
"We need PBM middleman negotiating discounts for buyers (actually non fiduciary PBMs work for employer/payor not patent) like buyers need a PBM middleman fee to negotiate a $10000 off MSRP discount for @chevrolet Tahoe. [--] middleman Cost + always cheaper then MSRP- @mcuban The @nytimes has never met a market it doesn't loath. Why would they attack PBMs @SenToomey Because government price setting is the only alternative to PBMs. @SecPompeo @RyanCostello The @nytimes has never met a market it doesn't loath. Why would they attack PBMs @SenToomey Because government price setting is the only"
X Link 2024-06-22T10:07Z [--] followers, [--] engagements
"Bank loan: interest penalty & fees fully disclosed Realtor: my commission is 2.5% Versus PBM: how we operate is trade secret Spending: I can freely shop at Publix Kroger or Ingles I can use Visa or MasterCard and retailer pays 3% fee Versus PBM: we decide drug/pharmacy/fee @TexanHealthCare Lol a pcma front group tweeting propaganda @TexanHealthCare Lol a pcma front group tweeting propaganda"
X Link 2024-06-22T11:05Z [--] followers, [---] engagements
"@TheTRT_KING @MarkPompe13371 I suspect his recent weight loss wasnt from hard work and sacrifice. If his PBM covered one of the $1200 GLP-1s then hes probably a smitten kitten when it comes to the mafia"
X Link 2024-06-23T01:05Z [--] followers, [--] engagements
"As an independent pharmacist I can attest the PBMs are serious obstructionists and professional manipulators who have one goal: to extract as much revenue from the drug supply chain as they can get away with. At everyones demise the payor the pharmacy the patient CVS/CareMark Drug cost $9.06 PBM assigned patient copay $13.98 PBM chargeback from pharmacy $5.50 Gross profit left for pharmacy $8.48 PBM bill/payment from payor OptumRx Drug cost $952.99 PBM assigned patient copay $45 PBM payment to pharmacy $905.80 Pharmacy LOSS on COGS $2.19 PBM rebate from Pharma 60% ($571) PBM bill/payment from"
X Link 2024-06-26T01:15Z [--] followers, [----] engagements
"Let me break it down for the PBM/Insurer oligopoly lobby. Payors please pay attention. Drugs have acquisition costs and average wholesale prices (AWP). PBMs bill payors AWP-20% and tell you they negotiated you a 20% discount. PBM will then pay the pharmacy AWP-88% and keep the 68% spread Pharma will pay PBM 50-60% rebate for brand. Eliquis cost $576.57. AWP is $713.28 PBM will pay pharmacy AWP-25.5%=$531.39 PBM will then bill payor AWP-10% again claiming they got you a discount. PBM gets (AWP-10) $641.95 plus (60% rebate) $345.94=$987.89 Pays pharmacy $531.39 loosing $45.18 Payor pays $641.95"
X Link 2024-06-27T16:30Z [--] followers, [--] engagements
"$CVS @CVSHealth PBM CareMark is Fortune [--] $UNH PBM @OptumRx is Fortune [--] Before $CI bought @ExpressScripts ESI was Fortune [--] while Cigna was 73Interestingly at same time @Boeing was [--]. The vertical integration violates the Sherman Act and helps the smokes and mirrors that is the insurance oligopoly. No other industry the size of healthcare: Real estate-buying a home Banking-loans Vehicle-parts & servicing Mandates the customer explicitly use a middleman perform the function otherwise would pay more. Everyone in the room know they are leeches and not only allow it promote it. What does that"
X Link 2024-06-27T19:44Z [---] followers, [---] engagements
"When should we expect $CI to buy $WBA so they can copy the CVS/Health-CareMark/CVSPharmacy/Aetna oligopoly Now that $WBA is cheaper to buy and Cignas PBM ExpressScripts ex CEO Tim Wentworth is at the helm @MariaBartiromo @BeckyQuick @JoeSquawk @WaysMeansCmte @WaysandMeansGOP @JusticeATR @FTC @OIGatHHS @JusticeOIG Its almost like the failure of Walgreens is on purpose"
X Link 2024-06-28T00:40Z [---] followers, [--] engagements
"@HokiePharmacist Former CEO of ESI is $WBA president. Ill bet my ass they flatlined the stock on purpose so Cigna/ExpressScripts could buy up cheap and have a copycat of CVS/Health/Pharmacy/CareMark/Aetna"
X Link 2024-06-28T00:43Z [---] followers, [---] engagements
"@RealJamesWoods I bet she can Hawk Tuah"
X Link 2024-06-28T17:16Z [---] followers, [--] engagements
"Pharmacy is no longer a profession. A retail pharmacist is an indentured servant. Patients are suffering too with deficient outcomes and higher prices. Meanwhile @UHC $UNH pays @AARP $600 million annually in royalties to put their logo on Medicare Part D materials. @WaysMeansCmte @WaysandMeansGOP @GOPoversight @OversightDems @RyanCostello @SeanParnellUSA @SenTedCruz @RealPNavarro @SenatorCantwell @linakhanFTC @MHolyoakFTC @JusticeATR @OIGatHHS @JDVance1 This is insane Unfortunately PBMs have most of the influential lobbying groups such as AARP in their pockets. What about PharmDs Unless you"
X Link 2024-07-18T12:26Z [---] followers, [----] engagements
"@A_Ciaccia @pharmalot @KwameRaoul PBM oligarchs make so much money its cheaper to pay a multimillion dollar fine then to operate ethically"
X Link 2024-07-24T00:56Z [---] followers, [--] engagements
"How else do you think @UHC $UNH make @FortuneMagazine [--] when they make no product and stock no inventory.they have market share and leverage to literally do whatever they want too Steer patients to their own mailorder Force patients use their specialty pharmacy Force expense brand medications as formulary for rebate kickback Audits Charge backs Prior authorizations Denials Pay below cost of product/service Offer provider buyouts to become employee (once theyve put you out of business) @ftc @linakhanFTC @BedoyaFTC @RKSlaughterFTC @MHolyoakFTC @JusticeATR @WaysMeansCmte @WaysandMeansGOP"
X Link 2024-08-14T18:26Z [---] followers, [---] engagements
"If I dispense a [--] day supply of this med: Cost: $7057 Under paid $685 If I dispense [--] day supply: Cost: $2352 Under paid: $41 PBMs like OptumRx owned by $UNH shouldnt offer take it or leave contracts paying below cost. Since they are also a pharmacy they should be required to indicate where drug could be bought for the price they are reimbursing. @RepJamesComer @RepBuddyCarter @SeanParnellUSA @mikepompeo @pcmanet @JackPosobiec @RealEJAntoni @charliekirk11 @WaysMeansCmte @WaysandMeansGOP @GOPoversight @OversightDems @FTC @linakhanFTC @RKSlaughterFTC @BedoyaFTC @MHolyoakFTC @JusticeATR"
X Link 2024-09-01T13:23Z [---] followers, [---] engagements
"#60 Metformin 1000mg for $0.88 #90 Amphetamine Salts 20mg for $10.10 Federal employee contract offering=below cost reimbursement Wonder what PBM CareMark owned by $CVS who also owns Aetna pays themselves for these claims Yes @Aetna reimbursement is the worst @RepJamesComer @RepBuddyCarter @WaysMeansCmte @WaysandMeansGOP @GOPoversight @OversightDems @FTC @JusticeATR @linakhanFTC @RKSlaughterFTC @BedoyaFTC @MHolyoakFTC @OIGatHHS @SeanParnellUSA @mrddmia @mikepompeo @RealEJAntoni @RealPNavarro @realdocspeaks @DrugChannels @mcuban @JoeSquawk @mariaaspan @MariaBartiromo If PBM is paying AWP-20.7%"
X Link 2024-09-01T13:46Z [---] followers, [----] engagements
"@CVSHealth @cvspharmacy @Aetna @GOPoversight @OversightDems @WaysMeansCmte @WaysandMeansGOP @RepJamesComer @SpeakerJohnson @JDVance @jimcramer @SquawkStreet @FTC @linakhanFTC @RKSlaughterFTC @BedoyaFTC @MHolyoakFTC @mcuban How does $CVS become @FortuneMagazine Global [---] #10 their PBM Caremark charges 47000% markup when they get paid while paying independent pharmacies $8.48 for a medication that costs $9.06 while patient pays $13.98 & PBM clawsback $5.50 Paying $924.65 for medication costing $944.31 making pharmacy subsidize insurance $19.66 Paying $0.35 for claim cost $0.59 Offering take it"
X Link 2024-09-12T13:24Z [---] followers, [---] engagements
"It shouldnt be legal. Definitely not moral. Drug space explained in one slide. Drugs have [--] prices: AWP average wholesale price Acquisition price (wholesale price) Net cost (after rebate) AWP is the MSRP inflated sticker price no one pays is number manufacturers use to value their product and is number PBMs use to charge plans/payors and the number @GoodRx and @SingleCare use to calculate their discount. Also the number PBM uses to reimburse pharmacy for brand drugs via a AWP minus a discount. Acquisition price is price pharmacy pays to wholesaler to stock in inventory. This is the number PBM"
X Link 2024-09-12T19:13Z [---] followers, [----] engagements
"Every market Mastercard doesnt steer/force me to buy products and services from corporations they own. As a consumer Im free to choose what grocery store I want what gas station I want and what auto parts store I want. When I have USAA insurance they dont decide what brand vehicle I drive. Payors use PBMs because the payors are unaware of alternative. The PBM says these are your choices all choices benefit the PBM. Multiple entities have researched and documented how PBMs use spread pricing brand rebates and use of their own mail order to gouge the system. Payors are unaware that a generic"
X Link 2024-09-13T01:15Z [---] followers, [--] engagements
"PBMs refuse to provide documents requested by @FTC and refuse to correct misleading statements made to Congress regarding patient steering and paying competitors fairly. Now one major PBM is suing because to them transparency equals defamation How you know you are over the target https://www.healthcaredive.com/news/pbm-house-oversight-committee-testimony-caremark-express-scripts-optum-rx/726808/ https://www.healthcaredive.com/news/pbm-house-oversight-committee-testimony-caremark-express-scripts-optum-rx/726808/ Retract the report after the following is done: The insurance companies must not"
X Link 2024-09-17T15:39Z [---] followers, [---] engagements
"@pelterkevin Dont forget the brand rebate of over $250 (50% of cost) paid by manufacturer to PBM otherwise the competitor drug Xarelto is the formulary choice"
X Link 2024-09-17T15:57Z [---] followers, [---] engagements
"Its always nice to get paid $9 for ADHD medication that cost $26 and requires a DEA license and a stack of compliance and regulation to stock. PBM is like a casino house always wins @RepAuchincloss @linakhanFTC @RKSlaughterFTC @BedoyaFTC @MHolyoakFTC @RepJamesComer @JDVance Wall Street is putting Main Street out of business when we do a better job and provide better employee quality of life I need to know is it actually possible to buy [--] Adderall 20mg generic for $7.15 Because of course ESI says I can get it for -$3. Which is the price I need to buy it at to make the $10 minimum to survive."
X Link 2024-09-17T20:41Z [---] followers, [----] engagements
"Curious is it really seeking asylum if you safely travel through multiple countries to get to US border or if the @DHSgov flies you directly in So [--] million immigrants over the last [---] years are all legitimately seeking life threatening asylum With a smartphone app With NGOs getting billions With our own government bussing and flying. With zero vetting"
X Link 2024-09-18T12:30Z [---] followers, [--] engagements
"Yep. Entity (PBM) that provides the least amount of value in drug supply chain makes the most from it. More then the inventor-manufacturer More then the wholesaler More then the pharmacy dispensing Combined PBM requiring a 74% rebate in order to be on formulary.$692 to the PBM to be a middle man that is supposed to lower cost.meanwhile the PBM is reimbursing the pharmacy BELOW acquisition cost for the same medication.@pcmanet how do you talk your way out of this one PBM requiring a 74% rebate in order to be on formulary.$692 to the PBM to be a middle man that is supposed to lower"
X Link 2024-09-26T14:26Z [---] followers, [----] engagements
"@cvspharmacy @CVSHealth @FTC @linakhanFTC @BedoyaFTC @RKSlaughterFTC @MHolyoakFTC @RepJamesComer @nytimes How about you pay independents what you pay yourself You buying brand symbicort for $100.35 You survive on $0.50 for #60 metoprolol You buying Ozempic 2mg for $924.35 You paid pharmacy $8.78 for #35 Leflunomide 10mg. The AWP is $689. What did you collect from employer Pharmacy industry run by PBMs is collusion extortion and indentured servitude. As if there was any doubt before this comment it is now in black and white. PBMs are actively trying to close independent pharmacies. We need"
X Link 2024-10-19T23:13Z [---] followers, [---] engagements
"@carnivorePharm @cvspharmacy @CVSHealth @FTC @linakhanFTC @BedoyaFTC @RKSlaughterFTC @MHolyoakFTC @RepJamesComer @nytimes Then the 90% of customers preferring to use their insurance will choose another pharmacy"
X Link 2024-10-20T02:39Z [---] followers, [--] engagements
"Ive got receipts. Do you have any in defense Refills arent allowed/covered at independent but are at PBM owned mail order This is patient steering This is the CVS/Caremark rates for [----]. Take it or leave it offering. 30% of my business. Can $WMT accept these rates Can CVSPharmacy $CVS accept these rates Can $KR accept these rates This is extortion Amlodipine 10mg. #30 fill PBM paid pharmacy $0.35. Any claims leaving CVSPharmacy or Caremark mail order for $0.35 This is indentured servitude After offering below cost contract pharmacy drops @TRICARE network. Patient gets letter saying they wont"
X Link 2024-10-22T01:10Z [---] followers, [----] engagements
"@Liz_Cheney WOMD=$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$"
X Link 2024-11-02T12:28Z [---] followers, [--] engagements
"@HokiePharmacist 10-4. As a multi store independent pharmacy owner censored by ExpressScripts and a fellow fan of college football Ive followed you for awhile"
X Link 2024-11-06T21:30Z [---] followers, [--] engagements
"@cardinalhealth @CencoraGlobal @McKesson $CAH $COR $MCK @PioneerRx @Commpharmacy @novonordiskus @EliLillyandCo $NVO $LLY and all the PSAO and buying groups how much money are you loosing selling incretin mimetics Because last month I bought $107042 worth and lost $1843 plus the cost of dispensing. You guys hurting You guys missing any tee times Didnt think so. My two 40+ year old pharmacies are about to close. [--] people unemployed and the next home oxygen supplier is [--] miles away. Smoke your cigars and sleep well. @FTC @linakhanFTC @BedoyaFTC @RKSlaughterFTC @MHolyoakFTC @mcuban"
X Link 2024-11-08T17:08Z [---] followers, [---] engagements
"ExpressScripts offered a take it or leave it contract. Regrettably I had to leave it. We dont make enough profit to subsidize a PBM. After grassroots outrage ESI sent a reconsideration email. The only problem is it was the same under cost reimbursement. My email reply telling them that my @USNavy veteran father and grandfather deserved to use their son/grandson pharmacy. Never heard from PBM again. Tell me PBM could you accept these rates Why do you get to make $17 per prescription @TRICARE @OIGatHHS @JusticeOIG @BergerMontague @FrierLevitt Dear @TRICARE These veterans deserve choice of"
X Link 2024-11-09T23:07Z [---] followers, 647.9K engagements
"Remember when $CI paid $67 Billion for ESI When ESI described as largest company you didnt know about was Fortune [--] while a company everyone knows about Boeing was Fortune [--]. Wonder what they do with this leverage Ask a provider And a pharmacist too since @CMSGov doesnt consider pharmacists providers. @linakhanFTC @BedoyaFTC @BedoyaFTC @MHolyoakFTC @BergerMontague @FrierLevitt @mrddmia @RobertKennedyJr @DonaldJTrumpJr https://www.fiercehealthcare.com/payer/cigna-closes-67b-express-scripts-acquisition Make this 👇👇👇Make sense @Cigna profits over patients. #NotHealthCare"
X Link 2024-11-10T21:27Z [---] followers, [---] engagements
"@warrisbokhari @Cigna @mcuban @RepAuchincloss @HokiePharmacist @RuthReader @chrissyfarr @WSJ @nytimes Its not like $CI cant afford it. https://www.fiercehealthcare.com/payer/cigna-closes-67b-express-scripts-acquisition https://www.fiercehealthcare.com/payer/cigna-closes-67b-express-scripts-acquisition"
X Link 2024-11-10T21:32Z [---] followers, [---] engagements
"@SenJohnThune Is a life time politician the best person to lead"
X Link 2024-11-11T11:56Z [---] followers, [--] engagements
"We manage your pharmacy plan and were a pharmacy No conflict of interest there PBM offers contracts they couldnt accept PBM makes $17 even when another pharmacy fills the prescription. If you have Main Street Pharmacy Twitter account and you post this stuff the PBM sends a cease and desist @FTC @linakhanFTC @BedoyaFTC @RKSlaughterFTC @MHolyoakFTC @JusticeATR @RealEJAntoni @elonmusk @VivekGRamaswamy congrats on #DOGE while we wait for leaderboard of wasteful spend here is to start multi billion $$$ savings by fixing #TRICARE remove express script as PBM and bring direct reimbursement to"
X Link 2024-11-14T02:12Z [---] followers, [----] engagements
"CVS Caremark knows the number is inflated. My tax id has two NPIs and two NCPDP so I can do LTC billing. One pharmacy business one building one tax id. CVS will count me as two. They are just that dishonest CVS Caremark is claiming to have 27k independent pharmacies in their network despite less than 20k in existence. Goes to show how much the PCMA studies on the number of pharmacies can be relied on. #Pharmacy #TwitteRx https://t.co/M4lbZCrlAP CVS Caremark is claiming to have 27k independent pharmacies in their network despite less than 20k in existence. Goes to show how much the PCMA"
X Link 2024-11-14T02:18Z [---] followers, [---] engagements
"Been running an independent for [--] years. In [----] the 60+ year old CVS RPh PIC town favorite pharmacist quit on the spot and came to work with us. He retired [----]. In [----] the 40+ year old CVS RPh who was his store partner quit and came to work with us. In [----] the CVS lead technician came to work with us. This week the current local CVS RPH PIC sent this text to our tech who left CVS. Hate to bother you but I needed to ask you a question about when did you know you had to jump ship My quality of life is just zero now $CVS Excellent video on how CVS is stealing from everyone and putting"
X Link 2024-11-14T03:12Z [---] followers, [----] engagements
"@PeteHegseth"
X Link 2024-11-14T03:44Z [---] followers, [--] engagements
"Dont believe the PBM lobby propaganda Cigna closed its $67 billion acquisition of Express Scripts in December less than a year after the companies agreed to combine it marked the creation of a greater than $140 billion revenue healthcare colossus. How did the companies combine so quickly ESI company most never heard of was @FortuneMagazine [--] while @Boeing was [--]. Vertically integrating the PBM into the insurer was necessary to hide the real cost revenue profit of the PBM mafia machine. Its laughable the lobby talks of greed when they are the poster child of greed and malfeasance. Missouri"
X Link 2024-11-14T17:23Z [---] followers, [---] engagements
"@MomAngtrades [--] adults. $3100 per month. $8500 deductible. No dental no vision. $100 copays. $500 ER copay. We employ [--] people. [--] full time. Living paycheck to paycheck. Hedge funds politicians and corporate monopolies have destroyed the middle class"
X Link 2024-11-15T01:57Z [---] followers, [--] engagements
"@kylenabecker @mattgaetz Let me know who is will primary against @JohnCornyn so I can donate to their campaign"
X Link 2024-11-15T12:57Z [---] followers, [--] engagements
"So I was preparing for staff meeting and looking over P&L Independent pharmacy financials [----] Jan-Aug DME sales $166370 DME COGS $93457 (44%) Pharmacy sales $2418652 Pharmacy COGS $1948577 (20%) Gross profit $704374 [----] Jan-Aug DME sales $155834 DME COGS $96198 (38.3%) -5.7% YOY Pharmacy sales $2948046 Pharmacy COGS $2397985 (18.6%) Gross profit [------] $449408 in increased purchasing=$73730 addl profit (16.4%) [----] Jan-Aug DME sales $141663 DME COGS $75829 (46.5%) +8.2% YOY Pharmacy Sales $2982248 (+1.16%) Pharmacy COGS [-------] (+6.88%) Gross Profit $690575 $165076 increased purchasing for"
X Link 2024-11-19T01:32Z [---] followers, [---] engagements
"So this happened yesterday. Local business owner sold business and got new insurance 10/01/24. Pharmacy wasnt presented new ins. and billed old insurance a claim on 10/22/24. He was mailed a bill for the claim. $CVS PBM CVS/Caremark and @AnthemBCBS got some explaining to do. Rx claim: Drug cost $28.62 PBM allowed $34.39 PBM paid pharmacy $19.39 Patient copay to pharmacy $15.00 $ANTM sent a bill to patient for $432.71 Is this what CVS/Caremark billed Anthem For a claim it paid $19.39 and said was worth $34.39 Is this the value of PBMs All stakeholders know this is going on failure to regulate"
X Link 2024-11-26T16:15Z [---] followers, [----] engagements
"@RepRaulRuizMD @POTUS Pharmacy loses money every time we dispense because the PBM doesnt pay acquisition cost and only pays a $0.05 dispensing fee"
X Link 2024-11-27T03:43Z [---] followers, [--] engagements
"This is morally reprehensible. Can someone explain to me where I should get the money to feed my family and pay my employees with the reimbursements that the PBMs set below @RonDeSantis @GovRonDeSantis @DrNealDunnFL2 @ShaneAbbottFL @DrOz @DOGE @VivekGRamaswamy @elonmusk We have peoples lives in our hands but https://t.co/oGgKo5WDBn Can someone explain to me where I should get the money to feed my family and pay my employees with the reimbursements that the PBMs set below @RonDeSantis @GovRonDeSantis @DrNealDunnFL2 @ShaneAbbottFL @DrOz @DOGE @VivekGRamaswamy @elonmusk We have peoples lives in"
X Link 2024-11-28T03:20Z [---] followers, [---] engagements
"Customer sold his business and his insurance changed from Anthem with CVS/Caremark as pharmacy benefit manager PBM to UHC. We didnt know his insurance changed and billed insurance on file. Claim didnt reject. PBM allowed pharmacy claim $34.39 PBM paid pharmacy $19.39 PBM billed Anthem $432.71 Anthem billed patient. This is called spread pricing. Why does PBM bill plan $432.71 when it paid $19.39 on a product/service it said was worth $34.39 Is it because the AWP of claim was $953.20 so by billing $432.71 its sold as a 55% discount Corporations are overpaying PBMs Insurance plans are"
X Link 2024-12-03T02:37Z [---] followers, [----] engagements
"@GrumpPharmacist Direct with ESI. PSAO with everyone else. CVS/Caremark direct contract offer for [----] on left. PSAO Caremark offer on right. Theres no best option only less worse"
X Link 2024-12-04T15:29Z [---] followers, [--] engagements
"@HokiePharmacist Did @pcmanet release a statement when Ashleigh died because of CVS malfeasance"
X Link 2024-12-05T01:19Z [---] followers, [----] engagements
"Explain this: Pharmacy bills insurance on file. Anthem BCBS. Insurer partners with pharmacy benefit manager (PBM) CVS/Caremark. PBM allows $34.39 PBM pays pharmacy $19.39 Except customer has new insurance with UHC/OptumRx in effect. So Anthem sends a bill to customer for $432.71. Even though PBM only paid $19.39 Did CVS/Caremark bill Anthem $432.71 Did Anthem mark up charge $432.71 is 45% of the $953.20 AWP. Is this how PBMs justify their existence by claiming they got payor a 55% discount when all day everyday retail charge for cash claim is $43.62 @AFergusonFTC @gailaslater"
X Link 2024-12-05T02:44Z [---] followers, [---] engagements
"Not condoning murder. Insurance companies are out of control. Drop provider from network explicitly to create a more narrow exclusive network for the sole purpose of increasing the insurance company leverage on the remaining network. This is one reason providers then get a buyout offer later. @AFergusonFTC @gailaslater @JusticeATR @JusticeOIG @FTC"
X Link 2024-12-05T15:53Z [---] followers, [--] engagements
"@LindseyGrahamSC POTUS [--] took a bullet and [--] months later became POTUS [--] (winning popular vote and all [--] swing states). He gets the Cabinet of his (our) choosing. Any republican who disagrees must be primaried. Period. Full stop"
X Link 2024-12-05T23:19Z [---] followers, [--] engagements
"@POTUS What about North Carolina We doing all we can for American Taxpaying Citizens"
X Link 2024-12-05T23:20Z [---] followers, [--] engagements
"@TractorSupply employee insurance uses OptumRx as its Pharmacy Benefit Manager (PBM). When we bill this blood thinner PBM pays us $553.09 when it costs $562.90 That sucks. The best part is when OptumRx bills TS they dont charge $553.09 they charge a % discount of AWP. AWP is $855.94. They will charge $727.55 (85%) even though they paid pharmacy $553.09 and claim we the PBM got you a 15% discount. The better part is the PBM will also get a 50-60% rebate from the manufacturer of Eliquis. $281-$337 Meanwhile patient premiums are unaffordable coverages are denied and independent pharmacies being"
X Link 2024-12-06T03:11Z [---] followers, [---] engagements
"@MikeSington Probably on his way home from an event catered by lobbyists"
X Link 2024-12-06T12:07Z [---] followers, [---] engagements
"Not condoning murder. I understand the lack of sympathy UHC Pharmacy Benefit Manager OptumRx prevents me from filling [--] day supply and then offers [--] day mailorder. Thrown out of their home medical network because they purposely wanted a more narrow network that gives them more control and leverage. Underpay claims"
X Link 2024-12-07T23:04Z [---] followers, [----] engagements
"@Godlesswh_re Popular vote AND all swing states but racism"
X Link 2024-12-08T00:56Z [---] followers, [--] engagements
"@rekesk @EliLillyandCo @novonordiskus @novonordisk @EliLillyandCo Id like to know too. I cant continue to subsidize you and @CencoraGlobal"
X Link 2024-12-08T01:08Z [---] followers, [--] engagements
"@tomcolicchio ALL seven swing states Electoral College Popular vote"
X Link 2024-12-08T15:12Z [---] followers, [--] engagements
"@MattWallace888 @Civil_Disco Persian"
X Link 2024-12-08T17:01Z [---] followers, [---] engagements
"Holy crap. @realDonaldTrump @RobertKennedyJr @DrOz know about the @pcmanet middle men and that nobody knows who they are and that the (PBM) middlemen makes more then the drug companies Please regulate this mafia And saves billions while saving Main Street Its good to see Trump knows what a PBM is and that theyre the ones siphoning all the money from the system✊ https://t.co/yjyYH63U14 Its good to see Trump knows what a PBM is and that theyre the ones siphoning all the money from the system✊ https://t.co/yjyYH63U14"
X Link 2024-12-08T20:54Z [---] followers, [----] engagements
"@txsalth2o If a freaking insurance company can afford stadium sky boxes and custom cookies with their logo providers like your brother who work for decades and sacrifice to become practitioners while accumulating over half a million in school loan debt deserve every penny"
X Link 2024-12-10T03:04Z [---] followers, [---] engagements
"@Timcast Mustve bought the bumper to bumper extended warranty"
X Link 2024-12-10T19:43Z [---] followers, [--] engagements
"@JackPosobiec Seems like the ones who want to confiscate the guns are more likely to illegal use them to commit murder then the ones who support the Second Amendment and own them responsibly"
X Link 2024-12-10T19:47Z [---] followers, [--] engagements
"@KirkHerbstreit @NFLonPrime @RamsNFL @49ers"
X Link 2024-12-10T23:47Z [---] followers, [--] engagements
"I have heard there are some huge disparities in some NADAC pricing. Believe able with three massive wholesalers few regionals 340B GPOs. Sort of like trying to decide what college football team makes playoffs. Seems crazy consumer knows price and is free to choose in every other sector of our economy except healthcare and the agreed solution is an oligopoly telling you trust us were the best option"
X Link 2024-12-11T03:01Z [---] followers, [--] engagements
"@VivekGRamaswamy PBM mail order waste"
X Link 2024-12-11T18:21Z [---] followers, [---] engagements
"@IndyRxVoice @Change_HC @Commpharmacy @TruthRX @SenWarren @SenMarkey Because their mother ship has other priorities"
X Link 2024-12-11T23:35Z [---] followers, [--] engagements
"Judge: why do you bill an imaginary overly inflated amount no one pays Me: because thats how the insurance mafia created the system Judge: Why would they do that Me: because their existence relies on showing value by getting and sometimes paying a discount of billed amount even when payor still pays a higher amount known as the spread Judge: do you charge this imaginary amount to customers without insurance Me: Hell no. Id be ripping them off besides without a middleman insurance to tell me the price to charge I have to figure that out on my own. Cost plus seems reasonable. Judge: insurance"
X Link 2024-12-12T02:20Z [---] followers, [--] engagements
"@realdocspeaks lol especially since they told @RepJamesComer and the @GOPoversight @OversightDems they pass 100% of rebates on. If that was true wouldnt that be on every lobby press release We gave [---] million of rebate dollars to X and [---] million of rebate dollars to Y"
X Link 2024-12-12T02:31Z [---] followers, [--] engagements
"@JCScottPCMA @pcmanet Im going to watch this many many times and share with many many patients. Look forward to reading your press release that says its anecdotal. @AFergusonFTC @gailaslater @BedoyaFTC @RKSlaughterFTC @MHolyoakFTC (you going down with this ship) @mrmeador @ChuckGrassley @HawleyMO @SenWarren @JusticeATR You have the evidence the PBMs are gaming the system for their benefit at patient payor and pharmacy peril. Them doing it is shameful. Allowing them to continue to do it is malfeasance. Its been a tough year politically for Predator.er Pharmacy Benefit Managers and their"
X Link 2024-12-12T21:59Z [---] followers, [---] engagements
"@ArthritisSTL @UHC @askUHC He cant talk now because hes in his Gulfstream at [-----] feet and his phone is in airplane mode"
X Link 2024-12-12T22:27Z [---] followers, [---] engagements
"Im the third busiest pharmacy out of [--] in my community. The only one in a [--] mile radius offering home oxygen CPAP supplies hospital beds delivered and billed to insurance. The only plans I am out of network is @TRICARE and @WellcarePlans. Why Its the same underwater contract. Kicker is my other pharmacy 20ish miles away is still in network because the underwater contract wasnt offered because there are not enough pharmacies for network coverage. So your contract is not based on the product and service you provide nor your value to the system. Its strategic. Cigna/ESI look at coverage map and"
X Link 2024-12-14T15:58Z [---] followers, [--] engagements
"PBMs are not getting the savings they say they are. In fact that cause prescription drugs to be exponentially higher from extorting rebates on brands from manufacturers billing payors a factor of usual & customary (U&C) or average wholesale price AWP but paying pharmacies cost and pocketing the spread. Furthermore as vertically integrated companies they force or steer patients to their own mail order and specialty med pharmacies. What PBMs do is worse than what BIG Pharma does because BIG PBMs control the machine. As an independent pharmacy operator and ultraMAGA patriot I hope the warroom is"
X Link 2024-12-14T20:09Z [---] followers, [----] engagements
"@realDonaldTrump @JDVance @nataliegwinters @JackPosobiec @SeanParnellUSA @charliekirk11 @RealPNavarro @Bannons_WarRoom @maureen_bannon @TuckerCarlson @joerogan @Kash_Patel @HawleyMO @SenWarren @ChuckGrassley @RepJamesComer @RepAuchincloss @mrmeador @AFergusonFTC @mrddmia @VivekGRamaswamy @elonmusk @RobertKennedyJr @SenToomey The Boss knows about the "middlemen" The Pharmacy Benefit Manager (PBM) $UNH owns @OptumRx $CI owns @ExpressScripts $CVS owns CareMark brand rebates spread pricing mandatory PBM mailorder mandatory PBM owned specialty pharmacy DIR fees GER fees clawbacks audits patient"
X Link 2024-12-14T22:17Z [---] followers, [--] engagements
"Harms PBMs. Helps everyone else H.R. [----] - Delinking Revenue from Unfair Gouging (DRUG) Act In addition to the direct savings patients and employers can receive from access to lower priced medicines the Congressional Budget Office assessed the impact of increased PBM transparency and this targeted policy and determined it would save the government $654 million over the next decade. Additionally the DRUG Act includes several other reforms to address PBM marketplace abuses: Bans spread pricing when a PBM charges the health plan more than they paid for a medicine; Prohibits PBMs from paying"
X Link 2024-12-14T23:47Z [---] followers, [---] engagements
"@tedcruz @RandPaul @chiproytx @ByronDonalds @RepScottPerry @NancyMace @RepAndyBiggsAZ @RepEliCrane @RepDavid @nataliegwinters @AndrewHGiuliani @SenToomey Its not Big Pharma benefiting Its Big PBM. Vertically integrated companies that completely control the pharmaceutical space"
X Link 2024-12-15T00:26Z [---] followers, [---] engagements
"@tedcruz @RandPaul @chiproytx @RepEliCrane @AndrewHGiuliani @nataliegwinters We can be against Pharma AND PBMs at same time. When Cigna bought PBM ExpressScripts in [----] for $52 Billion ExpressScripts a company a lot of people never heard of was Fortune [--]. Boeing on the other hand was [--] Vertical integration has created silos of insurer PBM GPO mailorder specialty mailorder provider & private labeler. And the leverage to steer pharmacy business from independent pharmacies and pressure physicians to sell practices to provider. They extort brand rebates from manufacturers. Instead of claiming"
X Link 2024-12-15T12:23Z [---] followers, [---] engagements
"HR6283 DRUG ACT (delinking) HR9096 Pharmacist fight back Desperately needed PBM CVS/Caremark Paid pharmacy $0.73 for atorvastatin 20mg #30 PBM OptumRx Patient pays $35.44 copay PBM clawsback $29.98 Pharmacy keeps $5.46 PBM CVS/Caremark Clawing back fees called Generic Effective Rate GER $4566 from [----] PBM wont allow independent pharmacy patient pharmacy of choice to fill [--] day supply. Have to get from PBM owned mailorder pharmacy. Why @nataliegwinters @AndrewHGiuliani @SenToomey Bipartisan group in Congress seeks to lower drug prices by targeting pharmacy benefit managers"
X Link 2024-12-15T12:57Z [---] followers, [----] engagements
"@northwoods1980 Nope. Youre going to pay for @RuthsChris but get @Applebees Why Because not everyone is paying for their meal and the executive board room eats for free"
X Link 2024-12-15T14:45Z [---] followers, [----] engagements
"@Crimsontider Spoken like a trained lobbyist. I thought you were a free thinker. I dont care about consumers I have to earn the business of my consumers. PBMs with their leverage and steering dont How dare you consumer-patients are also my Sunday school class. consumer-customers are my neighbors who I also help as a county volunteer firefighter. consumers are also my Freemason Brethren. Consumers came to me for home oxygen tanks when hurricane Helene caused power outages and big city providers were no show. Youre right as a job creator and taxpayer how dare I expect more than $0.50 or $0.36"
X Link 2024-12-15T17:03Z [---] followers, [---] engagements
"your "facts" are nothing more than the PBM lobby @pcmanet paid for brochure. All glossy and everything. Here are facts: The FTC sent compulsory orders to the six largest PBMs CVS Caremark Express Scripts OptumRX Humana Prime Therapeutics and MedImpact Healthcare Systems seeking information on fees pharmacy reimbursement methods rebates formulary design and other business practices. Months later the FTC issued additional orders to Zinc Health Services Ascent Health Services and Emisar Pharma Services. Not all requested information was returned. A true economic study will never be performed"
X Link 2024-12-15T17:42Z [---] followers, [---] engagements
"He probably won't accept your offer. He's on the board of a private equity firm Apollo Global Management and will only respond to requests by highest bidder. Tried researching and found no clear correlation. He was against Medicare Part D which is good since Part D was a boondoggle for pharma and the insurance oligopoly. And he was president of the @club4growth which is supposed be steadfastly conservative and anti-big government. But the PBM greed and insurance subsidization is anything but. Maybe the think the PBM of [----] is the PBM of [----]. As #POTUS4547 said the (PBM) middlemen are making"
X Link 2024-12-15T18:48Z [---] followers, [---] engagements
"If the PBMs are so gifted at their job why: Are they not separate entites like they were CVS bought Caremark in [----] $21 billion UHC buys Catamaran in [----] for $12.8 billion and builds OptumRx Cigna bought ExpressScripts in [----] for $67 billion when ESI was Fortune [--] and Cigna was Fortune [--] Why are they not fiduciary Why are they not transparent Why are they vertically integrated with Insurer provider pharmacy GPO like a shell corporation If they were so good at their jobs why would pharma raise their prices and prescription spend continue to rise"
X Link 2024-12-15T21:07Z [---] followers, [--] engagements
"Crony corporations Look no further than the vertically integrated insurer/PBM Isnt odd that in [----] Cigna bought PBM ExpressScripts for $67 billion when ExpressScripts was [--] on Fortune list and Cigna was [--]. BTW Boeing was [--]. Should not have ExpressScripts bought Cigna Or did the PBM mafia know the scrutiny of their practices was imminent Why does PBM pay Pharmacy $19.39 on a claim they say is worth $34.39 have the patient pay $15 but then bill payor $432 Where is the value there This isnt propaganda from @pcmanet @lowerhealthcost or @Commpharmacy This is real life community pharmacy data."
X Link 2024-12-16T00:38Z [---] followers, [----] engagements
"@mass_marion @HokiePharmacist @PatientTexas @nataliegwinters @realDonaldTrump @Free2CareHC @drleegross @RepBuddyCarter @AMACAction @60PlusAssoc @JustTheNews @MarkMeadows @RobertKennedyJr @IWF PBMs launched the same misinformation campaign in [----]. If you disrupt their revenue stream or make them be transparent they shout Grandmas prescription drugs will triple in price https://www.fiercehealthcare.com/payer/pbms-launch-counterattack-following-trump-administration-s-plan-to-end-drug-rebates"
X Link 2024-12-16T03:39Z [---] followers, [---] engagements
"@DefiyantlyFree Wait the f#@k. @GOP @TheDemocrats using our tax dollars to buy one mail truck that cost the same as [--] Ferraris but Im the scumbag for complaining PBMs are paying me $0.75 or $0.14 to fill a prescription"
X Link 2024-12-16T04:00Z [---] followers, [--] engagements
"You mean PBMs offer contracts to third party administrators and employers that say theres a mail order requirement So when customers use their pharmacy of choice they are told after requesting a needed refill that pharmacy is NOT allowed to bill refills Now their option is to pay cash which 95% do or wait for medication to be transferred to PBM owned mailorder or CVS if PBM is CVS/Caremark and wait and wait and wait. Supposedly this is cheaper for plan So big PBM companies have zero cost of goods sold At least I can fill antibiotics #20 SeptraDS generic PBM allows $0.83 PBM pays $0.34 Patient"
X Link 2024-12-16T13:40Z [---] followers, [----] engagements
"@carnivorePharm Napoleon Bonaparte is quoted as saying If you start to take Vienna take Vienna. This quote is a reminder to be dedicated to whatever you set out to do no matter how difficult boring or frustrating it may be. @Bannons_WarRoom"
X Link 2024-12-16T14:23Z [---] followers, [--] engagements
"borderline nauseating Our side has @mass_marion @realdocspeaks @A_Ciaccia @3AxisAdvisors @Greg_Reybold and others with actual patient and claim data showing how PBMs are gaming system. Providing concise professional and transparent information. Their side has @UnpopularPharm and @Jeffery1313 who do nothing but act like instigators for the insurance/PBM mafia. No proof just innuendo and slander. Your team: Paid pharmacy $19.39 and had patient pay almost as much $15 for a claim it said was worth $34.39. Then billed plan $432.71 How do you defend that I want the TRUTH Can you handle the truth Do"
X Link 2024-12-16T16:22Z [---] followers, [----] engagements
"Not hating just making an observation. Apparently these social media personalities who all appear to have little to no healthcare profession nor policy experience all use the same marketing agency. In case they and their followers didn't realize: Conservatives for lower healthcare costs @lowerhealthcost was created by lobbyist 8/2023. A common tactic of lobbyist is to create broad and noble sounding names to mislead. Americans for Pharma Reform @BustBigPharma formed 8/2024 by what looks like a VA based political operative Entities clearly formed to grift and lobby for Insurance/PBM to push"
X Link 2024-12-17T02:45Z [---] followers, [----] engagements
"Just now noticed the #UnitedHealthcare It makes sense now. UHC is Global Fortune [--] and all the working class conservatives are okay with that What do they make What do they create apparently were through with Big Tech and now Big Pharma is the boogie man. No critique of Big Insurance /PBM @Iwendtster One last thing its keeping me up: You never answered my question How much would it cost for you to change your profile pic to @InsOligopoly s for [--] hours Because Id give $100 out of my kids college fund to see that. @Iwendtster One last thing its keeping me up: You never answered my question How"
X Link 2024-12-17T05:19Z [---] followers, [---] engagements
"Be sure to use network pharmacy Imagine if Visa or MasterCard said Be sure to use a network grocery store or your groceries will not be covered. or You will pay full cost of groceries. These patients used a network pharmacy and not only paid full price but the PBM got a clawback from copay. Thats right when you use your insurance the insurance actually makes money Drug cost $1.17 Patient copay $10.02 PBM takes $5.87 cut Pharmacy keeps $4.15 Patient is paying PBM $5.87 for their prescription and pharmacy gets $4.15 for doing all the work. PBMs bad for patient and bad for pharmacy"
X Link 2024-12-17T12:14Z [---] followers, [--] engagements
"Can anyone other than the Big Insurance/PBM lobby @pcmanet @lowerhealthcost & shills @SenToomey @Crimsontider tell me what the value of the mega PBM's are in this example Blood Pressure medication Losartan Potassium generic for Cozaar #90 tablets for a [--] day supply. Billed to OptumRx owned by United Heatlhcare Drug cost $4.62 my cash price would be $19.62 PBM says charge patient $49.98 copay PBM then gets (clawsback) $37.24 of the $49.98 Pharmacy keeps $12.74 BTW @DrugChannels this is similar to transactions we see with @GoodRx Without a PBM patient could pay $19.62 which I think is less"
X Link 2024-12-18T02:26Z [---] followers, [----] engagements
"@noahkaufmanmd Top of the food chain Crushing providers doing all the work As they put you out of business they send you a buyout offer There is nothing in our economy with this leverage except maybe the military industrial complex"
X Link 2024-12-18T15:23Z [---] followers, [--] engagements
"@RaheemKassam I thought Earl Grey was the standard What happens if theres no cream and sugar"
X Link 2024-12-18T16:03Z [---] followers, [--] engagements
"@APCorporate are you aware your electronic prescription software is adding a @GoodRx competitor Hippo discount card message on your orders This coupon is managed by Change Healthcare PBM OptumRx all owned by $UNH @AFergusonFTC @mrmeador @gailaslater"
X Link 2024-12-18T18:25Z [---] followers, [--] engagements
"Tall ask. @AARP received(s) hundreds of millions in yearly royalty payments from $UNH for putting the AARP logo on their PBM OptumRx @MedicareGov Part D cards. .@AARPadvocatespoured $60 MIL into the #IRA which exempted #PBMs from anti-kickback corruption laws enabling them to pocket rebates meant for #seniors. @AARP don't celebrate yetshow real leadership by supporting Congress' PBM reforms. @BobJohnson9964 https://t.co/gFMeeIfaIj .@AARPadvocatespoured $60 MIL into the #IRA which exempted #PBMs from anti-kickback corruption laws enabling them to pocket rebates meant for #seniors. @AARP don't"
X Link 2024-12-18T20:12Z [---] followers, [----] engagements
"Congratulations to Big Insurance/Big PBM 🔥🔥🔥 Youve accomplished something even the robber barons of the Gilded Age couldnt Create and maintain a monopoly that common working class conservatives like. Generic Lipitor PBM pays $0 ✅ Patient pays $1.80 copay ✅ ✅ PBM bills payor 50%U&C $190 and says youre welcome for the discount ✅✅✅ Pharmacy gets $0.02😡 Patient pays $1.80 plus premiums while PBM pays $0 and gets $190 😡😡 Payors & patients paying 💰For a $16.80 claim😡😡😡"
X Link 2024-12-18T21:49Z [---] followers, [----] engagements
"Good times. My two stores will close this year and [--] people will have to find another job. All the while social media influencers paid to schill for the insurance/PBM lobby are laughing at us and rejoicing in our demise. Stupid part is Im still a pharmacist. I can find another job making significantly more and get cheaper health insurance. I stay in the fight for my employees customers and the working class. Then the working class wants to call me Pharma and shit on me"
X Link 2024-12-19T23:50Z [---] followers, [----] engagements
"@cb_doge @elonmusk @RepJeffries Thank you for getting the Insurance/PBM reform out. Do you have any openings for my roughly [--] employees I didnt realize when @realDonaldTrump said he was going to do something about the middleman he meant community pharmacy"
X Link 2024-12-20T01:39Z [---] followers, [----] engagements
"@cartedellchar @cb_doge @elonmusk @RepJeffries @realDonaldTrump 💋"
X Link 2024-12-20T01:48Z [---] followers, [--] engagements
"@Blake_Allen13 @BrandiChane Cheers boys Community pharmacy invented @CocaCola called the most trusted profession and became part of the fabric of America. Thanks to PBMs the @GOP and influencers were the flung bottle cap in the trash. How much is a made in China Yeti cup"
X Link 2024-12-20T03:52Z [---] followers, [---] engagements
"The pharmacist and main tech from local @cvspharmacy have been working with me for a little over a year. Tech regularly communicates with the new $CVS pharmacist via text. His recent text: Hey Karen how are you Hate to bother you but I needed to ask you a question about when did you know you had to jump ship My quality of life is just zero now Most retail pharmacies are seriously understaffed. I stare at the ceiling half the night worrying about a mistake I might have made by not having enough help. #Pharmacy Most retail pharmacies are seriously understaffed. I stare at the ceiling half the"
X Link 2024-12-22T13:07Z [---] followers, [----] engagements
"You all realize this same post for @lowerhealthcost So called conservatives for lower health care costs is actually created by the pharmacy benefit manager lobby This is Big Insurance with their vertically integrated PBMs claiming to be a grass roots conservative group telling you delinking the rebates they extort from pharma is a gift to Pharma. Pharma still pays the rebate difference is it goes to patient/consumer not the insurance company. I thought transparency was supposed to be the universal disinfectant. As an independent pharmacist I can show you what PBMs pay me and what patients pay"
X Link 2024-12-22T13:32Z [---] followers, [--] engagements
"@JackPosobiec Im going to do something about the middleman (pharmacy benefit manager middleman). Watch and wait"
X Link 2024-12-22T21:21Z [---] followers, [--] engagements
"@JackPosobiec Poland doesnt have pharmacy benefit manager middleman"
X Link 2024-12-22T21:22Z [---] followers, [--] engagements
"Three Pharmacy Benefit Managers control 76% of prescriptions dispensed in US. They reimburse pharmacies per take it or leave it contracts rates different for different pharmacies are non-fiduciary to payor nor patient and vertically integrated into insures and their own mailorder pharmacies. If Pharmacy Benefit Managers are necessary and the best and practically only possible solution to managing pharmacy benefits for employers Why then are there NOT: Vehicle Purchase Managers Home Ownership Managers Children Rearing Managers"
X Link 2024-12-29T20:45Z [---] followers, [----] engagements
"PBMs are the ENRON Bernie Madoff wastes of this generation Vertically integrated so fees and revenue can be passed through Leverage to offer take or leave contracts steer to own pharmacy If they are so necessary for discounts and functioning of pharmaceutical delivery why are there not anything similar when you buy a $50000 vehicle"
X Link 2025-01-01T01:26Z [---] followers, [---] engagements
"Question #1 for the PBM lovers Does any claim leave the PBM/Insurance owned pharmacy for: $0.38 @mcuban @jimcramer Do you know of any Fortune [---] company getting only a $0.38 bill from OptumRx CVS/Caremark ExpressScripts or Humana"
X Link 2025-01-09T17:33Z [---] followers, [----] engagements
"Question #7 for PBM lovers. Imagine youre [--] years old. Imagine youre on @SocialSecurity Imagine you have a Medicare Part D plan managed by Humana. You get a UTI. Doctor prescribes an antibiotic and pyridium. The insurance/PBM says patient needs to pay $15.28 copay so PBM can charge back $7. Insurance companies who collect premiums and get government subsidies Why also do they charge back patient copays @RobertKennedyJr @regardthefrost"
X Link 2025-01-09T18:23Z [---] followers, [----] engagements
"@commit2seniors @AARP @AARPadvocates AARP will advocate for their master and their masters agenda: get money for United Healthcare"
X Link 2025-01-10T01:43Z [---] followers, [--] engagements
"Shocker. PBM laws with no teeth exist in every State. Pharmacy Associations and @Commpharmacy like to pat themselves on the back when a law passes yet nothing changes. The SCOTUS ruled 9-0 against @pcmanet and for Arkansas with regards to ERISA yet they still claim ERISA protects the PBM"
X Link 2025-01-10T03:16Z [---] followers, [--] engagements
"Yep. This was the breakdown in [----]. Yet the screech is always Big Pharma Big Pharma Big Pharma Still need to know how it was that Fortune [--] @Cigna bought Fortune [--] @ExpressScripts Should ESI had been the one to buy $CI Seriously @elonmusk @VivekGRamaswamy @DOGE when are going to scrutinize Big PBM and Big Insurer"
X Link 2025-01-11T14:46Z [---] followers, [--] engagements
"Agree. PBM trying to underpay us their competitor into buyout or oblivion Wholesaler/PSAO doesnt care because whether we buy the product or the next/other pharmacy the same amount of product will be bought and dispensed. One reason independents have no voice nor leverage. We dont control reimbursement were not at negotiation table and we are not an exclusive supplier of goods like the PBMs have created with their mailorder/specialty med and with the insurer owning the PBM thanks @FTC @JusticeATR We have a bona fide value in service delivery clinical services and other things like compounding"
X Link 2025-01-11T15:17Z [---] followers, [--] engagements
"@benningtonbrew @kpharmd12 @CVSHealth Actually we only count them. The Pharma direct to consumer advertising and provider prescriptions does the pushing"
X Link 2025-01-12T00:00Z [---] followers, [--] engagements
"@tmac622 Like if @ATT @Apple and @AskAmex was a company And @Verizon @SamsungMobileUS and @Mastercard was a company And they controlled the price of phones if you were allowed to use the credit card to buy and steered business to themselves @AFergusonFTC @gailaslater @JusticeATR"
X Link 2025-01-13T00:06Z [---] followers, [--] engagements
"21% of my PBM claims are ZERO remits That means in [--] out of [--] times I fill prescription on insurance the PBM is not paying anything but gets to: Decide what patient pays Decide what pharmacy makes Use claim data to bill payor Use claim data to audit pharmacy Use claim data to clawback retroactive point of sale fees And sometimes they wont cover inexpensive medically necessary medications like a numbing agent for a severe sore throat What the PBMs are doing is reprehensible Knowing that they do this and allowing it is malfeasance Glad to see @FTC use @costplusdrugs markups to show just how"
X Link 2025-01-15T17:15Z [---] followers, [----] engagements
"@tmac622 @BCAToday @BCBSAlabama @CVSHealth @Optum @RepLedbetter @willainsworthAL @GovernorKayIvey Well it is Sweet Home Alabama aint it"
X Link 2025-01-18T02:33Z [---] followers, [--] engagements
"My PBM mafia life Episode [--] Walgreens RPh found out the store is closing and called out. On a Friday. Fun fact $WBA software can process a prescription without RPh intervention. How do I know I close at [--]. At closing I check que and see a oseltamivir 75mg for a [--] year old. I call patient to see if they would like me to wait on them to come get. They say yes. I try to fill and get reject. I call @Humana and am told Walgreens filled. I call Walgreens and store mgr tells me they have to process orders within a certain time so system did it on its own I call Walgreens in next town and ask if"
X Link 2025-01-20T02:36Z [---] followers, [----] engagements
"@SteveMooreRx @DutchRojas Could it be because in USA @novonordisk has to give PBM the other half ($500) to get it covered by insurance=formulary"
X Link 2025-01-25T19:00Z [---] followers, [--] engagements
"PBM CVS/Caremark pays independent pharmacy $0.17 for atorvastatin 10mg #30. ✅take it or leave it PBM contracts ✅PBM has 35% of market ✅PBM owned competition mail-order ✅PBM parent Corp runs CVS Pharmacy Does this leave $WMT $CVS $AMZN for $0.17 Does ANY Fortune [---] company pay PBM only a $0.17 prescription bill Then why is it okay to do it to Main Street @AFergusonFTC @mrmeador @JusticeATR"
X Link 2025-01-25T19:13Z [---] followers, [----] engagements
"My PBM mafia life episode [--] MUST FILL 90-DAY SUPPLY REFILLS ARE NOT COVERED MOVE TO MAIL ORDER 90-DAY FILLS FOR REDUCED COPAYS ✅PBM decides patient copay ✅PBM decides pharmacy reimbursement ✅PBM operates mail order ✅PBM prevents refills at independent ✅PBM uses non negotiable contract terms to steer to own mail order Since PBM mailorder pharmacies are bigger than independent do their costs go to zero Should we close all grocery stores in favor of @Costco Patients should have choice of pharmacy including use of their benefits Pharmacy market should not be controlled by self serving PBMs"
X Link 2025-01-27T18:27Z [---] followers, [----] engagements
"@RepRoKhanna PBM CareMark owned by Fortune [--] CVSHealth allegedly paid me $0.17 to fill a prescription known as a statin which is also monitored by @CMSGov for compliance so I have to bill on insurance"
X Link 2025-01-28T01:32Z [---] followers, [---] engagements
"@Breaking911 When PBM (CVS/Caremark) pays pharmacy $19.39 but then bills Anthem $432.71 for claim As Bruce Willis said welcome to party pal @elonmusk"
X Link 2025-02-06T01:29Z [---] followers, [----] engagements
"Cigna bought PBM ExpressScripts in [----] for $54 billion. At the time ExpressScripts was Fortune #25 while $CI was only Fortune #73 We dropped @TRICARE network in [----] because of this below cost contract. Walgreens closed in our town so I asked for a contract. They send the same contract Why are insurance companies allowed to profit in healthcare but not providers For the record our wholesaler costs are: AWP-22.66% WAC-7.19% @elonmusk @DOGE"
X Link 2025-02-06T01:56Z [---] followers, [--] engagements
"In [----] $UNH paid @AARP $627 million in royalties The Biden-Harris administration's Medicare Part D demonstration program is estimated to cost between $5 billion and $10 billion over three years. The program is intended to keep premiums down by providing a government subsidy to insurers. https://www.wsj.com/articles/aarps-interests-diverge-from-its-members-11567120882 https://www.wsj.com/articles/aarps-interests-diverge-from-its-members-11567120882 https://www.wsj.com/articles/aarps-interests-diverge-from-its-members-11567120882"
X Link 2025-02-06T02:28Z [---] followers, [---] engagements
"UHC United Health Cartel Cash Sadly the AARP has become little more than a marketing scam for its big corporate financial sponsors UnitedHealth and its wholly-owned OptumRx pharmacy business. Doing so has become quite lucrative: Research shows that in [----] AARP received $627 million from UnitedHealth. https://www.americancommitment.org/aarp-just-unitedhealth-marketing-scam/ Ever wonder why healthcare remains expensive and complex Follow the money. UnitedHealth Group the nations largest private insurer has spent $5.86 https://t.co/3QO3HQaCtl"
X Link 2025-02-08T15:45Z [---] followers, [---] engagements
"@RepLuna Now do the pharmacy benefit managers: UnitedHealthcare/OptumRx $UNH CVSHealth/Aetna/Caremark $CVS Cigna/ExpressScripts $CI"
X Link 2025-02-08T16:31Z [---] followers, [---] engagements
"Question for @Commpharmacy @GOP and @TheDemocrats When youre done with the tee-times meet and greats and lobbyists cocktail hour; do you happen to know when PBM reform will actually happen While PBM CVS/Caremark had a banner stock day; since @aetna pays me $0.17 to fill a maintenance med I couldnt pay my business loan payment. Even after transferring the daily max allowed from personal savings to cover store (employee) payroll"
X Link 2025-02-13T02:14Z [---] followers, [----] engagements
"@AFergusonFTC @BoesingLoretta Viscous Lidocaine. The solution to a really bad sore throat. Commonly ordered by providers with other ingredients for pharmacists to make up a magic mouthwash. Global Fortune [--] $UNH UnitedHealth says oh bad so sad we wont pay for it"
X Link 2025-02-26T03:19Z [---] followers, [---] engagements
"Drug supply chain is confusing and convoluted like our tax code. @elonmusk The lack of transparency and fiduciary responsibility of the pharmacy benefit managers (PBMs) is by design. They are the sole gatekeepers and major beneficiary of drug spend. GLP-1 drug class is the latest golden goose. As evidenced by manufacturer coupon: @novonordisk pays PBM/Insurance a 51.6% rebate $679.52 ($1315.30 cost) for medication to get covered on formulary. This nets $635.78 to big Pharma This adds $679.52 revenue to big Insurance making $43.74 more than manufacturer This doubles the cost of drug This"
X Link 2025-02-26T23:30Z [---] followers, [----] engagements
"Unfortunate that @DrugChannels with all his data professes the same narrative as the PBM lobby and their enablers: PBMs are overall good. Examples of fraud waste abuse notwithstanding. No where else in our economy do we accept middleman as the best solution to manage without question There are no middleman managing your grocery usage There are no middleman managing your vehicle usage There are no middleman managing your room & board When did we stop wanting to fix a problem because it was complex @DrugChannels @BlueShieldCA There is no medication that should only be $1. Cant even buy a soft"
X Link 2025-03-01T20:01Z [---] followers, [----] engagements
"@pcmanet @DrugChannels care to comment GPO admin fees Brand rebates (extorted) from Pharma @Cigna $CI bragging about their specialty drug mail order John 1:5 The light shines in the darkness and the darkness has not overcome it. While we possess the receipts we will continue to shine the light Where there is mystery there is margin. There is much mystery in how PBMs have set up their overseas group purchasing organizations and how they define the 'specialty' drugs that they steer to their affiliated pharmacies. https://t.co/51FPFBiPjB Where there is mystery there is margin. There is much"
X Link 2025-03-02T19:39Z [---] followers, [--] engagements
"@DouglasEmhoff Confirmed shes only qualified to open a bag of processed chemical laden junk food in to a bowl. @realDonaldTrump we are so lucky you were elected"
X Link 2025-03-03T02:32Z [---] followers, [----] engagements
"Hey @novonordisk @AstraZenecaUS @Amgen @EliLillyandCo @JNJNews @GileadSciences @GSK @abbvie @AbbottNews @bmsnews @JanssenUS @Novartis @Merck @pfizer @TakedaPharma @Roche @SanofiUS @tevapharm How do you feel about the PBM lobby (@UHC @OptumRx @CVSHealth @Cigna @ExpressScripts @Humana ) Saying challenges with medication cost-sharing result from high list prices set by #BigPharma While they extort 50-60% of list price as rebate paid to PBM When are you going to set the record straight Two-thirds of insured adults under [--] are worried about affording their Rx. Many challenges with medication"
X Link 2025-03-05T22:54Z [---] followers, [---] engagements
"Transferred @novonordisk Rybelsus to @cvspharmacy today. Why Because @Humana paying us $34.62 below are cost. How much Humana paying CVS to fill How much Pharma paying Humana for rebate How much @HHSGov @CMSGov paying Humana for claim @Commpharmacy @elonmusk @SecKennedy PBM monopoly is destroying pharmacy"
X Link 2025-03-06T01:04Z [---] followers, [---] engagements
"Doctor of Pharmacy degree $250000 Pharmacist license $400 @DEAHQ license $800 Store pharmacy license $500 @PioneerRx software $2000/month Business/liability insurance $2500/mth Preop diazepam 5mg #3 @AnthemBCBS and their PBM allows $0.12 PBM pays zero. Total amount to patient as copay. Twelve cents @elonmusk @SpeakerJohnson @AFergusonFTC @gailaslater PBMs and the insurance monopoly are destroying community pharmacy"
X Link 2025-03-06T03:46Z [---] followers, 12.3K engagements
"@elonmusk @liz_churchill10 Can independent community pharmacies not have to subsidize the insurance mafia when you do it If government pays $1500 we should be able to make $20"
X Link 2025-03-09T19:35Z [---] followers, [---] engagements
"This was a manufacturer/Pharma coupon for Wegovy made by @novonordisk Acquisition cost from wholesaler: $1315.30 Manufacturer/Pharma coupon paid pharmacy: $679.52 This is the same amount PBM mafia extorts/embezzles as a brand rebate Patient pays: $650 copay Pharmacy makes: $14.22 No insurance If this was via insurance PBM would collect $679.52 PBM would bill payor $1500+ From the $2179.52 PBM would pay pharmacy $1235 and make patient pay $45 Patient would pay $45 instead of $650 But PBM would make $944.52 Pharmacy would lose $35.30 Patient is paying $$$ in premiums with deductibles"
X Link 2025-03-09T23:12Z [---] followers, [--] engagements
"Since its obvious @realDonaldTrump @SpeakerJohnson @GOP @TheDemocrats @elonmusk care about every interest group except community independent pharmacists and refuse to reign in the PBM/insurance oligarchs does anyone know what @cvspharmacy pays on average per script Have a couple pharmacies with about [--] employees thatll be for sale soon"
X Link 2025-03-11T13:20Z [---] followers, [---] engagements
"@RepMikeCollins @POTUS You funded all of Bidens budget Have no @DOGE cuts But well do something about it in September 🤡show"
X Link 2025-03-12T01:35Z [---] followers, [--] engagements
"Make this make sense PBM CVS/Caremark $CVS Drug: @novonordiskus Wegovy 2.4mg Wholesaler acquisition cost $1315.30 One plan PBM pays $1290.87 Patient pays $0 Pharmacy looses $24.43 Second plan PBM pays $1320.93 Patient (with coupon help) pays $24.97 Pharmacy makes $30.60 You either loose big Or make average Why does same product/service have infinite different reimbursement where PBM always wins"
X Link 2025-03-12T13:54Z [---] followers, [---] engagements
"@carnivorePharm @tmac622 @realDonaldTrump Unfortunately I only have [--] options: Fight and Faith to keep being an independent pharmacist Sell to CVS and be a CVS pharmacist Swallow a bullet Im not a quitter and the other [--] options are equally terminal"
X Link 2025-03-13T02:40Z [---] followers, [--] engagements
"Echo Mike @elonmusk What is a PBM Its paying for dealer installed protection package Its asking for a box fan in a tornado Its USAID for insurance monopoly Its parasitic drag Its a tower in class G airspace Its wearing a double breasted suit in the swimming pool"
X Link 2025-03-14T12:49Z [---] followers, [---] engagements
"@novonordiskus @EliLillyandCo @GSKUS @Novartis @Merck @pfizer @JNJNews @Roche @AbbottNews @SanofiUS @AstraZenecaUS @bmsnews @abbvie congratulations the lobby for PBMs says you no longer have to pay 50-60% brand rebates for insurance formulary coverage. You may cut your list price in half and insurance copays will remain the same. @AFergusonFTC @gailaslater @mrddmia Bills would encourage more generic and biosimilar competition in the Rx market to help lower costs for patients. https://t.co/nYG3ej7qaK https://t.co/o3wZSjFnj2 Bills would encourage more generic and biosimilar competition in the"
X Link 2025-03-20T01:33Z [---] followers, [---] engagements
"@BrentAWilliams2 Valid because $UNH shareholders expect oligarchs to be careful how they spend company assets"
X Link 2025-03-26T08:19Z [---] followers, [--] engagements
"Curious If patient fills [--] month supply of birth control at $CVS pharmacy or PBM Caremark company owned mailorder are those pharmacies only paid $4.73 What is employer/payor/plan billed by PBM PBM with 35% market leverage pays independent below cost of drug AND below the cost to dispense. Yet they will pay themselves [--] times this. This is racketeering. @AFergusonFTC @gailaslater"
X Link 2025-03-31T13:49Z [---] followers, [----] engagements
"Monday morning and Ive been waiting for refrigerator repair tech appointment scheduled 8-12. Got me thinking why: Without the need of a Benefit Manager ✅consumers pay mortgage/rent ✅consumers pay car loans/lease ✅consumers pay home/car insurance ✅consumers purchase gas & food ✅consumers purchase electricity ✅consumers purchase phone ✅consumers purchase internet ✅consumers purchase appliances ✅consumers purchase pets & vet care Yet ❌consumers want free healthcare ❌consumers want $0 prescription copays Legislators tell insurance/PBM oligopoly to do their thing well pick up the tab We cant have"
X Link 2025-03-31T15:39Z [---] followers, [---] engagements
"Question for stakeholders: @CVSHealth $CVS owner of PBM CareMark PBM used by @CarelonRx that adjudicated pharmacy claims for plan @Amerigroup At what wholesaler on planet Earth can an EpiPen Jr. be acquired for below $99.49 No actually $87.99 since $11.50 was dispensing fee. With an AWP of $592.81 I bet the plan and CarelonRx and the PBM made some sweet spread when only paying pharmacy doing the work of buying the medication storing the medication dispensing the medication counseling the patient how to use maintaining records for insurance audit and accepting liability of dispensing; $100"
X Link 2025-04-03T15:22Z [---] followers, [----] engagements
"@JackPosobiec Good question. Replaced a @Frigidaire refrigerator last year that was [--] years old and survived [--] moves. The new Frigidaire that is almost a year old is awaiting a condenser replacement under warranty"
X Link 2025-04-08T00:34Z [---] followers, [---] engagements
"Question for $CVS since they own Aetna and PBM CareMark. And Im just the little guy. What wholesaler offers testosterone 200mg/ml injectable one ml vial for $2 You paid independent pharmacy $0.34 and patient paid $3.62 copay for total $3.96 claim. Is this was @cvspharmacy gets when they process the claim By the way thanks for the $0.05 dispensing fee because Im sure it only costs CVS pharmacy or Caremark mailorder a nickel to dispense a medication. For those in Government that care in addition to a pharmacist license and pharmacy license this prescription also requires a DEA license to"
X Link 2025-04-08T18:44Z [---] followers, [----] engagements
"Question for @ExpressScripts owned by $CI You paid independent community pharmacy $0.62 to fill blood pressure medication. $0.00 dispensing fee Do you get $0.00 dispensing fee when filled by your mail order BTW the medication costs $0.55. Appreciate the $0.07 profit @AFergusonFTC @gailaslater @mrddmia @GOPoversight @OversightDems"
X Link 2025-04-09T02:50Z [---] followers, [---] engagements
"@RepGregMurphy Remind me what invention is $UNH responsible for What do they innovate @AFergusonFTC I thought monopolies were illegal"
X Link 2025-04-10T15:48Z [---] followers, [---] engagements
"@timburchett @eBay Two things to not skimp on: Shoes Tires Only thing in contact with Terra Firma"
X Link 2025-04-13T19:47Z [---] followers, [--] engagements
"Big Pharma is pharmaceutical manufacturers of Wall Street Independent community pharmacy is Main Street. We are pharmacist who are local employers and with our staff provide pharmaceutical care. We are indentured servants not partners of PBM Big Insurance is vertically integrated Wall Street companies who incorporate pharmacy benefit managers (PBM) to create monopolies. PBMs control drug pricing through rebates (favoring high cost) steer patients to own pharmacy and do the other things for corporate revenue. They use their leverage to control and manipulate. They should simply be claims"
X Link 2025-04-16T20:48Z [---] followers, [----] engagements
"@mrddmia @AFergusonFTC @AAGSlater Hoping for [--]. @AFergusonFTC and @gailaslater sue @UHC @CVSHealth and @Cigna to divest them of their vertically integrated pharmacy benefit manager @OptumRx CareMark and @ExpressScripts respectively that has yielded an insurance monopoly"
X Link 2025-04-17T16:39Z [---] followers, [---] engagements
"@vincehaley @russvought @AAGSlater @DAGToddBlanche @mrddmia @DutchRojas OMB Don Dempsey PBMs CVS/Caremark OptumRx ExpressScripts Humana 90% of market Take it or leave it contracts They own their own pharmacies/mail order GLP-1 drug class filled 03/01/2025 to 04/17/2025 [---] fills Drug cost: $136111.63 Patient copays: $5478.30 PBM paid: $128107.56 Pharmacy LOST: $2525.77 on cost of drug plus cost to dispense Questions: According to PBM lobby problem is I pay too much. If so why is the loss variable by plan even though same drug and same PBM What is the PBM paid for these claims How much rebate"
X Link 2025-04-17T22:43Z [---] followers, [---] engagements
"Remember when these buyout letters were circulating when dispensing fees went to $0.10 and DIR fees went from $65000 a year to $190000 Theyve been trying to put us out of business ever since they bought Caremark. @AAGSlater @AFergusonFTC @mrddmia 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 https://t.co/2XptM0WXSq Have a taste of your own medicine @CVSHealth @pcmanet"
X Link 2025-04-18T22:46Z [---] followers, [----] engagements
"@SeinfeldTV Season [--] Episode [--] [----] Kramer:Oh they got a cure for cancer. Its all big business. [--] years ago we already knew Big Insurance/Big Pharma was a hoax $UNH stock was around $0.50 a share Today its $425.33 @AFergusonFTC @AAGSlater With all the vertical integration and monopoly has anything other than stock price gotten better"
X Link 2025-04-22T00:37Z [---] followers, [---] engagements
"@nataliegwinters Maybe consider putting your hair back in a ponytail so you wont offend the ugly chicks so much"
X Link 2025-04-24T01:42Z [---] followers, [---] engagements
"@mrddmia Actual justice Not another strongly worded letter Or [--] minutes on Hannity"
X Link 2025-04-24T01:48Z [---] followers, [---] engagements
"@oatsdoc Magats-plural I thought we werent supposed to indict an entire group for the crimes of one"
X Link 2025-04-25T18:40Z [---] followers, 55.7K engagements
"They used lawfare to garner the felon tag. Spare me. The waste in government spending is atrocious. If the program saysto feed starving children why does $0.01 on the dollar go to food and $0.99 to administrative cost We have starving people in America who should be fed first"
X Link 2025-04-26T02:48Z [---] followers, [----] engagements
"The biggest culprit to US drug prices is the entity that explicitly says their role is to lower drug prices. The [--] largest pharmacy benefit manager (PBM) CVS/Caremark OptumRx ExpressScripts Humana. They get 50-60% rebates from drug manufacturer. They bill payer an amount 100-6000 times paid to pharmacy for claim. This is called spread pricing. They also use audits patient steering and mandatory use of their own pharmacy to close independents and grow themselves. Aetna (owned by CVSHealth) BP med Patient copay $0.00 PBM pays pharmacy $0.29 for drug PBM pays pharmacy $0.10 to dispense What does"
X Link 2025-05-11T23:47Z [---] followers, [--] engagements
"The biggest culprit to US drug prices is the entity that explicitly says their role is to lower drug prices. The [--] largest pharmacy benefit manager (PBM) CVS/Caremark OptumRx ExpressScripts Humana. They get 50-60% rebates from drug manufacturer. They bill payer an amount 100-6000 times paid to pharmacy for claim. This is called spread pricing. They also use audits patient steering and mandatory use of their own pharmacy to close independents and grow themselves. Aetna (owned by CVSHealth) BP med Patient copay $0.00 PBM pays pharmacy $0.42 for drug PBM pays pharmacy $0.10 to dispense What does"
X Link 2025-05-11T23:49Z [---] followers, [--] engagements
"The biggest culprit to US drug prices is the entity that explicitly says their role is to lower drug prices. The [--] largest pharmacy benefit manager (PBM) CVS/Caremark OptumRx ExpressScripts Humana. They get 50-60% rebates from drug manufacturer. They bill payer an amount 100-6000 times paid to pharmacy for claim. This is called spread pricing. They also use audits patient steering and mandatory use of their own pharmacy to close independents and grow themselves. Aetna (owned by CVSHealth) Migraine injection Patient copay $50 PBM pays pharmacy $665.08 for drug PBM pays pharmacy $0.10 to"
X Link 2025-05-11T23:58Z [---] followers, [--] engagements
"The biggest culprit to US drug prices is the entity that explicitly says their role is to lower drug prices. The [--] largest pharmacy benefit manager (PBM) CVS/Caremark OptumRx ExpressScripts Humana. They get 50-60% rebates from drug manufacturer. They bill payer an amount 100-6000 times paid to pharmacy for claim. This is called spread pricing. They also use audits patient steering and mandatory use of their own pharmacy to close independents and grow themselves. ExpressScripts (owned by Cigna) Allergy med Patient copay $0.00 PBM pays pharmacy $0.38 for claim PBM pays pharmacy $0.00 to"
X Link 2025-05-12T00:05Z [---] followers, [--] engagements
"They make la costra nostra blush. Claim went thru even though customer had changed insurance so they billed him. Patient copay $15 PBM (CVS/Caremark) paid $19.39 PBM billed plan Anthem/Elevance Health billed customer $432.71 Why is claim worth $19.39 when PBM paying pharmacy but worth $432.71 when PBM and plan seek payment"
X Link 2025-05-12T18:54Z [---] followers, [--] engagements
"@DerrickEvans4WV Quick someone tell them dollar general has Cheetos BOGO for a limited time"
X Link 2025-05-13T13:16Z [---] followers, [--] engagements
"FYI. GoodRx might get you a discount but may not be your best option. They and their PBM clawsback $7.42 of the $8.55 copay paid at register. And they get and sell your data. @mcuban @ScottAdamsSays I just checked the price of one medication I buy. I have used a Good Rx coupon at my local chain pharmacy. The cost that Cost Plus says is their purchase price is more than I pay retail at my drug store with Good Rx. So Cost Plus is not always the cheapest option. @mcuban @ScottAdamsSays I just checked the price of one medication I buy. I have used a Good Rx coupon at my local chain pharmacy. The"
X Link 2025-05-14T19:48Z [---] followers, [----] engagements
"@TheDrugMoney Bought a surplus military humvee"
X Link 2025-05-15T00:48Z [---] followers, [--] engagements
"Question for @CarelonRx and their PBM network CVS/Caremark @HHSGov @CMSGov @SecKennedy @DrOzCMS @AAGSlater @AFergusonFTC Can you explain/justify Medicare Part D (federally subsidized) claims like this: March Drug cost:$291.97 PBM pay:$201.36 Patient copay:$82.25 Pharmacy loss:$8.36 April Drug cost:$291.97 PBM pay:$198.60 Patient copay:$0 Pharmacy loss:$93.37 May Drug cost:$291.97 PBM pay:$163.76 Patient copay:$0 Pharmacy loss:$128.21 This medication doesnt exist in market place for purchase by anyone at $170 Is this a strategy by PBM to steer patient to PBM owned mailorder when I refuse to"
X Link 2025-05-21T16:27Z [---] followers, [----] engagements
"After tomorrows $28xxx.xx PSAO deposit posts this is how short I am paying $206885 drug bill due 5/25. Thats half of total monthly drug bill. $4800000 in yearly drug purchasing. $250000 in DME yearly equipment. 3rd busiest pharmacy of [--] Only home oxygen supplier in [--] mile radius Only pharmacy out of [--] that offers both daily home delivery AND drive thru Earn 76% of chain pharmacist salary No second home No family on payroll No boat vehicle plane on balance sheet @AAGSlater @AFergusonFTC @GOP @TheDemocrats @Bannons_WarRoom Middle class Americans are loosing the American Dream Main Street"
X Link 2025-05-22T13:44Z [---] followers, [----] engagements
"Happy Memorial Day Weekend Had to turn away a epi-pen jr prescription My net cost: Primary Wholesaler $195 EpiPen jr Secondary $214.88 EpiPen jr $216.57 EpiPen Secondary $253.28 epipen jr $222.28 EpiPen PBM payment: $159.37 Its unconscionable to turn away a prescription for anaphylaxis for a child Its morally reprehensible that PBMs demand we provide pharmacy services for below our cost. You cant get epi pen generics in our market for $130 @AAGSlater @AFergusonFTC @MeadorFTC @SecKennedy do something"
X Link 2025-05-24T20:17Z [---] followers, [----] engagements
"PBM CVS/Caremark owned by $CVS health Global Fortune [--] who also owns Aetna pays independent retail community pharmacy $0.36 TOTAL to buy store dispense adjudicate with insurance counsel patient maintain liability insurance and store records for [--] years. Curious what Aetna/PBM bills payor Curious what CVS Pharmacy is paid when they dispense. Is this why CVSHealth decided to close CVS in Arkansas rather than divest of PBM. 🤔 @AAGSlater @AFergusonFTC @MeadorFTC @SecKennedy @DrOzCMS"
X Link 2025-05-28T18:47Z [---] followers, [----] engagements
"My PBM life: Monday edition CVS/Caremark (largest PBM) Bill maintenance med [--] count PBM nah got to bill [--] day and of course not in [--] day network. Same patient bill acute med [--] count PBM accepts but sends full cost/copay of $10.33 to patient Why am I billing insurance They dont allow one claim and then on another pay nothing. What happens when CVS pharmacy or CVS/Caremark fills @AAGSlater @AFergusonFTC @MeadorFTC"
X Link 2025-06-03T01:09Z [---] followers, [---] engagements
"My PBM life Monday edition Part [--] CVS/Caremark (largest PBM) Bill [--] count anti inflammatory. PBM nah all you may bill is [--] day supply. Because they want patient to get [--] day supply from their mail order Same patient. Bill [--] count of diabetes med. PBM pays nothing patient responsible for full $3 copay Does PBM mailorder only get $3 for ANY prescription that leaves their facility Does any payor ever get only $3 bill from PBM @AAGSlater @AFergusonFTC @MeadorFTC @mrddmia"
X Link 2025-06-03T01:17Z [---] followers, [---] engagements
"My PBM Life Monday edition Part [--] Patient fill antiviral Last month Cost $374.22 PBM paid $398.58 Patient pay $0 This month Cost $374.22 PBM paid $0 Patient pay $140.68 Pharmacy under paid $233.54 Insurance like $CI owned ExpressScripts only works well for the insurance monopoly and maybe politicians like @AAGSlater @AFergusonFTC @MeadorFTC"
X Link 2025-06-03T01:31Z [---] followers, [----] engagements
"My PBM mafia life Tuesday edition: Since PBMs CVS/Caremark OptumRx ExpressScripts and Humana like to steer patients to their mail order community retail independent pharmacies do less maintenance medications and more acute medication needs. Behold Levofloxacin #7 Cost $2.46 PBM pay $0 Patient copay $2.46 Prednisone #5 Cost $0.41 PBM pay $0 Patient copay $0.34 No dispensing fee No profit Do $CI and @ExpressScripts profit when they adjudicate these claims What is the payor billed Why dont Fortune [---] companies have to live on these kinds of reimbursements @AAGSlater @AFergusonFTC @MeadorFTC"
X Link 2025-06-04T11:48Z [---] followers, [---] engagements
"A few years ago I used @RxPreferred to directly contract with local organization. Dont know specific details but they bailed after a year citing difficulties with PBM. We saved them money. One problem is the third party administrators consultants and brokers have a choke hold on the system. They like to dangle trinkets so that their system appears better than cost plus. We could be successful if we could get a large employer to use a cost plus transparent model"
X Link 2025-06-06T14:58Z [---] followers, [--] engagements
"@RedState CVS is like Will Ferrell in @OtherGuysMovie Gator dont play. CVS dont play @TruthRX"
X Link 2025-06-10T00:29Z [---] followers, [---] engagements
"My PBM mafia life Wednesday edition PBM CVSCAREMARK Pays independent $0.34 for #90 potassium chloride tablets while patient pays $4.16 This is less than the cost of the drug while only paying a $0.05 dispensing fee Laughable that CVSHEALTH/CVSPharmacy/CVSCaremark/Aetna fights regulatory legislation with Save Our Store mantra. @DrOzCMS @LAGovJeffLandry @SarahHuckabee @AAGSlater @AFergusonFTC How much does Medicare pay CVS to fill this medication Only $4.50 How much much does Medicare pay CVSCAREMARK mailorder to fill Only $4.50 How much does CVSCAREMARK pay CVSPHARMACY to fill Only $0.34"
X Link 2025-06-12T15:01Z [---] followers, [----] engagements
"@AGLizMurrill Former CVSCaremark President and now CVSHealth CEO says The country has too many pharmacies. Well Arkansas and Louisiana is helping him with that issue only because $CVS cares more about their PBM (& mailorder) business than their pharmacy direct patient care business"
X Link 2025-06-12T19:09Z [---] followers, [---] engagements
"@AGLizMurrill How do you become Global Fortune [--] Use your PBM market leverage to: underpay competition (Independents) steer business to self siphon brand rebates from pharma audit chargeback clawback pharmacy Send buyout letters to Independents Brag about to Congress"
X Link 2025-06-12T20:18Z [---] followers, [----] engagements
"My PBM Mafia Life Wednesday edition @Humana charges independent retail community pharmacy a $37.50 DIR Fee at point of sale of @EliLillyandCo Mounjaro. A pharmaceutical that has an estimated $526 rebate paid from manufacturer to PBM. Questions: How much does the taxpayer pay Humana for this Medicare Part D claim @DrOzCMS Since independent loses $37.50 buying and dispensing this medication how much does Humana make or lose when dispensing from their mail order What happens to that $500 rebate @pcmanet @JCScottPCMA what non 340B wholesaler sells this for $1000 or less @Commpharmacy"
X Link 2025-06-18T20:49Z [---] followers, [---] engagements
"My PBM Mafia Life-Early Friday edition Four days [----] prescriptions filled [---] brands (12%) [--] brands reimbursed below cost (24%) $420.59 @McKesson @cardinalhealth @CencoraGlobal How long can the [-----] Independent retail community pharmacies stay in business when 1/4 of the $1000 brands we purchased are reimbursed below our cost. We get you dont care. When were gone our business shifts to the grocery stores chains and mailorder who certainly already buy from you. @GOP @TheDemocrats fail to fix the problem. With $0-$24.97 copays patients dont care. Theres no fair reason we should suffer like"
X Link 2025-06-20T15:44Z [---] followers, 101.6K engagements
"My PBM Mafia Life-Friday afternoon edition PBM CVSCaremark $4632.55 brand medication Pharmacy reimbursement $0.10 dispensing fee $4.96 profit Medicare Part D taxpayer subsidized @SecKennedy @DrOzCMS @AAGSlater"
X Link 2025-06-20T20:35Z [---] followers, [----] engagements
"Customer comes in and says I need help Im out of this blood thinner and ESI mailorder is late. Never filled this prescription for patient so call doctor office then call PBM ExpressScripts for refill too soon over ride. All that patient advocacy to be paid $18.43 below my cost while the PBM will bill @TRICARE $800 for claim and get a $287 rebate from @bmsnews @RepDougCollins I thought you were opposed to these PBM tactics Tricare is being defrauded by ESI Tricare is being defrauded by ESI"
X Link 2025-06-20T21:20Z [---] followers, [----] engagements
"@JoelDavenp13054 @SecKennedy @DrOzCMS @AAGSlater I reversed and transferred to CVS pharmacy. Most certainly wouldve been audited a year from now. Not taking that risk for $5"
X Link 2025-06-20T23:20Z [---] followers, [--] engagements
"@MattDurst Well Cigna owns ExpressScripts so they are the same"
X Link 2025-06-21T17:30Z [---] followers, [--] engagements
"@monspubis2023 @carnivorePharm @SecKennedy @DrOzCMS @AAGSlater Paid 100% of my education in school loans and am [--] years into seven figure pharmacy business loans. I wouldnt go into pharmacy again if someone offered to pay for school and give me the pharmacies free and clear. Thats a fact"
X Link 2025-06-21T19:05Z [---] followers, [--] engagements
"Consider Im one of around [-----] independent retail community pharmacies losing over $600 per week dispensing $30000 in brands on top of only getting $0.17 to dispense [--] generic Lipitor I employ [--] people full time and [--] part time am the only home medical provider in [--] mile radius and out of [--] pharmacies in my community am the only one that has both drive thru and daily (free) delivery.what is that scaled up to [-----] What the wholesalers and PBMs are doing is like the banking industry. Privatize the gains and socialize the losses. The wholesalers and their PSAOs keep us life support to get"
X Link 2025-06-23T01:36Z [---] followers, [---] engagements
"@HHSGov @OIGatHHS @DrOzCMS @SecKennedy Do you know how much you pay Humana for [---] capsules of @abbvie Creon It cost independent retail community pharmacy $2445.72 for two bottles of [---] count. Insurance is paying $2427.93 And they audit every claim a year later because it must be dispensed in original bottle and is expensive. Our drug supply chain doesnt work for all stakeholders"
X Link 2025-06-25T20:00Z [---] followers, [--] engagements
"Be happy to be fully transparent with my purchase rebate (generic) etc FWIW Im a member of arguably one of the best buying groups in the country AND GeriMed combomed GPO for LTC and my rebate checks go in the bank to keep the doors open. Walgreens closed across the street in February. Im third busiest pharmacy in county package for nursing home sell home oxygen CPAP do vaccines and am barely able to pay bills"
X Link 2025-06-26T23:37Z [---] followers, [--] engagements
"@JDVance @ChuckGrassley @SenateGOP @LeaderJohnThune @SenJohnBarrasso @TomCottonAR Why are you removing legislation from Big Beautiful Bill that levels the playing field with Big Insurance (like $UNH $CVS $CI $HUM) by regulating PBMs and giving desperate relief to independent retail community pharmacies @GOPoversight held a PBM hearing on July [--] [----] @HouseJudiciary held PBM hearing September [--] [----] @HouseCommerce held a PBM hearing February [--] [----] @SenJudiciaryGOP held PBM hearing May [--] [----] @AAGSlater @AFergusonFTC @MeadorFTC appear to be aware of PBM monopoly and anti-trust activities"
X Link 2025-06-27T01:39Z [---] followers, [----] engagements
"@berniemoreno Once again no PBM reform Once again no relief for pharmacists Once again a handout for the insurance oligarchs"
X Link 2025-06-28T18:49Z [---] followers, [----] engagements
"@GuntherEagleman Dont bring the prescription to one of the [-----] independent community pharmacies. Were on strike until one of these resolutions or bills no matter how big small beautiful or ugly finally has a PBM reformation in it"
X Link 2025-06-28T23:48Z [---] followers, [--] engagements
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