# ![@RfactsFacts Avatar](https://lunarcrush.com/gi/w:26/cr:twitter::1107762405394796544.png) @RfactsFacts RXavenger

RXavenger posts on X about money, mckesson, insurance, realdonaldtrump the most. They currently have [------] followers and [--] posts still getting attention that total [------] engagements in the last [--] hours.

### Engagements: [------] [#](/creator/twitter::1107762405394796544/interactions)
![Engagements Line Chart](https://lunarcrush.com/gi/w:600/cr:twitter::1107762405394796544/c:line/m:interactions.svg)

- [--] Week [-----] +526%
- [--] Months [-----] +2,145%
- [--] Year [-----] -99%

### Mentions: [--] [#](/creator/twitter::1107762405394796544/posts_active)
![Mentions Line Chart](https://lunarcrush.com/gi/w:600/cr:twitter::1107762405394796544/c:line/m:posts_active.svg)

- [--] Week [--] +178%
- [--] Months [--] +675%
- [--] Year [--] +13%

### Followers: [------] [#](/creator/twitter::1107762405394796544/followers)
![Followers Line Chart](https://lunarcrush.com/gi/w:600/cr:twitter::1107762405394796544/c:line/m:followers.svg)

- [--] Week [-----] +0.80%
- [--] Month [-----] +1.20%
- [--] Months [-----] +4.60%
- [--] Year [-----] +13%

### CreatorRank: undefined [#](/creator/twitter::1107762405394796544/influencer_rank)
![CreatorRank Line Chart](https://lunarcrush.com/gi/w:600/cr:twitter::1107762405394796544/c:line/m:influencer_rank.svg)

### Social Influence

**Social category influence**
[finance](/list/finance)  [stocks](/list/stocks)  [countries](/list/countries)  [celebrities](/list/celebrities)  [travel destinations](/list/travel-destinations)  [social networks](/list/social-networks)  [technology brands](/list/technology-brands) 

**Social topic influence**
[money](/topic/money), [mckesson](/topic/mckesson), [insurance](/topic/insurance), [realdonaldtrump](/topic/realdonaldtrump), [discount](/topic/discount), [elon musk](/topic/elon-musk), [this is](/topic/this-is), [card](/topic/card), [company](/topic/company), [there is](/topic/there-is)

**Top accounts mentioned or mentioned by**
[@ronwyden](/creator/undefined) [@linakhanftc](/creator/undefined) [@chuckgrassley](/creator/undefined) [@repauchincloss](/creator/undefined) [@mikecrapo](/creator/undefined) [@mckesson](/creator/undefined) [@cencoraglobal](/creator/undefined) [@cardinalhealth](/creator/undefined) [@mcuban](/creator/undefined) [@ftc](/creator/undefined) [@repbuddycarter](/creator/undefined) [@novonordisk](/creator/undefined) [@realdonaldtrump](/creator/undefined) [@rondesantis](/creator/undefined) [@elonmusk](/creator/undefined) [@aciaccia](/creator/undefined) [@goodrx](/creator/undefined) [@kduanepharmd](/creator/undefined) [@thejusticedept](/creator/undefined) [@pcmanet](/creator/undefined)

**Top assets mentioned**
[McKesson Corporation (MCK)](/topic/mckesson) [AUDIT (AUDIT)](/topic/audit) [Dogecoin (DOGE)](/topic/doge)
### Top Social Posts
Top posts by engagements in the last [--] hours

"Total drug cost =$50 Go to PBM owned pharmacy copay $10 insurance pays $40. Go to independent copay is $35 insurance pays $15. Meds dont cost more at independents PBMs just make customer pay more there giving the illusion. #fraud @linakhanFTC @RonWyden @ChuckGrassley"  
[X Link](https://x.com/RfactsFacts/status/1692992426955129180)  2023-08-19T20:10Z [---] followers, [---] engagements


"Humana suing US Government arguing that Government clawback for overcharges are ARBITRARY and CAPRICIOUS I speak for ALL independents when I say we feel the exact same way when we are unfairly audited as well as DIR Fees being clawed back. @linakhanFTC @ChuckGrassley @RonWyden"  
[X Link](https://x.com/RfactsFacts/status/1697695189538635863)  2023-09-01T19:37Z [---] followers, [----] engagements


"Pharmacies have a fiduciary duty to dispense the least expensive product under most Medicaid plans PBMs set the formulary & there is NO fiduciary duty at the PBM level. Shouldnt anyone handling billions of tax dollars have a fiduciary duty@linakhanFTC @ChuckGrassley @RonWyden"  
[X Link](https://x.com/RfactsFacts/status/1713953535706931574)  2023-10-16T16:22Z [---] followers, [----] engagements


"Would love to work with @mcuban on a transparent PBM that truly passed rebates to the end user not the PBM. It would drive down healthcare costs and improve the quality for patients and pharmacies. What corporation wouldnt want to save hundred of thousands of dollars #letsGO"  
[X Link](https://x.com/RfactsFacts/status/1718749006048710826)  2023-10-29T21:57Z [---] followers, [----] engagements


"Hey @novonordisk where was Victoza on your published list of meds with price reductions on Jan1 Clearly PBMs knew BC I got underpaid by $230 on the first claims dispensed. Pharmacies should be appropriately compensated OR face class action consequences"  
[X Link](https://x.com/RfactsFacts/status/1742729624566530490)  2024-01-04T02:08Z [---] followers, [----] engagements


"A few s for @RonDeSantis. Is importing safe Why does the FDA restrict it Can pharmacies import to sell Why not Is DSCSA still necessary Where do we draw the line can we import from 3rd world countries & save even more Why not address the real problem PBMs@linakhanFTC"  
[X Link](https://x.com/anyuser/status/1743462489138831648)  2024-01-06T02:40Z [--] followers, [----] engagements


"@KDuanePharmD @RonDeSantis @linakhanFTC Supposedly your meds made overseas are inspected by FDA. Lets discuss liability who would you say will be responsible should harm be done"  
[X Link](https://x.com/anyuser/status/1743469287791010264)  2024-01-06T03:07Z [--] followers, [--] engagements


"@KDuanePharmD @RonDeSantis @linakhanFTC Canada is not the solution to our problem. PBMs drive up costs in the US. As much as 33% of Brand cost is to allow the mfgs to pay PBMs for formulary placement. The MFG/PBM relationship must end. Im happy with his PBM bill as a starting point but we need more"  
[X Link](https://x.com/RfactsFacts/status/1743478459773395277)  2024-01-06T03:43Z [---] followers, [---] engagements


"Why are PBMs so quick to adjust price reductions Jan [--] insulins/inhalers adjusted from 12/31 but so slow on the increases (1 month to never) Start a gov agency to field calls on underpaid prescriptions-youll employee tens of thousands. @linakhanFTC @RonWyden @ChuckGrassley"  
[X Link](https://x.com/anyuser/status/1745265051865375194)  2024-01-11T02:03Z [--] followers, [---] engagements


"Interesting thought: I am letting PBMs use my inventory that I paid for to supply their customers (not mine according to PBMs) at a rate determined by the PBM Why would I do this below my cost Why would I do this for no fee The time will come for all independents to say NO"  
[X Link](https://x.com/RfactsFacts/status/1748496494942941297)  2024-01-20T00:03Z [---] followers, [----] engagements


"We Independent business owners operate with HONESTY & INTEGRITY doing business with PBMs who have neither. We cannot negotiate anything given the power of the vertically integrated oligarchs. We are relying on elected/appointed people to help. @linakhanFTC @ChuckGrassley"  
[X Link](https://x.com/RfactsFacts/status/1763939881393213635)  2024-03-02T14:50Z [---] followers, [---] engagements


"This guy @mcuban is a savage and my new hero Awesome job SHREDDING PBMs today He gets it @linakhanFTC @ChuckGrassley @RonWyden"  
[X Link](https://x.com/RfactsFacts/status/1764710119307092325)  2024-03-04T17:50Z [---] followers, 97.7K engagements


"The legislation is simple on the state and federal level: PBMs must pay pharmacy NADAC +disp fee of $11.00 minimum. This money will come from PBM profit pool not tax payers. Yes they might drop from #5 to #6 on the Fortune [---] list but they will survive. @ChuckGrassley"  
[X Link](https://x.com/RfactsFacts/status/1780316049096790163)  2024-04-16T19:23Z [---] followers, [----] engagements


"@pelterkevin For the record independent pharmacies have been technological advanced beyond chains for the past few decades. Robotics Eyecons Mobile Apps to name a few ALL years before chains. Portraying us as 1980s is a joke. Do your research next time"  
[X Link](https://x.com/RfactsFacts/status/1781087788437233787)  2024-04-18T22:29Z [---] followers, [--] engagements


"@mcuban Sounds great Mark but thats illegal. We cannot recommend plans. Laws regulate the little guys crafted by the big guys"  
[X Link](https://x.com/RfactsFacts/status/1781850440692281362)  2024-04-21T01:00Z [---] followers, [----] engagements


"Bring out Willie Nelson and John Cougar Mellencampwe need PHARM-AID. If youre over [--] years old and followed the farming crisis you will get it"  
[X Link](https://x.com/RfactsFacts/status/1781851500928512020)  2024-04-21T01:04Z [---] followers, [---] engagements


"I dont believe that @POTUS intended for pharmacies to be underpaid by $142 on one single prescription for insulin when he passed the bill capping the cost. Shouldnt the government or PBM be making up the cost difference not independent pharmacies@RonWyden @TheJusticeDept"  
[X Link](https://x.com/RfactsFacts/status/1793401361972723906)  2024-05-22T21:59Z [---] followers, [---] engagements


"The only thing missing at last nights debate was @pcmanet at center podium With Adam Fein moderating. We would have had a lot more BS flying on the stage with @pcmanet defending their essential spot in healthcare. What a joke. If PBMs were needed they would exist everywhere"  
[X Link](https://x.com/RfactsFacts/status/1806731323647623298)  2024-06-28T16:48Z [---] followers, [---] engagements


"Happy Independence Day. I would 100% love to dump Ozempic and Mounjaro in the Boston Harbor when I lose $100+ per fill. @novonordisk @EliLillyandCo"  
[X Link](https://x.com/RfactsFacts/status/1808958452133474704)  2024-07-04T20:17Z [---] followers, [---] engagements


"Who else finds it interesting that PBMs(who simply do transactions but bill insurers excessively for administrative costs) pay me for ingredient cost (below acquisition in many cases) and [----] for any other costs of doing business @linakhanFTC @MikeCrapo @RonWyden"  
[X Link](https://x.com/RfactsFacts/status/1835759018792325254)  2024-09-16T19:13Z [---] followers, [----] engagements


"Cigna should provide the evidence if the @FTC report is misrepresenting their actions. Every independent pharmacy in America should willingly provide evidence supporting the facts of the report. Typical mafia behavior. Stand firm @linakhanFTC you are a true hero"  
[X Link](https://x.com/RfactsFacts/status/1836398770092745209)  2024-09-18T13:36Z [---] followers, [---] engagements


"I wonder if CVS ever thought about applying their Aberrant Practices to themselves. Protecting financial welfare of Plan Sponsorssounds like they are acting as a fiduciary. But they clearly deny that they are. @TheJusticeDept @linakhanFTC @RepAuchincloss @RonWyden"  
[X Link](https://x.com/RfactsFacts/status/1838636184341188766)  2024-09-24T17:46Z [---] followers, [---] engagements


"PBMs using arbitrary numbers for their MAC to pay pharmacies should be outlawed immediately. The model should be an average price at the largest wholesalers. Anyone who takes the time to shop around and save money on a few generic items should be rewarded. @RepAuchincloss"  
[X Link](https://x.com/RfactsFacts/status/1839358862614495300)  2024-09-26T17:38Z [---] followers, [---] engagements


"PBMs have forced us to grade our Medicare pts. We assess their med list and determine if we can sustain the losses on their medications. Diabetics will soon be unable to get necessary meds due to losses near $1000/3 month supply. @CMSGov @RepAuchincloss @linakhanFTC @RonWyden"  
[X Link](https://x.com/RfactsFacts/status/1839502113149178232)  2024-09-27T03:07Z [---] followers, [----] engagements


"Insurance paying us or telling us to charge patients below our cost is not insurance and every state can easily legislate this. PHARMACIES CANNOT BE FORCED TO SELL PRESCRIPTIONS BELOW COST. @RepAuchincloss @linakhanFTC @RonWyden @ChuckGrassley"  
[X Link](https://x.com/RfactsFacts/status/1842268299083784265)  2024-10-04T18:19Z [---] followers, [----] engagements


"I strongly feel that any patient steered to PBM owned pharmacy by the PBM in the name of Preferred or In network who is paying more than at an out of network pharmacy should be able to easily file a claim with the state attorney general for deception. @linakhanFTC"  
[X Link](https://x.com/RfactsFacts/status/1844783317683523838)  2024-10-11T16:53Z [---] followers, [---] engagements


"There is overwhelming evidence that PBMs and retail pharmacy cannot coexist as is. PBM reform needs to happen quickly at the state and federal level. The country can survive without PBMs but not without pharmacies. @RepAuchincloss @ChuckGrassley @RonWyden @MikeCrapo"  
[X Link](https://x.com/RfactsFacts/status/1848091361955795355)  2024-10-20T19:58Z [---] followers, 155.9K engagements


"@elonmusk @JeffPharmD1 Speaking of Fraud and Waste @elonmusk check out the FWA requirements for independent pharmacy designed by PBMs & look at how many of these regulations the PBMs violate themselves. They rape BILLIONS from healthcare for completing transactions. They are unregulated oligopolies"  
[X Link](https://x.com/RfactsFacts/status/1859047847884190084)  2024-11-20T01:35Z [---] followers, [---] engagements


"Looking forward to @VivekGRamaswamy digging into PBM fraud waste and abuse. Put money back where it belongs in the hands of healthcare providers and tax payers. Yes pay PBMs for what they do transaction fees. @pcmanet"  
[X Link](https://x.com/RfactsFacts/status/1864868236115706348)  2024-12-06T03:03Z [---] followers, [---] engagements


"@falk_dave @jimcramer @A_Ciaccia @Commpharmacy @mcuban @NACDS @jimcramer the facts are out. @uhc has 60% of their revenue from their PBM accounting for over $223 billion. They arent making that @$2/script. Look up rebates spread pricing patient steering and audit abuse for starters. Cant spread this BS anymore"  
[X Link](https://x.com/RfactsFacts/status/1877154148782620779)  2025-01-09T00:43Z [---] followers, [---] engagements


"@kpharmd12 @redlgb1969 Yeah interesting that the only people in the fortune [--] are PBMs and Wholesalers. Hard to sell your points"  
[X Link](https://x.com/RfactsFacts/status/1877933180856008826)  2025-01-11T04:18Z [---] followers, [---] engagements


"@carnivorePharm @linakhanFTC So I should not fill the script and wait for the PBM to update the fake MAC asking that patient to wait Or refuse it Or fill it and file a MAC appeal as agreed to via contract with that intent that the PBM would honor their side of the contract and update the MAC"  
[X Link](https://x.com/RfactsFacts/status/1880831485911126450)  2025-01-19T04:15Z [---] followers, [--] engagements


"@carnivorePharm @linakhanFTC The FTC just released second report there are federal and state bills legislating PBMs. I believe we have moved the needle"  
[X Link](https://x.com/RfactsFacts/status/1881042469716144294)  2025-01-19T18:14Z [---] followers, [--] engagements


"Is it OK for pharmacies to ignore all audits on MED D scripts paid for with tax dollars until @Cigna and @CVSHealth respond to @FTC requests for documents@RepAuchincloss @RepBuddyCarter @ChuckGrassley @RonWyden @MikeCrapo"  
[X Link](https://x.com/RfactsFacts/status/1882650700490195131)  2025-01-24T04:44Z [---] followers, [----] engagements


"@msttrader @mass_marion Doesnt appear that way. Trump is not pro-PBM"  
[X Link](https://x.com/RfactsFacts/status/1882975831137611918)  2025-01-25T02:16Z [---] followers, [--] engagements


"@doctorb92 @RepAuchincloss @RepBuddyCarter @RonWyden @ChuckGrassley @FTC Wow Please let your state insurance agency know about these ridiculous audits. We ONLY fill GLP1s as a favor to our customers. We LOSE money on essentially all then risk losing more in an audit like this"  
[X Link](https://x.com/RfactsFacts/status/1885141233569345952)  2025-01-31T01:41Z [---] followers, [--] engagements


"Hey @elonmusk you wanna find some missing money check out PBMs the leaches and parasites of our broken healthcare system. This group will match any level of corruption that you have seen. @realDonaldTrump @RepBuddyCarter @MikeCrapo @RonWyden @RepAuchincloss @RonWyden"  
[X Link](https://x.com/RfactsFacts/status/1886535874252345783)  2025-02-03T22:02Z [---] followers, [--] engagements


"Hey @elonmusk you cant say Fraud Waste and Abuse without including PBMs who commit all [--] with ZERO regulation The average pharmacy is owed $6M in falsely recouped DIR fees. Find my money @realDonaldTrump @MikeCrapo @RepBuddyCarter @RepAuchincloss @ChuckGrassley @RonWyden"  
[X Link](https://x.com/RfactsFacts/status/1886544532713415006)  2025-02-03T22:37Z [---] followers, [----] engagements


"@DOGE PBMs owe EVERY independent pharmacy on average $6M from false DIR fees. Most independents are hanging by a thread & desperately need their money. Please review this. @PamBondi @realDonaldTrump @MikeCrapo @ChuckGrassley @RepAuchincloss @RonWyden"  
[X Link](https://x.com/RfactsFacts/status/1887119828504236315)  2025-02-05T12:43Z [---] followers, [--] engagements


"@BedoyaFTC @fightmonopolies Excellent work last night Let us know how the public can assist @FTC in getting workers back in place to lift the stay on the PBM/insulin case. @realDonaldTrump"  
[X Link](https://x.com/RfactsFacts/status/1907266368375845074)  2025-04-02T02:58Z [---] followers, [--] engagements


"Do you believe that your wholesaler @Mckesson @CencoraGlobal @cardinalhealth is overcharging you based on your purchase agreement Yes No Yes No"  
[X Link](https://x.com/RfactsFacts/status/1935459535101080046)  2025-06-18T22:08Z [---] followers, [---] engagements


"What this REALLY means is @CVSHealth is going to hang onto 75% of the money that they currently owe us under law and pay that out over the next week killing our cash flow to pay their million dollar fines. @RepAuchincloss @ChuckGrassley @RonWyden @RepBuddyCarter @FTC"  
[X Link](https://x.com/RfactsFacts/status/1940766769263923707)  2025-07-03T13:37Z [---] followers, [---] engagements


"All pharmacies should boycott selling these products until we can purchase at 50% off as well @novonordisk @FTC @RepAuchincloss"  
[X Link](https://x.com/RfactsFacts/status/1974657318357971345)  2025-10-05T02:06Z [---] followers, [--] engagements


"Hey @US_FDA curious about importing drugs for resale from Canada since @TrueScriptsPBM is sending scripts there for patients to receive mail order. If that is legal then we should be allowed to import for resale. @linakhanFTC @RonWyden @ChuckGrassley @Healthcare_ABC @McKesson"  
[X Link](https://x.com/RfactsFacts/status/1592281666642403331)  2022-11-14T22:21Z [---] followers, [--] engagements


"@mcuban @costplusdrugs Im on board. Im sick of my primary wholesaler @mckesson @CencoraGlobal @cardinalhealth overcharging me for brand name items"  
[X Link](https://x.com/RfactsFacts/status/1760385996380627146)  2024-02-21T19:28Z [---] followers, [---] engagements


"@kpharmd12 @cardinalhealth @SonexusHealth There is not a wholesaler that is for us. They need us use us and would eliminate us if they could survive without us. @CencoraGlobal @McKesson @cardinalhealth"  
[X Link](https://x.com/RfactsFacts/status/1984078888482566563)  2025-10-31T02:04Z [---] followers, [--] engagements


"Hey @mcuban we need a two year plan to get EVERY independent pharmacy away from the big [--] wholesalers @cardinalhealth @McKesson @CencoraGlobal. These companies are no friends of ours. What would that look like Can your company handle that Would you be a secondary"  
[X Link](https://x.com/RfactsFacts/status/1986933720989769797)  2025-11-07T23:08Z [---] followers, [--] engagements


"@realDonaldTrump needs to talk with @RobertKennedyJr regarding GLP1s. A true MAHA would focus on affordable healthy food & lifestyle changes over GLP1s which should be the LAST resort. Big Pharma doing what they do.expanding their market with no real regard for health"  
[X Link](https://x.com/RfactsFacts/status/1986996118559879606)  2025-11-08T03:16Z [---] followers, [--] engagements


"@CencoraGlobal @McKesson @cardinalhealth we are ALL sick of your squeeze. I am going to take [--] months off of PBM hate and focus on you [--]. I hate that I need you and want to have a viable option for independent pharmacy in the next [--] years. You are a strong #2 behind PBMs"  
[X Link](https://x.com/RfactsFacts/status/1986997537371574418)  2025-11-08T03:21Z [---] followers, [--] engagements


"Where is the Florida attorney general who was going to prosecute a pharmacy for making one dollar profit on hand sanitizer during Covid while now @AbbottLab charges $25 for a two pack of a Covid test that they touted as costing $5 Too big of a fish to fry @ToledoForTampa"  
[X Link](https://x.com/RfactsFacts/status/1435345560874196992)  2021-09-07T20:53Z [----] followers, [--] engagements


"@SenatorDurbin Why dont you carve Fortune [---] companies out of the 340B world and watch rural hospitals and independent pharmacies thrive"  
[X Link](https://x.com/RfactsFacts/status/2021746240233316383)  2026-02-12T00:40Z [----] followers, [---] engagements


"@sterlingkoonce @Jeff_Pharma This is why we need a PHARM bill to bridge the gap until this legislation takes effect. Plenty of opportunities to recapture from the stolen money PBMs have acquired"  
[X Link](https://x.com/RfactsFacts/status/2022494720782458929)  2026-02-14T02:14Z [----] followers, [--] engagements


"Glad to hear @cencoraglobal @McKesson & @cardinalhealth will be accepting my GoodWholesaler discount card This will discount everything including GLP1s- or should I say give us back the 2.5% they are taking from all of us. All are Fortune [--] on 1% margins-damn they are good"  
[X Link](https://x.com/anyuser/status/2022502868675416105)  2026-02-14T02:47Z [----] followers, [---] engagements


"To be clear most independents HATE @GoodRx and the illusion that it provides anything. Any company like @novonordisk that partners with them is no friend of pharmacy. Also novo pushing direct to consumer makes me look for ways to get ALL of their product out of my store ASAP"  
[X Link](https://x.com/anyuser/status/2022504829508293030)  2026-02-14T02:55Z [----] followers, [---] engagements


"@redlgb1969 @DrMakaryFDA There are published reports of @FDA inspectors getting massages and visiting the Taj Mahal rather than inspecting the plants properly in India. This area is ripe for problems"  
[X Link](https://x.com/RfactsFacts/status/2020153477410783589)  2026-02-07T15:11Z [----] followers, [--] engagements


"@axsome why do you think independents will cash flow your drug You pay us [--] months after we bill your discount card tying up $864/month x4months. I will be encouraging ALL pharmacies to not use your card. Also explain to the public HOW you can give a $864 discount/month"  
[X Link](https://x.com/RfactsFacts/status/2020330054652424541)  2026-02-08T02:53Z [----] followers, [---] engagements


"We need a Pharm bill tied to the farm bill to bridge the gap until the new legislation takes place. Most independents cannot wait until [----] for these changes. A reasonable dispensing fee/script to open discussions. @RepAuchincloss @RepBuddyCarter @RonWyden @MikeCrapo @A_Ciaccia"  
[X Link](https://x.com/anyuser/status/2020984501036515522)  2026-02-09T22:13Z [----] followers, [---] engagements


"@anish_koka Sorry @anish_koka but if the government decides who can merge they also decide who to break up. This merger mistakenly allowed vertical integration that has become so powerful that it doesnt even fear the law"  
[X Link](https://x.com/RfactsFacts/status/2021723792121139502)  2026-02-11T23:11Z [----] followers, [--] engagements


"@mcuban @YouTube You failed to mention PBMs would extort a 13000% increase in DIR Fees over this period resulting in me paying over $500k in the last year of DIR alone Other than that pretty fair assessment"  
[X Link](https://x.com/RfactsFacts/status/2022410593865797943)  2026-02-13T20:40Z [----] followers, [--] engagements


"@oldsailor @GoodRx @novonordisk Maybe we start with one MFG. Im good with @novonordisk who sold Novolin N to Walmart cheap enough that they could sell it for $20 while we were buying it for $90/bottle. Lets start with them"  
[X Link](https://x.com/RfactsFacts/status/2022518064831697127)  2026-02-14T03:47Z [----] followers, [--] engagements


"This weeks conversation will be about fraud. Specific billing entities. Specific codes. Specific states. That conversation is necessary. But it is incomplete. The fraud conversation assumes the system is sound and bad actors exploited it. The funding conversation reveals that Congress designed the system to be opaque. No dedicated tax. No line item. No trust fund. A matching formula that incentivizes states to spend more. A provider tax mechanism that manufactures state spending from thin air to capture federal dollars. Fraud is a crime committed by individuals. Opacity is a feature designed"  
[X Link](https://x.com/anyuser/status/2023763288283050318)  2026-02-17T14:15Z 32.7K followers, [----] engagements


"@McKinsey didn't post this article anywhere on X. Maybe because it's awful. It ignores the fact that the price wholesalers pay to manufacturers determine the cash out of pocket to pharmacies. Nor does it mention the float the pharmacy carries for the PBM If a branded med is $600 minus 5pct discount that's [---] the pharmacy pays in cash. If the copay is [--]. That's cash out of pocket of $550 to the pharmacy plus the cost of float while it's in inventory. Add point of sale rebates to patients and the pharmacy is the bank for even longer. Change the price brands charge wholesalers to net and"  
[X Link](https://x.com/anyuser/status/2023445233946550735)  2026-02-16T17:11Z 8.6M followers, 97.2K engagements


"If @HawleyMO from Missouri home of the all powerful @ExpressScripts is in favor of this healthcare bill will this bill prohibit Express PBM from owning their mail order If so this guy is the man. If not he is disarming their competition"  
[X Link](https://x.com/anyuser/status/2022517460218581220)  2026-02-14T03:45Z [----] followers, [---] engagements


"Ever wander why the spread from WAC to AWP is ALWAYS 20% on brand Shouldnt it sometimes be 28% 35% where we would make money If its always going to be 20% AWP-15% on brand should be the lowest term leaving 5% profit. @RepAuchincloss @RonWyden @MikeCrapo @ChuckGrassley"  
[X Link](https://x.com/anyuser/status/2022514547375198467)  2026-02-14T03:33Z [----] followers, [---] engagements


"Who thinks @CencoraGlobal @McKesson @cardinalhealth are guilty of leaking our proprietary information to PBMs via PSAO contracting Yes No Yes No"  
[X Link](https://x.com/anyuser/status/2022508727254028695)  2026-02-14T03:10Z [----] followers, [---] engagements


"To be clear most independents HATE @GoodRx and the illusion that it provides anything. Any company like @novonordisk that partners with them is no friend of pharmacy. Also novo pushing direct to consumer makes me look for ways to get ALL of their product out of my store ASAP"  
[X Link](https://x.com/anyuser/status/2022504829508293030)  2026-02-14T02:55Z [----] followers, [---] engagements


"Glad to hear @cencoraglobal @McKesson & @cardinalhealth will be accepting my GoodWholesaler discount card This will discount everything including GLP1s- or should I say give us back the 2.5% they are taking from all of us. All are Fortune [--] on 1% margins-damn they are good"  
[X Link](https://x.com/anyuser/status/2022502868675416105)  2026-02-14T02:47Z [----] followers, [---] engagements


"A GoodRx coupon does not lower drug prices. It arbitrages the gap between two fake numbers and takes a cut. The company went public at $12.7 billion. Its entire business model depends on the system staying exactly as broken as it is. That is not a bug. That is the product"  
[X Link](https://x.com/anyuser/status/2021271740173750722)  2026-02-10T17:15Z 32.7K followers, [----] engagements


"Legislators: supporting the Pharmacists Fight Back Act means standing up for patient access fair competition and community pharmacies. We urge you to back this legislation and help rein in PBM practices that harm patients and providers alike. #PBMreform #PharmacistsFightBack"  
[X Link](https://x.com/anyuser/status/2022099660773483000)  2026-02-13T00:05Z [----] followers, [---] engagements


"PBMs grew because our government did not invite anyone other than insurance companies to write and balance the regulations of Medicare D. Like any crafty criminal PBMs wrote them to significantly favor themselves. They also exploited the DIR fee loophole they helped create"  
[X Link](https://x.com/anyuser/status/2021725577988727099)  2026-02-11T23:18Z [----] followers, [----] engagements


"Average cash price without insurance= $9.96 Express Scripts Mail Order price= $235.32 Make sense We don't think so either. That's why we're calling for an audit on TRICARE. Our military deserves it. #AuditTRICARE #SupportOurVeterans https://bit.ly/46R45y2 https://bit.ly/46R45y2"  
[X Link](https://x.com/anyuser/status/2021381210782478776)  2026-02-11T00:30Z [----] followers, [----] engagements


"We need a Pharm bill tied to the farm bill to bridge the gap until the new legislation takes place. Most independents cannot wait until [----] for these changes. A reasonable dispensing fee/script to open discussions. @RepAuchincloss @RepBuddyCarter @RonWyden @MikeCrapo @A_Ciaccia"  
[X Link](https://x.com/anyuser/status/2020984501036515522)  2026-02-09T22:13Z [----] followers, [---] engagements


"New provisions in the [----] funding bill begin to curb PBM abuses and improve transparency. Progress matters But PBMs still hold too much power patients still overpay and pharmacies are still closing. The fight isnt over 👉 http://pharmacistsfightback.org http://pharmacistsfightback.org"  
[X Link](https://x.com/anyuser/status/2020588465100845484)  2026-02-08T20:00Z [----] followers, [---] engagements


"Why all the PBM scrutiny and new laws wont change pricing or market share as much as you hope. There are [--] big PBMs. They have about [--] pct market share. MORE IMPORTANTLY they negotiate about [--] pct of rebates with brands. There are a couple more PBMs that are able to negotiate directly. But the big [--] dominate. There are another [--] PBMs that do business the right way. The let you own your claims dont kill you with fees handle your formulary fairly. Etc. HOWEVER those PBMs must compete on price. They must respond to RFPs and show employers that they will save them money. Very often they can."  
[X Link](https://x.com/anyuser/status/2020374409010200867)  2026-02-08T05:49Z 8.6M followers, 69.5K engagements


"I have one pt on Sunosi.His primary insurance underpays me by $16 he uses Sunosi discount card that discounts his copay by $874. It takes the MFG [--] months to pay me. One pt tying up $3496 on a$64 loss. No thanks. This is how TrumpRX will work. @realDonaldTrump @DrOzCMS @axsome"  
[X Link](https://x.com/anyuser/status/2020326587443646797)  2026-02-08T02:39Z [----] followers, [---] engagements


"Its Wave All Your Fingers at Your Neighbor Day 👋 Be friendly Or just wave one finger at the #PBMs. 😏 Then do something more effective and contact your legislators and demand #PBMreform. Patients & pharmacists deserve better. #PharmacistsFightBack"  
[X Link](https://x.com/anyuser/status/2020165694239789303)  2026-02-07T16:00Z [----] followers, [---] engagements


"This is ridiculous. The pharmacy model is needed and is perfectly capable of producing a stable income if you take the PBM abuses out of it. Fair Medicaid reimbursement plus PBM reform or elimination. Is it real that just in this January [--] independent pharmacies in Florida closed Gotta triple check that @RonDeSantis @GovGoneWild @C_Farrill @AHCA_FL @Fla_Pol @SayfieReview @nfib_fl @TruthRX @TDOnline Is it real that just in this January [--] independent pharmacies in Florida closed Gotta triple check that @RonDeSantis @GovGoneWild @C_Farrill @AHCA_FL @Fla_Pol @SayfieReview @nfib_fl @TruthRX"  
[X Link](https://x.com/anyuser/status/2020161179620929816)  2026-02-07T15:42Z [----] followers, [---] engagements


"Is it real that just in this January [--] independent pharmacies in Florida closed Gotta triple check that @RonDeSantis @GovGoneWild @C_Farrill @AHCA_FL @Fla_Pol @SayfieReview @nfib_fl @TruthRX @TDOnline"  
[X Link](https://x.com/anyuser/status/2020000773564772698)  2026-02-07T05:04Z [---] followers, [----] engagements


"@FTC @AFergusonFTC @ExpressScripts is not scared of you"  
[X Link](https://x.com/anyuser/status/2019226738224464195)  2026-02-05T01:49Z [---] followers, [----] engagements

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