PBMs BE GONE @ExposingPBMs
During this difficult time in our world, ask yourself this, why everyone is struggling yet health insurance companies, aka PBMs, are posting record profits!? Joined August 2017-
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I wish to see Indy pharmacy owners holding a nationwide protest to bring PBMs down. I keep sending patients to the chains because of underpayment. The US doesn’t have a justice system, we have a legal one, written by 1% for the 1%. Everyone is failing us, especially @Commpharmacy
With no financial transparency, big #PBM, including CVS caremark can pay less, clawback $ and drive community pharmacies out of business, taking $ from the community. Along comes CVS offering to buy up indie pharmacies after they financially destroy them. It's wild that this…
Prime Therapeutics PartD Plan (ESI), common anti-inflammatory drug, 90 tabs (90 days)...total payment $0.79. Yep, CENTS. Oh and that comes with a $0.75 transaction fee....FOUR CENTS TOTAL PAYMENT! @FTC @linakhanFTC
@sterlingkoonce @ExposingPBMs @linakhanFTC Would an electrician accept payment for a job that is less than their cost of materials? Nope! Don’t do the job if the pbm can’t pay the cost of materials. If every PHARMACIST did this starting today, pbms bow the knee tomorrow. W/o our license they don’t exist. Easy Fix!
Imagine being held at gun point, or being robbed in an alley, and the police sees what’s happening, but they decide to not get involved.!! This is how Indys feel about the PBMs. Everyone can see the robbery, the thievery, the abuse, but they just look the other way. @linakhanFTC
There is already enough money in the Medicare and Medicaid budgets to provide exceptional care to those in need. The problem is that money is siphoned off by the pbms and pbm owned health insurers and never makes it to who is actually providing Healthcare. See the problem?
Medicare Part D PBMs are cleverly steering business to their own pharmacies. How?… by forcing independent pharmacies out of network by only offering below cost contracts or burdening them with impossible credentialing, audits and compliance. @HHSGov @CMSGov @FTC @linakhanFTC
I agree. However I disagree of how the fight is carried by the organizations that so called “represent us”. Aka @Commpharmacy Asking politicians nicely will never work. Embarrassing them nationally by staging a nation wide strike will. Yet ironically it never been suggested 🧐
I agree. However I disagree of how the fight is carried by the organizations that so called “represent us”. Aka @Commpharmacy Asking politicians nicely will never work. Embarrassing them nationally by staging a nation wide strike will. Yet ironically it never been suggested 🧐
The economy will collapse if they regulate them. They made themselves too big to fail. It’s all smoke and mirrors. Election year they got to do something. Trump did it in his final year. Obama before him too. We are pawns in their game. NOTHING WILL EVER CHANGE.
The economy will collapse if they regulate them. They made themselves too big to fail. It’s all smoke and mirrors. Election year they got to do something. Trump did it in his final year. Obama before him too. We are pawns in their game. NOTHING WILL EVER CHANGE.
The legislation is simple on the state and federal level: PBMs must pay pharmacy NADAC +disp fee of $11.00 minimum. This money will come from PBM profit pool, not tax payers. Yes, they might drop from #5 to #6 on the Fortune 500 list but they will survive. @ChuckGrassley
They say pharmacies have negotiating power…in what world? @RepBuddyCarter @SenMullin @linakhanFTC @ExposingPBMs @TruthRX @BoesingLoretta @BrandiChane @pelterkevin @HokiePharmacist @IndyRxVoice @DButterfieldRPh
In what convoluted universe is 35¢ a normal reimbursement for a month of medication? @Commpharmacy @pharmacists Asking for a friend that owns an independent pharmacy?
@linakhanFTC Chairwoman Khan, Why doesn't the FTC fine the PBM's $500,000/day for not turning over the info you are asking for ? You'll see how fast they'll respond with the data your looking for ! After all , how many billions did the PBM's steal in profits last quarter ?
@linakhanFTC Chairwoman Khan, Why doesn't the FTC fine the PBM's $500,000/day for not turning over the info you are asking for ? You'll see how fast they'll respond with the data your looking for ! After all , how many billions did the PBM's steal in profits last quarter ?
Now that insulin prices dropped, insurance companies stopped covering them, since there isn’t any rebate for the maker to give them. If this doesn’t make everyone sick with disgust I don’t know what will. I mean for Pete sake this blatant thievery and all we do hold meetings.
Thank you @linakhanFTC Please repost this video Indy pharmacy community so more people are aware of our battle @costareports @DButterfieldRPh @ExposingPBMs @FrierLevitt @A_Ciaccia @DavidABalto @Commpharmacy @mcuban @pelterkevin @HokiePharmacist @_APCI @BrandiChane @Pharmassists
Will there ever be anything close to antitrust investigation on big3 for robbing healthcare system @FTC @TruthRX @ExposingPBMs @RepBuddyCarter @SenMullin @A_Ciaccia @SenatorCantwell
Will there ever be anything close to antitrust investigation on big3 for robbing healthcare system @FTC @TruthRX @ExposingPBMs @RepBuddyCarter @SenMullin @A_Ciaccia @SenatorCantwell
@ExposingPBMs @BCBSAssociation @mcuban @docthecrocs @linakhanFTC This was the response from PSAO to a ticket I opened after losing -$391 on Biktarvy @ BCBS (PBM - ESI) ‘There is nothing that we can appeal on brand claims due to ESI choosing to implement a wide variance on the reimbursements over the course of the contract year’.
Same here but with Stribild for HIV. Every month. This is unsustainable. My cost - $4072. Reimbursement - $3924
Same here but with Stribild for HIV. Every month. This is unsustainable. My cost - $4072. Reimbursement - $3924
@ExposingPBMs @BCBSAssociation @mcuban @docthecrocs @linakhanFTC That kills me. Happens all the time unfortunately. I personally don't believe in hell but there should be an exception for these greedy evil PBMs.
Just lost $235 on #biktarvy an HIV med I buy for $3920 and @BCBSAssociation reimbursed me at $2685. Imagine building “legal business” based on this model. I f$&@ing hate this system. Let’s focus on BS politics instead of fixing this mess. @mcuban @docthecrocs @linakhanFTC
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@ExposingPBMs @Commpharmacy @TruthRX will be in STL May 17 supporting @BoesingLoretta
@ExposingPBMs @Commpharmacy @TruthRX may 16th in St. Louis at esi hq
@VoteRandyFine I encourage that you do that, because your degree from Harvard failed to make you stand on the right side of history!
@VoteRandyFine did you study drama at Harvard? because you're good at it
@mass_marion They have made the mockery of our profession. It says they will ‘carry the legacy of quality service’. My pharmacy has 4.8 star rating on google. None of the CVS in entire state is more than 3.. they are full of 💩#pbmabuse
@mass_marion @Free2CareHC @RepBuddyCarter @RonWyden @PharmacyPodcast @BoesingLoretta it's scary that we are seeing indy pharmacies in MS going bankrupt with no offers of buyouts being offered by any of the chains. the chains have no intentions of putting stores in small towns and rural areas.
With no financial transparency, big #PBM, including CVS caremark can pay less, clawback $ and drive community pharmacies out of business, taking $ from the community. Along comes CVS offering to buy up indie pharmacies after they financially destroy them. It's wild that this…
Chain pharmacies are being paid 43% more than independent pharmacies and are STILL closing at a rapid rate. Imagine just how dire it is for independent pharmacies right now. #TwitteRx #Pharmacy
🚨 Reimbursement by CVS Caremark to chain pharmacies is 43% HIGHER than for independent pharmacies in rural eastern North Carolina. How do rural patients get critical drugs when their local pharmacy can't fill due to PBM losses? *From 4/25 presentation NC State Health Plan mtg.
Hey @Walgreens how big of a gift card does a patient get for receiving the wrong vaccine? I would also like to know what the staffing looked like on the date and time this occurred.
Prime Therapeutics PartD Plan (ESI), common anti-inflammatory drug, 90 tabs (90 days)...total payment $0.79. Yep, CENTS. Oh and that comes with a $0.75 transaction fee....FOUR CENTS TOTAL PAYMENT! @FTC @linakhanFTC
Another pharmacy gone thanks to PBM greed. They had been serving their community for two and a half decades. #TwitteRx #Pharmacy
We fought the good fight. Great Patient and Community-centered practice now gone. Choked out. Thank You, Pikeville & EKY. Sorry, We held on as long as we could... @TruthRX @HokiePharmacist @pharmacists @Commpharmacy
We fought the good fight. Great Patient and Community-centered practice now gone. Choked out. Thank You, Pikeville & EKY. Sorry, We held on as long as we could... @TruthRX @HokiePharmacist @pharmacists @Commpharmacy
@carnivorePharm @sterlingkoonce @ExposingPBMs @linakhanFTC to understand exactly what is happening in the industry as well...it WILL impact them in the future whether they remain naive or not.
@carnivorePharm @ExposingPBMs @linakhanFTC You can’t. They control the market and the contracts. You can’t take patients’ insurance without them.
@ExposingPBMs @linakhanFTC It only happens if you let it happen. The pharmacist has the license to dispense, so why not kick the pbm out of the equation?
@carnivorePharm @sterlingkoonce @ExposingPBMs @linakhanFTC Sure, but because zero visibility exists in chain pharmacy you could never get every pharmacist to do this. If indy's stepped up together all at once and did this the PBMs would pat their own backs because they accomplished exactly what they set out to do. Chain RPhs need
@sterlingkoonce @ExposingPBMs @linakhanFTC Would an electrician accept payment for a job that is less than their cost of materials? Nope! Don’t do the job if the pbm can’t pay the cost of materials. If every PHARMACIST did this starting today, pbms bow the knee tomorrow. W/o our license they don’t exist. Easy Fix!
@kmccor2014 @mcuban He’s as close to a PBM without actually being a PBM.
People think I'm too harsh on @mcuban. I think he can handle the criticism. I just don't understand why people praise the model. When you step back, it looks the same as other PBMs/discount cards.
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