I'm giving b-sky a go (user name coukell). I have invite codes if anybody needs one.

Goodbye, Twitter.

🧐 this receipt from CVS, where the insurance is billed $363, and the customer pays $64.45/90 tabs of Atorvastatin. Here, that would be about $1.49 + a fair $5 member fee.

For the doubters: a stock bottle that cost us just $11.88/1000ct. We can buy 5,425 tablets for $64.45!!

A spot-on bit for all my fellow nerds out there

Vaccinating Health Care Supply Chains Against Market Failure: The Case of Civica Rx: nej.md/465buYs Civica Rx SSM Health

.Forbes released its 2023 philanthropy scorecard and once again, John Arnold and Laura Arnold earned the highest score — a rare 5 — for their charitable giving. Only 11 people from the #Forbes400 have given away more than 20% of their wealth: bit.ly/3RGcRsI

Reading the fine print, “plain and simple” just doesn’t seem accurate. . F you, Eli Lilly and Company

Or 300 students at U Mass. Just saying.

'Civica Rx significantly increased supply security and lowered the cost in aggregate...these medications are critical to patient care & have been prone to shortages.' - Carter Dredge, SSM Health NEJM Catalyst Civica Rx ssmhealth.com/newsroom/2023/…

Big PBMs say “Drugmakers alone have the power to set prices.”

Then how is that the same PBM set five different prices for the same drug, at the same pharmacy, on the same day, where the delta between the bookends had an over 10x difference?

Our latest: 3axisadvisors.com/projects/2023/…

Do Plan Sponsors Understand How Their PBMs Make Money?

My $0.02 on how #PBMs ' profit model has evolved—and why a plan sponsor can feel satisfied with PBM transparency while remaining unaware of how its PBM actually earns money.

PSGconsults

drugch.nl/3EIogQT

Hey #bikedc , Sugarloaf is closed to the public

“Across a selection of these so-called specialty generic drugs, Cigna and CVS’s prices were at least 24 times higher on average than roughly what the medicines’ manufacturers charge, the The Wall Street Journal found.” - Joseph Walker

wsj.com/health/healthc…

'Civica is the only pharma created specifically to address drug shortages. The drugs we deliver are not chosen for return-on-investment. They are chosen by hospitals because they are in shortage or at risk of shortage.' Allan Coukell, Civica Rx at U.S. Subcommittee on Health hearing

ICYMI - Michael Ganio, PharmD, MS Allan Coukell Civica Rx ASHP provided great recs on fixing the drug shortages problem during todays hearing energycommerce.house.gov/events/health-…

'Generic drugs should be cheap, but insurers are charging thousands of dollars for them' (NB - in place of 'insurer' read 'PBM,' though sometimes they are one and the same.) wsj.com/health/healthc…

It has been a busy few years…

Can’t say we weren’t warned.

Ukraine came to the aid of the United States after we were attacked on 9/11 and deployed troops to support the ISAF mission in Afghanistan for almost 14 years

Daily reminder that the insulin I need to survive is still $2,267.99 every 3 months.

Insurance is not the answer to unaffordable insulin, as insurance was the reason it took 23 DAYS to fill this RX. W/o insulin, I’d be dead in 2.

Insulin should be free.