“Josh Pirestani Let’s stop pretending. Independent pharmacy owners aren’t “struggling.” They’re being systematically screwed. Primary wholesalers lock you into contracts, dangle rebates like carrots, then tighten margins so hard you’re basically financing your own survival.

.Congressman Troy Balderson points out a massive discrepancy in the way PBMs treat rural pharmacies, often presenting them with "take-it-or-leave-it" reimbursement rates. Is that really the respect that PBMs are willing to give to our rural and underserved communities?

What???????!!!!!!!!! 🤯🤯🤯🤯🤯

Today I’m introducing simple legislation: If a corporation receives an incentive paid for by YOUR tax dollars – they cannot give that money to their shareholders. No stock buybacks. Your tax dollars should be reinvested in you, not shareholders.

3 things are happening: Express Scripts Pharmacy Benefit Services is overcharging TRICARE, massively ESI has pushed approximately 14,000 of the 19,000 independents out of network with below cost contracts that pay 1/20 what they pay themselves. If this claim was processed at independent, the veteran

“The United States is the only country in the world where 50% of every dollar spent on medicines goes to middlemen, mostly toward the #PBMs.” ow.ly/IMbk50Yfbwb

TN Audit shows that CVS reimbursed its affiliate pharmacies at higher rates than non-affiliates for the same drugs. Profiting at the expense of patients, pharmacies, employers, and taxpayers. The same thing is happening in New Jersey #NJ tnpharm.org/tdci-audit-of-…

… and you wonder why independent physicians and pharmacies can’t get legislative help???!!

Hum......

Hey Mark Cuban checkout this example of bypassing the PBM! For nearly a year my pharmacy had billed the PBM handling this patient's workers comp claims. This month I found a way to bypass the PBM and go direct to employer plan. Look at the difference in price (reimbursement). It's

Can anyone name another business out there that purchases a product at wholesale cost and sells it to a consumer for less than wholesale cost? … and is still in business today?

My PBM mafia life, Tuesday PBM CVSCAREMARK, vertically integrated with $CVS CVS Health Aetna CVS Pharmacy Trying to fill cholesterol lowering medication. Last time I filled, Patient copay $0.19 PBM paid pharmacy $1.70 Including $0.10 dispensing fee Now, they will only

Why should pharmacies lose $32 to fill 3 medications for a sick patient? Aetna Mark Cuban Kim Reynolds Chuck Grassley FTC Iowa Pharmacy Association NCPA Brett Barker

#thegoal or a #dream. Only laws can help unfortunately Ron DeSantis

So now they arent called rebates. What a shell game or as senator Jason Brodeur said its whack-a-mole!!!!!!!! They make their own rules

My PBM mafia life, 49 hours a week Typical day in independent retail community pharmacy controlled by 4 PBMs that control access to almost 90% of prescription transactions. Medicare Part D customer with Elevance Health Anthem Blue Cross and Blue Shield plan with CVSCaremark as the PBM 90 day supply

When your competitor sets your price how will that work? Hint- it doesnt and we are seeing it in real time

Can we add (human) patients to this bill?

Florida pharmacy owners DEMAND elimination of the #rxtax in #florida they have to pay

Lawmakers weighing options after Florida regulators say big drug middlemen ‘impede’ exams, aren't paying bills thecapitolist.com/lawmakers-weig… via The Capitolist