It's long past time to act! #pbmreformnow

.... The awakening, let's hope!

I’ve secured a $32 million settlement with CVS Caremark after the company allegedly kept money that belonged to Oklahoma's state employee health plan. When a company keeps money belonging to taxpayers, we're going to fight to get it back.

What’s the old saying??? Bigger isn’t always better. Large self-insured businesses are used repeatedly by PBM lobbyists to fight against PBM reform. They’re repeatedly told that reform will raise their cost, with no evidence to support the claim. Big businesses need educating as much as anyone. Creating transparency and having 100% pass through rebates will lead to significant cost savings for both patients and businesses.

𝐓𝐡𝐞 𝐇𝐨𝐮𝐬𝐞 𝐄&𝐂 𝐂𝐨𝐦𝐦𝐢𝐭𝐭𝐞𝐞 𝐑𝐞𝐥𝐞𝐚𝐬𝐞𝐬 𝐑𝐞𝐜𝐨𝐧𝐜𝐢𝐥𝐢𝐚𝐭𝐢𝐨𝐧 𝐃𝐫𝐚𝐟𝐭 𝐭𝐡𝐚𝐭 𝐢𝐧𝐜𝐥𝐮𝐝𝐞𝐬 𝐏𝐁𝐌 𝐑𝐞𝐟𝐨𝐫𝐦 📌 Minimum Medicaid Managed Care Pharmacy Dispensing Fee Same as FFS 📌 Bans Spread Pricing In Medicaid 🚫💸 📌 Prohibits PBM Compensation Based on Formulary Decisions 🛑📋 📄 Read the draft here: ow.ly/9N6n50VQZ7r This draft represents the likely House position on Reconciliation. 🏛️📝 🗓️ Committee Will Hold Markup May 13. These reforms save taxpayers money! 💰✅ #PBMReform #Medicaid #HealthcarePolicy #PharmacyReform

If you are a CEO of a self insured companies and you want to know what the problem with pricing on medications do this: Call your PBM and ask for 1. A list of all your pharmacy claims the last month and the net price for each 2. A price list of all net prices 3. Why a drug that is just a pill, is considered a specialty drug 4. Who pays for the rebates you get (hint, it's your sickest employees) 5. Why they reimburse your local pharmacy less than their cost and charge them crazy fees 6. If you can discuss your PBM contract with anyone 7. Why you can't add @costplusdrugs to your network, for when our prices are cheaper than theirs 8. Why you can't call a manufacturer to discuss adherence or wellness programs with the company who created the drug 9. Why they don't provide claims data to the manufacturer to help them improve the safety profile 10. Why they sell positioning on their formulary rather than using it exclusively for clinical value 11. Whether they calls doctors to get them to change scripts to the PBMs white label biosimilar 12. Why your consultant didn't tell you any of this The level of opacity that the big PBMs create is why the price of brand drugs are outrageous

Let's take a look at spread pricing, a process that generates billons of dollars in revenue a year for PBMs, while employer health plan costs increase and pharmacies are underpaid their cost. #pbmreformnow #pbmreform

“In 2023, drug manufacturers paid $356 billion in rebates and discounts to PBMs that are not making their way back to patients, Nguyen testified.” #thesipforpbmreform #pbmreformnow #pbmreform

This is happening across the country. Every single AG that signed on to the letter asking for Congress to act against PBMs, should protect patients by doing what MI AG Nessel did. @TruthRX

"The worst marriage in the history of healthcare, is the unholy union of #PBMs & formulary design." ~ @ChrisHobar14375, PUTT Board Member, independent pharmacy owner Why Pharmacy Benefit Managers & Formulary Design Need a Divorce | TruthRx puttrx.medium.com/why-pharma… #PBMreform

The SIP director, @fairpharmd and her husband attended @Commpharmacy #ncpaonthehill today. They had wonderful discussions with Senator @cindyhydesmith and Representative @BennieGThompson. Both expressed their support and hope for federal PBM reform in the near future. The SIP thanks you all for your time and efforts! #thesipforpbmreform #pbmreformnow #pbmreform

Looking forward to tomorrow's hearing! #thesipforpbmreform #pbmreformnow #pbmreform

Watching closely from The SIP as Iowa works towards meaningful PBM reform. Praying we can add another state to the list of those doing things right! #thesipforpbmreform #pbmreformnow #pbmrefom

Watch yesterday’s House Judiciary Committee Panel discussion regarding PBMs. PBM reform is a bi-partisan issue. It affects every single one of us regardless of our racial, ethnic, or socioeconomic status. We all loose in the current structure of pharmacy; patients and non PBM afflicted pharmacies. We have no choice but to advocate for reform because the alternative is too costly for us all. #thesipforpbmreform #pbmreformnow #pbmreform PBMs: The Drug Middlemen Who Increase Drug Prices, Limit Choice, and Hur... youtu.be/b_btNpvMjdw?si=nmkj… via @YouTube