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1. a thread on a recent under reported trump/pharmacy news

washingtonexaminer.com/policy/

This is an absolute mistake. The PBM's are pure monopolistic bullies. Not sure what happened but I hope Trump has another plan up his sleeve. A big blow to the pharmacy industry and patients.

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‪This means so much to me.

Drug overdose deaths see first decline in decades

washex.am/2JAACPs‬

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@watch4thedrop I checked my 401k yesterday. It's very diversified and every single account is up. Bonds are all. I've never seen 100% up trend.

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My daughter birthday yesterday and her 529 college savings account is up nearly 15% this year. Thank you Mr. president!

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Alright, I'll repost my thread here. Not too much commentary to add on this, besides I waited for a few days for this to ripen before reacting to it because I was waiting to see what the play was and I was NOT disappointed.

threadreaderapp.com/thread/115

11. CVS will likely be a majority share of all pharmacies in the future. And with their PBM weapon of CVS caremark deciding everyones fate, do you think the drug prices will go up or down? I urge everyone if you go to CVS to consider somewhere else. Even another chain store would be better. The Pharmacy free market needs to be rebalanced again before it is too late.

END/

10.
finally, CVS is buying up all the weaker PBM's as well to completely corner the market. Aetna/wellcare all used to be big PBM's and they were swallowed up by CVS caremark within the last 5 years.

To trumps credit, every move he has made to combat big pharma has been slowly chipping away at the power of the PBM's. I give him much credit for that. I will discuss these topics in future threads. But getting rid of backdoor rebates would have been a signature monumental move.

9. And this is also true of independent pharmacies. salemnews.com/business/cvs-buy
Sometimes the reimbursements are so low at our pharmacy we actually LOSE money to dispense your medication to you. And it's not like we can choose not to accept patients with CVS caremark since they account for a huge share of the market. So we have to just eat the loss. A lot of pharmacy owners i've known have closed shop.

8. after CVS crushes them with low reimbusements, they swoop in and buy the pharmacies. further building on to their monopoly. cvshealth.com/newsroom/press-r

6. CVS caremark actively under reimburses mom and pop shops while reimbursing themselves much more. There have been multiple investigations and complaints since they consolidated half the market. businessinsider.com/cvs-squeez

As I mentioned before, the worse PBM of all is CVS caremark. Not only do they pocket rebates, they also actively try to squeeze independent pharmacies out of business. I'm not sure who allowed this to happen but as you all know CVS is also a pharmacy. So they are basically a business that owns a PBM that decides how reimbursements are distributed to their own business.

4. This is because the PBM's are offered rebates from drug companies to put their medication on the formulary. These rebates from the drug companies are supposed to be passed down to you guys as the patients. However, instead of passing it down to you, they pocket the money themselves and make you pay those ridiculous copays for your medication.

3. PBM's decide everything about your healthcare. what you pay out of pocket, how much the pharmacy gets paid, what medications are covered, when you can get your medication, etc. etc. However, a lot of their decisions when it comes to these things are not too transparent. No one knows why certain drugs are covered on their formularies and certain drugs are not. Sometimes they will have much more expensive drugs that are covered and not cheaper ones.

2. PBM's are pharmacy middlemen that are basically in charge of your health care/reimbursements. They started off as multiple companies competing with each other. however, in the recent years, 70% of the market has been taken over by 4 companies. CVS caremark, expressscripts, optumrx, and United healthcare. Perhaps the worse of the 4 is CVS caremark.

1. a thread on a recent under reported trump/pharmacy news

washingtonexaminer.com/policy/

This is an absolute mistake. The PBM's are pure monopolistic bullies. Not sure what happened but I hope Trump has another plan up his sleeve. A big blow to the pharmacy industry and patients.

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@watch4thedrop

AND (the Dems): "AMERICANS NEEED low quality, dangerous, shoddy Red Chinese products!!"

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@watch4thedrop

Apple Pie Moonshine. It's amazing. But be in a safe place for when you fall over.

Nonpolitical question of the day.

has anyone tried moonshine before? And if so what do you recommend?

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