Emily Brieske

Pharmacy Operations Manager, West Salem Pharmacy; Independent pharmacy & patient advocate; Public Health/Community Health Education - UW-La Crosse 2020

[Emily Brieske @BriskTea_44]

Huge shocker here. Many insulin manufacturers decreased their WAC for popular products beginning in 2024. Naturally PBMs are now “preferring” insulin items that did not receive a WAC decrease. Almost takes a rocket scientist to figure out what going on here… #stoppbmabuse

[RXavenger @RfactsFacts]

Total drug cost =$50
Go to PBM owned pharmacy, copay $10, insurance pays $40.
Go to independent, copay is $35, insurance pays $15. Meds don’t cost more at independents, PBMs just make customer pay more there giving the illusion. #fraud @linakhanFTC @RonWyden @ChuckGrassley

[Amy Faith Ho, MD MPH @amyfaithho]

Here’s the dirty secret of emergency medicine:

We don’t have to do prior auth. Like ever. We just order what the patient needs, and the patient gets it done in the ED.

But here’s why we care about prior auth anyways:

B/c not a shift goes by where a patient doesn’t land in the ER as a last resort when #priorauth denied or delayed them the outpatient care they needed.

[Emily Brieske @BriskTea_44]

@redlgb1969 @DGlaucomflecken And then proceeds to pay us BELOW COST for something they require..

[Stura @summerwindrx]

Since my contracts go to below cost when DIR fees are eliminated I’ll be able to see the knife killing me vs getting stabbed in the back. Help fix reimbursements before celebrating.

[Emily Brieske @BriskTea_44]

Not to mention the new recommendation of “100 day supply”…how is that designed to help anybody other than the pbm??

[Emily Brieske @BriskTea_44]

Unpopular opinion for Outcomes…I should still get paid for claims that I submit as “no intervention needed” because I spent time looking into why the intervention is not needed.

[Emily Brieske @BriskTea_44]

How about they take that money they’d pay me for my files and use it to pay for more tech coverage so pharmacists have more help in their stores? #indyrx #patientsoverprofit

[Emily Brieske @BriskTea_44]

Got a phone call from @Walgreens asking if they could put together a confidential quote for my pharmacy files. My response was “absolutely not.” I usually get a letter in the mail, but this time I was lucky enough to get a phone call.

[Emily Brieske @BriskTea_44]

I’m thinking I should’ve asked them if they were sure they could handle my files considering they have to cut hours because of this “pharmacist shortage” that corporate is making up.

[Emily Brieske @BriskTea_44]

@TYash42 Bring snacks into the parks. If you’re staying on property, take advantage of extra magic hours and transportation to/from parks. I am looking forward to your entertaining Disney tweets!

[Emily Brieske @BriskTea_44]

@BHindPBMCurtain @FDA @FTC @CMSGov @SeemaCMS @linakhanFTC Plus, if a brand is required, the PBM should be required to pay us at least the cost of the drug. Taking a loss on a DAW 9 is absolute bs.

[Emily Brieske @BriskTea_44]

these medication shortages are going to put me over the edge - sending support to my fellow pharm peeps on this topic.

[Emily Brieske @BriskTea_44]

I know our system is broken. I work in pharmacy, I see it every day. The problem I have w/ this situation is in the (LACK) of continuity of care. She went from being seen every single day, to not being seen for more than 5 weeks. Definition of re-admission right here.

[Emily Brieske @BriskTea_44]

A broken system: My sister has been home from residential behavioral health treatment for a month. While she was gone, her normal therapist left Gundersen. A new therapist was assigned to her & since she’s been home, ALL of her apts have been canceled (a total of 5).

[Emily Brieske @BriskTea_44]

She brought this situation up in an apt yesterday, which led to a social worker called her this morning. The result of the phone call was “go to the ER if you feel unsafe before your next apt.” I imagine ER providers wouldn’t appreciate that statement, nor did we.

[Emily Brieske @BriskTea_44]

@CrazyRxMan Currently dealing with the “target & probe” bs for billing strips. I could just scream thinking about part b.

[Loretta Boesing @BoesingLoretta]

Take the prescription for the pain reliever hydromorphone. The pharmacy bought it for a patient at $189.12. Yet, after the customer’s $10 copay, insurance reimbursed only another $15.21.

“I lost $163.91” “But do you not fill it? No, this woman was dying.”
https://t.co/7G9dcN2oX6