BOFA

#DaBears #Cubs #KY

[BOFA @ErikPierce]

In 2012 I was asked never to return to the Omni Resort on Hilton Head Island. Three years later they still send me emails

[BOFA @ErikPierce]

I have enjoyed being a new baseball fan but please bring back football

[Chicago Bears @ChicagoBears]

Beautiful day for some football ☀️

[GOP Ls @GOP__Ls]

🚨Trump is now single handedly responsible for 27.7% of the national debt.

This is dramatically more than any President in American history.

[BOFA @ErikPierce]

@mcuban @AbdulElSayed the highest quality providers already opt out of many insurance plans

[Mark Cuban @mcuban]

Let me give you an example of where there is no gov intervention, and the impact on brand drug pricing.

When a brand manufacturer sells a drug to one of the big 3 drug distributors that control more than 90 pct of their market, those multi hundred billion dollar distributors DONT negotiate the lowest price they can get. They literally pay retail price.

Then, in exchange for paying promptly, and providing some data, they get a discount of a whopping 5 pct. For a $600 drug, their net cost is $570

For obvious reasons, that distributor can’t sell to your local pharmacy for less than $570.

So when you go to buy that drug, and have no insurance, or a deductible of more than $600, that’s why you pay the full $600.

The question is “why would multi hundred billion dollar distributors only negotiate a 5% discount on brand drugs?”

I asked this very question to several CEOs of brand drugs companies

First you have to know that the pharma companies don’t keep that full $570. Because they pay rebates and fees to the big insurance company PBMs , they end up netting about 50% , or $300 in this example

I asked them why they didn’t sell to the big distributors at a little more than their net price, which would allow them to make more money. And it would also allow the distributors to sell to pharmacies at say $350 (so the distributors make more money ), and the pharmacies could sell to the uninsured and those during their deductible phase for $375. Meaning more patients could benefit from their drugs.

This doesn’t mean every patient could afford their meds, but it means that more could. Saving $225 is not nothing.

The CEOs each told me that they would like to, but can’t. Why?

Because the ins company PBMs have told them that if they did this , they would reduce their position on their formularies. Which could cost them billions of dollars across all their drugs.

None of this is against the law.

It’s become standard industry practice.

Until we break up these conglomerates , it will only get worse.

[BOFA @ErikPierce]

what kind of sick shit is this?

[BOFA @ErikPierce]

I can’t stop laughing at this

[Chicago Bears @ChicagoBears]

RT for the chance to win a paintbrush signed by our own Bob Ross, @RomeOdunze 🖌️

[BOFA @ErikPierce]

@RGIII Whoever made that decision legitimately doesn’t deserve to be involved in competition. What kind of miserable person does that

[BOFA @ErikPierce]

@wicks_szn @ChicagoBears your name sounds like a walmart brand capri sun

[BOFA @ErikPierce]

I turned off almost all notifications on my phone and it has done wonders for my mental health. I check apps whenever I feel like, ain’t no little red numbers annoying me.

[BOFA @ErikPierce]

it’s a great year to get really into baseball, this Cubs team is fucking awesome

[BOFA @ErikPierce]

I feel like the machines are fighting back because my autocorrect has ben terrible lately

[BOFA @ErikPierce]

Canada looks like the bad guys from a cheesy 90s hockey movie

[The White House @WhiteHouse]

🚨PEDOPHILES. KIDNAPPERS. VIOLENT ASSAILANTS.

These are just some of the most dangerous illegal aliens ICE took off our streets this Tuesday.👇

[BOFA @ErikPierce]

I might cry

[BOFA @ErikPierce]

it’s every week

[BOFA @ErikPierce]

HOW HOW HOW HOW HOW

[BOFA @ErikPierce]

let’s not get cute, punch it in

[BOFA @ErikPierce]

I am a nervous wreck over this game already