ExpressScriptsSucks

You DON'T have to use #ExpressScripts or PBM's! Check out CASH prices at Costco Rx, your Local Rx & online. DON'T need to be a Costco Member to use Pharmacy!

[ExpressScriptsSucks @ExpressRxSucks]

@NicoleK8993 @ExpressScripts We are trying to raise awareness that Patients DO NOT have to use #expressrx (or other PMB's) AND to do your research!! Then do what is best for YOU!

[itchycarwash @itchycarwash]

@WallStreetApes I still have credit from a gift card, but don’t fly them because their prices are 30% more than other carriers. Flew them exclusively for 30 year prior. Sorry to see these changes.

[Anna @Annaelyjc]

@WallStreetApes Many private equity firms are continuously acquiring chain businesses to gain pricing power. Our cost of living keeps rising.

[Wall Street Apes @WallStreetApes]

Southwest Airlines has become out of control robbing Americans since a private equity firm bought a major holding

Here are different seat upgrade options:

- You must pay $314 for “choice extra” which gives you a seat selection and some other minor perks, but here’s the catch. It says all the seats are full, so you can’t select that one

- There is an option below it for $254, if you click that option, suddenly there are a bunch of seat open. But here’s the scam, to select them you must pay $68-$74 extra

So instead of paying $314, you must pay the $254 option and pay the extra $74 to pick a seat. Now you’re paying more and getting less perks for absolutely no reason, just because it says you have to

An activist hedge fund Elliott Investment Management acquired a significant stake in Southwest Arlines, initially around 11% for about $1.9 billion and pushed for these major changes for profit changes

They started really upping fees and that’s when they ended the 2 free checked bags too

Private equity destroys everything it touches

[Neurosurgery @neurosurgery]

A major step forward for healthcare providers and the patients we serve. Administrative burdens continue to drive physician burnout and stall timely medical interventions.

Thank you to @WaysandMeansGOP @WaysMeansCmte for advancing this critical bill. Has prior auth disrupted your practice or delayed care for your patients? Share your story using the link below.

#PriorAuthorization #fixpriorauth @painsection @councilsns @councilsns @CNS_Update @spinesection @cvsection @AANSNeuro @AANSCNStrauma

[Sally Pipes @sallypipes]

Medicare shouldn't pay one price for an ultrasound in a doctor's office and another for the exact same ultrasound in a hospital. Site-neutral payments would save taxpayers and remove a major incentive for consolidation.

https://t.co/O30lSUXlOm

[Minnesota Staff Fraud Reporting Commentary @Minnesota_DHS]

Shireen Gandhi. Fraud Queen. The architect of failure. A study in incompetence. The woman who could have stopped fraud but failed. And the coward who single-handedly destroyed the ethics and integrity of Minnesota public service is RETIRING—quietly because she can claim no positive accomplishments. Accordingly, this is an open letter to Shireen Gandhi, the public servant who had the confidence of success and all the results of failure.

This letter was written by a large number of employees who have been harmed by Shireen Gandhi.

Dear Shireen,

As you retire, many people will likely thank you for your years of service. We cannot.

Your biggest contribution to the MN DHS will be freeing up your position. You leave a legacy, just not the one you hoped for—a permanent example of incompetence and failure.

A compliance officer's fundamental responsibility is to protect the integrity of an organization by identifying misconduct, demanding accountability, making sure program integrity is maintained, and acting decisively when serious risks emerge. In essence, to stop fraud and make sure our programs are operating ethically. When those responsibilities are not fulfilled, compliance becomes little more than a title. You failed on all fronts. You treated failure like it's a full-time career. Your name will live on only in the phrase, 'Don't do it the way Shireen did.' Shireen is incompetent, unethical, and is a snake - the whole office speaks of it.

During your tenure, allegations of fraud and significant compliance failures were allowed to escalate while confidence in the organization's oversight dramatically eroded. Whether those failures resulted from poor judgment, ineffective leadership, an unwillingness to challenge those in power, or some combination of all three, the outcome speaks for itself.  You mistake existing for accomplishing. The only thing you've ever managed efficiently is disappointing everyone around you. Your mistakes weren't occasional—they were your workflow.

Leadership is measured by the difficult moments, not the routine ones. It requires the courage to ask uncomfortable questions, pursue uncomfortable answers, and insist on accountability regardless of who may be affected. Many employees expected that leadership from the compliance office. Too often, they saw an office that appeared unable or unwilling to meet the moment. Your ambitious words always seemed to stop just short of action. You didn't earn respect—you exhausted everyone's patience. You turned fraud in human services into a statewide problem.

Worst of all, employees who came to you in good faith, trusting and hoping you would do something to stop fraud, protect public service, and keep the most vulnerable community members safe—were utterly let down, retaliated against, and had their careers destroyed by you. Many employees who have had the misfortune of encountering you have been demoralized and left questioning whether ethics and integrity exists in state service. FRAUD HAPPENED BECAUSE OF YOU.

Shireen, you betrayed state employees. You betrayed the Minnesota Department of Human Services. Most of all, you betrayed all of Minnesota and sold out our state to fraudsters. You foolishly thought that you had a potential political career to preserve and failed to react appropriately on fraud reports and acted dumb to auditors and committees, but you never thought this day would catch up with you, did you?  People can forgive failure. They rarely forget betrayal.

The legacy of a compliance officer is not determined by policies written, meetings attended, or years served. It is determined by whether people could trust that misconduct or fraud would be confronted honestly and independently. For many, that trust was lost because of you.  You consistently underperformed, even by your own low standards. You traded your integrity for convenience, and now that's the only thing anyone will remember. And now, our whole state is paying the price for your incompetence.

Retirement offers the opportunity to reflect not only on achievements but also on the consequences of missed opportunities and failed oversight. Organizations can recover from mistakes. But we will struggle to regain trust that was lost during your tenure. Our agency will struggle to recover from a culture where accountability is perceived as optional.  You don't have a legacy—you have a warning label. Your life and frankly, your career performance is a tutorial on what not to do. The saddest part isn't that you failed. It's that betrayal to Minnesota is the most significant thing you'll ever be known for.

We sincerely hope your successor embraces the independence, courage, and persistence that the role demands - all characteristics you desperately lack. The organization—and everyone it serves—deserves a compliance function that acts as a genuine safeguard rather than a passive observer when serious concerns arise. The most valuable thing you'll ever produce is your resignation letter. Minnesota needs to move on from your toxic legacy.

Shireen, you aren't indispensable—you are replaceable long before you leave. We wish you all the misery in your retirement that you earned and deserved. You don't fail because life is hard. Life fails because it has to deal with you. Every room you leave instantly becomes more productive. You've spent so long underachieving that success wouldn't recognize you. The only legacy you'll leave at work is a training module on what not to do.

Your job performance will not be measured by results. It will be measured by how much damage control everyone else has to do. You managed to turn every opportunity into another reminder that you weren't qualified. May your replacement accomplish in a month what you couldn't in a lifetime. The best thing you ever do for the Minnesota Department of Human Services is to leave it. Now, it is time for our agency to heal from you, repair and rebuild a culture of ethics, and regain the trust of the public by using Shireen Gandhi's name as the exemplar of what never to do in public service.

You know why we wrote this to you—Shireen Gandhi.

Sincerely, Minnesota State Employees

[APCI @_APCI]

Want to learn more about spread pricing? Check out this article that lays out exactly what spread pricing is and how #PBMReform should tackle this hidden revenue stream.
https://t.co/lHXGW4pVKY

[KP, Pharm.D. @kpharmd12]

Does any other profession out there get financially screwed as much as pharmacists do?

Imagine doing 5-10 minutes worth of work at your job and get paid 9 CENTS for those 5-10 mins.

This prescription was only written for 2 tablets of Valium, but 9 CENTS would just cover the cost of an empty vial that the medication comes in.

Absolutely absurd that @ExpressScripts and @MedicareGov would think this is fair and reasonable payment.

[Loretta Boesing @BoesingLoretta]

Beautiful outcome! This is the power of a community that comes together to save its pharmacy. 💖 May we all take notes on the success of Martella's Pharmacy. 📝 What a beautiful community and inspiring story!

https://t.co/6s2fk3wiyV

[🦆 Barovelli 🎹 @Barovelli]

After 2 successful refills without having to pay up front now ExpressScrips wants me to pre-pay. Why???
@ExpressRxSucks #ExpressRxSucks

[🦆 Barovelli 🎹 @Barovelli]

It's been 3 weeks since @ExpressScripts was replaced by another prescription benefit for me. I am happier than ever. Hope to never have to go back. @ExpressRxSucks

[Indypharm @indypharm1]

Is that better for you guys

[Indypharm @indypharm1]

These smaller PBMs are actually worse and more unreasonable than the big 3. The worst is Capital Rx

[Indypharm @indypharm1]

Anyone using QuickBooks online payroll? What a scam they are holding your money to pay all taxes that are not due. What are they doing with our money so far before taxes are due? Is this legal?

[ExpressScriptsSucks @ExpressRxSucks]

@_Annie_Green_ @ExpressScripts Please read our Bio. It could change your life for the better!

[awaywithyou @sheerin_allison]

@vicbalher @ExpressScripts #ExpressScriptSucks lunatics lied over & over again that they were filling & after weeks say oh we don't fill this anymore. But all 6 I talked to offered I can speak to the Pharmacist about managing without my medicine WTF IS THAT OPTION, FILL THE MEDS U SICK FREAKS, WTF?!

[awaywithyou @sheerin_allison]

@ExpressScripts @ExpressRxSucks So I can have some moron like CHARLOTTETHECUNT#E379533 speak over me, never let me finish a sentence, the same w/ cbag I talked to 2day, arrogant & talking over me, not listening not letting me finish, "oh I have to read the whole entire thing 4 u 2 cancel" #ExpressScriptsSucks

[awaywithyou @sheerin_allison]

@ExpressScripts HELD MY RX HOSTAGE SINCE 4/48, LIED THEY WERE FILLING, THEN 5/14 SAY WE NO LONGER FILL THIS RX. BUT WON'T GO THRU TO MY PHARMACY BECAUSE U FUCKING IDIOTS DIDN'T CANCEL IT EITHER, CHARLOTTETHECUNT#E379533 @ExpressRxSucks #ExpressScriptsSucks

[awaywithyou @sheerin_allison]

@ExpressScripts It takes a special type of evil, like Stupidvisors Charlotte & Kristina G. to hold an RX SEVENTEEN DAYS then say they will not fill it. But don't cancel it in their computer so u can fill it somewhere else. ARROGANT low lives on a POWER TRIP #ExpressScriptsSucks