HD

Serving Selah since the 1950s, Howard's is your family's community pharmacy providing friendly service. Prescriptions, immunizations, cards/gifts...

[HD @HowardsDrug]

@appiecule there was no card shown on the field. the head referee saw it correctly in full speed play as standard run-of-the mill contact foul on a contested ball -- BEFORE the VAR incorrectly (breaking the rules of review) intervened. get your facts straight

[Rupali Chadha, M.D.🩺 @RupaliChadhaMD]

Actually, we should do it exactly like this! Come on @espn 🇺🇸

[HD @HowardsDrug]

@JackPosobiec Is this true? Heard it basically happened over the weekend.... is that true? Does it make you wonder?

[Content Sales Guy @backupburner2]

@JackPosobiec Why did they pave over the crime scene immediately

[HD @HowardsDrug]

@NOUS_PETROS Reading Deuteronomy this morning for the first time since converting to Orthodoxy... WOW. It all makes sense now!

[HD @HowardsDrug]

@orthodox_33ad

[HD @HowardsDrug]

@KalshiFB WHAT?

[FOX Soccer @FOXSoccer]

The most talented lineup on a walk

(via TT/cone81783)

[HD @HowardsDrug]

@Orthodixie huh, is the "great tribulation" going to primarily be a matter of thought/perception?

[HD @HowardsDrug]

@AndrewZywiecMD Understanding of science?

[HD @HowardsDrug]

@EphremSteve @MaryBowdenMD yes, most won't be...

[HD @HowardsDrug]

If you choose to get a flu shot this fall with us at Howard's Drug, don't worry, it will NOT be the mRNA version.

[Mary Talley Bowden MD @MaryBowdenMD]

I have patients who won’t get a Covid shot but are still getting flu shots. Next season’s batch will be mRNA… please don’t do it.

[HD @HowardsDrug]

@OwenBenjamin Apologize = to explain
Doesn't mean = "I'm sorry"
Both don't mean = "forgive me"

I ask my wife to forgive me every day, because we both need it.

[HD @HowardsDrug]

@AMAZlNGNATURE just in time for the World Cup

[HD @HowardsDrug]

@elonmusk Christians pioneered the first hospitals (e.g. St. Basil’s, 369 AD), founded Europe’s earliest universities, & led abolitionism & human rights. Multiculturalism that shames this heritage while importing incompatible values risks eroding what made the West successful and humane

[HD @HowardsDrug]

@elonmusk Western culture's greatest strengths—individual rights, rule of law, scientific progress, and institutions serving the vulnerable—were profoundly shaped by Christian principles: the dignity of every person made in God's image, charity as a command, and truth-seeking as worship

[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.

[HD @HowardsDrug]

@ZoyaBloomz @talkwithgt Fascinating points on patterns over promises.

I wonder if it's common to label ordinary friction as “the pattern” too quickly due to negativity bias or emotional overload? How do you distinguish harmful patterns from normal human mistakes and life and relationship stress?

[HD @HowardsDrug]

@JDVance bring her back in your administration

[HD @HowardsDrug]

@IfindRetards then she's on track for the presidential nomination?

[HD @HowardsDrug]

@w_terrence