Tamer

[Mohamed Salah @MoSalah]

أنا عارف إنكم لسه زعلانين، بس وعد مني إني هعمل كل اللي في قدرتي عشان أضمن إن دي تكون بداية ��ديدة للكورة المصرية على الساحة الدولية. التأهل لكأس العالم مش هيكون كفاية، والمشاركة كمان مش كفاية. الفريق ده يستاهل ثقتكم

[Romain Molina @Romain_Molina]

Je vous prépare une très grosse enquête sur la mafia du football argentin demain matin 🇦🇷

Probablement l'un des plus gros scandales couverts par la FIFA ces dernières années d'ailleurs

[Tamer @dr_tamer81]

@HaithamH19976 And we are proud of you 👏🏽

[Tamer @dr_tamer81]

@RepHarshbarger Well said!

[Tamer @dr_tamer81]

@kpharmd12 Well said!

[Tamer @dr_tamer81]

@kpharmd12 Love this!

[LaCandria Ibrahim @SouthernDiva85]

So proud to be from the south!

[Dave Burke @BurkeForOhio]

Thankfully PBMs are not overcharging Ohio businesses…just the Federal Government right? ⁦@ohiobrt⁩ ⁦@OhioChamber⁩ ⁦@OhioPharmacists⁩ ⁦@Walgreens⁩ ⁦@NACDS⁩ ⁦@FTC⁩ ⁦@Walmart⁩ ⁦@kroger⁩ ⁦@cardinalhealth⁩ https://t.co/ZVkLWgmwJ1

[Mark Cuban @mcuban]

Disintermediating PBM middlemen would save Americans $100b a year says USC research. They nailed it

https://t.co/d1hcAk32o1

[Tamer @dr_tamer81]

@InsOligopoly @Walgreens @pcmanet @AAGSlater @AFergusonFTC @DonaldJTrumpJr Pharmacies can’t keep going like this anymore

[Tamer @dr_tamer81]

@mcuban If it’s that obvious to EVERYONE and PBM reforms have bipartisan support, Why don’t we have any law in place to stop them and enforce transparency? This is beyond ridiculous

[Buddy Carter @RepBuddyCarter]

Today, I introduced the Bipartisan Pharmacy Benefit Manager (PBM) Reform Act.

For decades, PBMs have been STEALING patients’ hope and health. As a pharmacist, I’ve seen firsthand the heartbreaking impact of PBMs— forcing families to choose between groceries and medicine. It’s time to end this.

IN with PBM reform. OUT with the PBM monopoly!
https://t.co/pgb8WBRX60

[Tamer @dr_tamer81]

@mcuban Agree!

[Tamer @dr_tamer81]

@OhioPharmacists What a shame!

[Real Doc Speaks @realdocspeaks]

https://t.co/Hn2WbO4k0D If the independent pharmacies are paid a fair reimbursement, this will be a tax on patients. This is what the PMCS wants us to believe.

However, this story is a great real-world example in which the State of Ohio fired the PBMs for the state Medicaid program.

They replaced them with a state-run pharmacy benefit manager (PBM) that paid the independent pharmacies 1200% higher reimbursements.

The results are as follows:
• 99% of the pharmacies are in network and this
provides great access for the patients
• The state of Ohio saved $140 million over two years
• You can pay pharmacists well and still save money
If you fire the big PBMs!!!

[Tamer @dr_tamer81]

@falk_dave Agreed

[Dave Falk @falk_dave]

Legislators: just about every State in the Nation is passing PBM reform of some sort. Federal also, what is the hold up? It’s been proven time and time again that pbms are stealing tax dollars, abusing Medicare and Medicaid funds and putting independent pharmacies out for their own gain. What more evidence do you need. This is not partisan.
Enough with the committees and hearings. Patients are going without meds and lifelong businesses are being shuttered. It’s past time for action.

[American Economic Liberties Project @econliberties]

"But the vertical integration that has allowed powerful market players to buy other entities in the supply chain... is causing grievous harms in our country."

@SenBooker calls for Breaking Up Big Medicine and cites our research to break down how PBMs are hurting Americans. 👇

[Tamer @dr_tamer81]

@tjparker Well said!

[TJ Parker⚡️ @tjparker]

Let me expound on this rebate thing a bit more..

If you’ve ever found yourself at the pharmacy counter paying $300, $500, or even $1,000 for a brand-name drug, you’re getting totally screwed. Let’s walk through an example with branded Ozempic paid out-of-pocket:

You get to the pharmacy and realize that while your insurance does cover Ozempic, you’re still in the deductible phase of a high-deductible plan. So for a few months, you’re stuck paying the full list price — in this case, about $1,000. You swipe your credit card, pay $1,000 of your post-tax income, and leave with your Ozempic, assuming the pharmacy and the drug company just made a fortune off you. But hey, at least you had insurance, right?

Here’s what actually happened to that $1,000:
The pharmacy — the one that did all the work to fill your prescription — probably lost about $50 for the privilege of buying, storing, and dispensing the drug. The drug manufacturer? After rebates, they probably netted around $250. And the punchline? Your employer walked away with roughly $750 of your post-tax dollars. In some cases, it might be the PBM or insurance company capturing the rebate instead of your employer, helping to subsidize your health plan. But the bottom line is this: you handed a big chunk of your own money to someone else just to get the medication you need.

Maybe you’re a little savvier and used a cash discount card to fill your Ozempic prescription instead. Surely that’s better, right? Nope. The only difference is that now, instead of your employer cashing in, the PBM and the discount card provider are pocketing hundreds of your dollars. Oh — and that payment no longer counts toward your deductible.

How this is legal and doesn’t violate basic consumer protection laws, ERISA fiduciary duties, or even just common decency — is honestly beyond me. In any other industry, if your employer charged you $1,000 for a product, pocketed $750 of it, and told you it was part of your “benefits,” it would be called theft. But in healthcare, we’ve wrapped this practice in enough middlemen, acronyms, and rebate contracts to make it look like normal business.