Patient paying over $90 a month to have Part-D coverage through @SilverScriptPDP
Needs an antibiotic filled for #28 tabs of doxycycline.
��Insurance” contributes nothing.
Full price of $1.61 copay for the patient.
Leaving a $0.17 profit margin for the pharmacy to dispense, counsel, run interaction checks with other medications, pay overhead, pay staff, etc…
Not going to cut it @SilverScriptPDP
Why are people continuing to pay their premiums to these scam artists?
Oh, because if you don’t carry Part D coverage, the government starts to penalize you every year that you don’t have coverage.
We need better options for our seniors.
This is utter bullshit.
$nvo $pfe
Novo gapping down every day . Feels like they are throwing the kitchen sink this week .35-37 should be the absolute bottom at value now way before Ozempic launch
Feels like Pfizer should come in and buy the company at this value since they are lagging in that sector
$12 versus $150.
Same blood test.
Same CLIA certification.
Same results.
$500 versus $4,500.
Same MRI.
Same machine.
Same radiologist read.
$1,500 versus $6,800.
Same colonoscopy.
Same physician.
Same outcome.
The prices exist.
https://t.co/sOA5U9c4QQ posts them.
https://t.co/K6Uj4zhZPz posts them.
https://t.co/hj07ZDOOag posts them.
When you post prices, transparency creates mean reversion.
The outliers compress toward the center.
Premiums follow.
This is mathematics.
Senator Elissa Slotkin says the real reason our healthcare in America is so bad and never changes, is because US Congress is being paid off
“If you want to know why all Americans are furious about the price of health care and nothing ever changes, it's because of this very ugly reality. Lobbyists and corporate PACs donate a lot of money, and then members of Congress feel beholden to protect those industries.
And that has real-life consequences for middle-class Americans on health care and on everything else.
The middle class doesn't have a lobbyist. They don't have a Super PAC. They don't have a corporate PAC”
It’s both sides
The PBM "creativity" has reached a new level of absurdity.
UnitedHealth’s Optum Rx just dropped a new rule that is a masterclass in anti-competitive behavior—and it’s aimed directly at destroying independent pharmacies.🛑
PBMs were meant to manage benefits. Instead, they’ve become a vertical integration monster. Now, the insurer, the PBM, and the pharmacy are often the same giant corporation.
The result? They create "nonsense barriers" to kill any competition they can't buy.
Optum’s latest move: The 25% Therapeutic Class Cap. 📉
Under this rule, independent pharmacies are penalized if more than 25% of their total claims come from a single therapeutic class (like HIV, Oncology, or Mental Health).
Why this is impossible for local pharmacies:
No Control: Pharmacies don’t choose which patients walk through the door.
Specialization Punishment: If a pharmacy specializes in complex care (like HIV), they are now "out of compliance" just for serving their community.
Patient Harm: This forces pharmacies to turn away sick patients just to "balance" their spreadsheets.
This is the dark side of the Affordable Care Act’s legacy: incentivizing vertical integration. When the middleman owns the competition, they don't play fair—they just move the goalposts.
Legislation is struggling to keep up because this behavior is "un-legislatable." You can’t write a law fast enough to stop this kind of "creative" malice.
We saw the writing on the wall. That’s why we fired the PBMs. By removing the middlemen, we offer:
✅ Fair pricing
✅ Total transparency
✅ No nonsense "caps" on who we can help
Stop letting giant corporations dictate your healthcare.
$11 drug = $1,016 on TRICARE? 🤯
This #VeteransDay, honor our veterans by demanding transparency & an independent audit of TRICARE!
Sign the petition & see the cost comparison: https://t.co/Zgb4XHYFNX
🚨🇺🇸 MARK CUBAN EXPOSES PBM SCAM COSTING PATIENTS BILLIONS BEFORE SENATE
Mark Cuban just testified before the Senate explaining how Pharmacy Benefit Managers are a bigger monopoly than Amazon, controlling drug access for 270 million Americans while driving prices up, not down:
"PBMs auction off access to their formularies to the highest bidders.
Drug companies pay rebates and fees so their drugs can be covered.
The higher the list price, the more money PBMs make."
A $600 drug costs the manufacturer $240 after rebates.
Uninsured patients pay $600. Insured patients with deductibles also pay $600.
The PBM pockets the difference.
Cuban's solution: count cash payments toward deductibles, base out-of-pocket costs on net price, separate formularies from PBMs, and end specialty tiers.
The U.S. is the only country using PBMs.
That's why we have the world's highest drug prices.
Source: CSPAN, @mcuban
Ever wonder why your healthcare premiums keep going up?
Because your local nonprofit health system and carrier bought season tickets.
Stadium naming rights.
Courtside seats.
Luxury suites.
If you’ve got your name on an arena,
you’re not a non profit health system or carrier.
You’re Live Nation.
A growing number of families across metro Detroit are facing an unexpected challenge: a nationwide shortage of ADHD medication. From children struggling in school to adults just trying to manager daily life tasks, the impact of this shortage is widespread. https://t.co/Oo4inw7baU
Your voice can help save the next pharmacy.
Across the country, community pharmacies are being forced to close. When that happens, patients lose trusted care, affordable access, and an essential part of their neighborhood.
PBM practices, hidden fees, unfair reimbursements, and patient steering, are putting local pharmacies at risk of shutting down. The result is higher costs, fewer choices, and communities left without care.
We can change this. Support PBM reform and stand with independent pharmacies. Together, we can keep care local and protect the patients who depend on us.
@SenKatieBritt@SenTuberville@RepTerriSewell@USRepGaryPalmer@RepBarryMoore@RepSCFigures@RepMikeRogersAL@Robert_Aderholt@RepDaleStrong@TruthRX@_APCI@Commpharmacy
#PBMReform #SaveLocalPharmacies #pharmacyadvocacy #StopPBMabuse #BirminghamApothecary
iPharmacy is now scheduling on-site vaccine clinics for businesses, nursing homes, long-term care facilities & providers. Protect your staff & patients this year with convenient immunization services. Call (734) 743-5055 to set up your clinic!
📣✨ Back-to-School Means Flu Shot Season! ✨📣
Protect your family and community this school year—iPharmacy is now offering Flu Shots for the 2025–2026 season! 🛡️💉
✅ Walk-ins welcome – no appointment needed
✅ Most insurances accepted (including Medicaid & Medicare)
✅ Fast, friendly service right here in Livonia
✅ Keep your kids, teachers, and loved ones healthy all season long
📍 Visit us at iPharmacy, your trusted local pharmacy in Livonia.
📞 Call us today with any questions: (734) 743-5055
👉 Don’t wait—get your flu shot today and start the school year strong!
#FluShot #BackToSchool #LivoniaPharmacy #StayHealthy #iPharmacy
While we’re struggling to survive, #PBMs are sending letters to our patients urging them to transfer their medications to a PBM-owned pharmacy. Sometimes, the PBM only allows our pharmacy to fill a 30-day supply of medication before requiring that all remaining fills be sent to the PBM’s mail order pharmacy. | @Bakersfieldcali https://t.co/Dfs4ef7zzR
Pharmacy Benefit Managers (PBMs) are corporate monopolists putting the squeeze on independent pharmacies and the patients they serve.
PBMs are killing these small businesses so many rely on and are a big part of why getting a prescription filled is such a ripoff.
https://t.co/SiHXQuEPfw