Jolleys Compounding

At Jolley's, we believe in Enhancing traditional #pharmacy with superior compounding service.

[Antonio Ciaccia @A_Ciaccia]

CVS just scraped the cream off the top of their business and then cut the dead weight.

That doesn’t mean that the move isn’t important or healthy progress. It is.

But…

This isn’t “breaking up big medicine.”

It’s clinging to big medicine and unloading the leftovers.

[Matt Stoller @matthewstoller]

CVS CEO David Joyner just said on CNBC that the Break Up Big Medicine legislation by @SenWarren and Josh Hawley (@HawleyMO) is one reason he is breaking up his company.

[Alvaro Bedoya @BedoyaUSA]

"You can't subpoena until January, and then you need a gavel" (i.e. a chairmanship)

Correct. But my strong suspicion is that you can have 80% of the same effect with a multi-member public letter.

[Alvaro Bedoya @BedoyaUSA]

Dear dozens of new economic populist members of Congress,

You’ll face fast pressure to deliver economic results. How to do it? Subpoena CEOs. A shocking amount of time, they'll change what they are doing long before you pass a bill or actually cut off their federal funding. So:

- Subpoena Google for cramming AI down our kids throats. Threaten to amend the FAR to prohibit contracting across the U.S. government with any company forcing kids to use AI.

- Subpoena the private equity managers enshittifying hospitals, dialysis centers, your local vet, your local primary care provider. Name individuals, not just companies. Shame them. Show the public (and public pension funds) how they make their money.

- Subpoena health insurers who use AI to auto-deny valid claims, triage mental health emergencies, or upcode diagnoses. Make them stop that.

- Subpoena the airlines for systematically denying cash refunds to travelers. (“Here’s a voucher instead!”) Show your hand – threaten the subpoena now, before Thanksgiving.

- Subpoena Brazilian meatpacker JBS for literally anything. For child labor, for getting fat and rich off of cattlemen, for making their workers work so fast their hands curl into claws, for persistent hygiene allegations.

- Subpoena corporate landlords. Show the public how they get rich off of hidden fees and not fixing their apartments.

- Subpoena any company that has been slow to issue tariff refunds to small business owners. I bet they’ll get their checks a lot quicker!

Will it work? See what happened when Instacart was exposed as secretly marking up your grocery cart... Yes, it can work.

P.S. If anyone tells you “No, you can’t do that” or “No, there’s a process for that,” ignore them. You know what time it is.

[American Economic Liberties Project @econliberties]

Economic populism won last night.

Our statement from Economic Liberties' Executive Director @nhegde on last night's wins ⬇️

[Emma Freer @freer_emma]

CVS's announcement is both a clear sign that bipartisan efforts to break up health care conglomerates—championed by @econliberties's Break Up Big Medicine coalition—are gaining traction and a naked attempt to circumvent those efforts.

[Emma Freer @freer_emma]

@econliberties CVS is trying to appease state and federal policymakers by spinning off its least profitable business lines, including its retail pharmacies, while preserving its lucrative vertically integrated model. It's keeping insurer Aetna, PBM Caremark, its specialty pharmacy, and more.

[Mark Cuban @mcuban]

I don’t think people realize how much healthcare costs are driving big companies to fire and not hire.

It costs them $30k per family, per year for premiums and care. Most of that goes to the massive, vertically integrated insurance companies that send weekly bills that no one reviews in details. And it doesn’t include the company overhead to deal with it all. It’s usually the 2nd largest expense after payroll. Which is insane

It’s far easier to blame AI than it is to blame Healthcare costs.

Want to increase jobs, wages and improve affordability for every American ?

Break up the biggest insurance companies. Make divest non insurance companies. They don’t need thousands of subsidiaries. That’s how they game and abuse the system and increase costs for all of us.

Call your senator and tell them to support the BreakUp Big Medicine Bill by @HawleyMO and @SenWarren.

[Elizabeth Warren @SenWarren]

The nation’s biggest health care companies own:
- Your pharmacy
- Your doctor
- Your insurance company
- The middleman between your insurance company and pharmacy

And they charge you at every turn.

That's why today, I introduced a bipartisan bill to Break Up Big Medicine.

[Mark Cuban @mcuban]

Great job @HawleyMO & @SenWarren LOVE THIS.

Anyone in Congress that doesn’t support this, doesn’t want lower cost healthcare for Americans.

This is a no brainer. Let’s hope @POTUS puts his weight behind this

[Jolleys Compounding @Jolleyscompound]

@KushDesai47 $100M? There are about 60,000 community pharmacies in the US. I look forward to using the extra (checks notes) $1700 per year to pay for… 2 weeks of wages for a single pharmacy technician. Oh we’re urban, make that 1 week of wages.

[Jolleys Compounding @Jolleyscompound]

@jfberke @constans @ZephyrTeachout All of the economies of scale accrue to the corporate pharmacies, not to you. We regularly get paid 1-10% of the reimbursement that CVS is paid for the exact same pills in the exact same bottles.

[Jolleys Compounding @Jolleyscompound]

@AdrianCovert @maxdubler @ZephyrTeachout ah... about that "on cost alone." No they don't. Go look up a basket of drugs on https://t.co/OtTd6byAsA and put in a CVS, a Walgreens and a mom and pop shop. Look for "retail cost" I GUARANTEE that the mom and pop gets paid 20% less to fulfill that basket.

[Emma Freer @freer_emma]

When I got my first pair of hearing aids in 2023, I knew that Congress had recently passed a law – and the Biden administration had finalized rules – allowing the devices to be sold over the counter. 🦻

[Jolleys Compounding @Jolleyscompound]

Just came up with a silly concept- AWP still exists only for PBM contracting purposes. It’s like the human appendix, which exists only to randomly give you appendicitis.

Hence we should call it the appendix waste price.

[Jolleys Compounding @Jolleyscompound]

AWP-itis- A condition in which the price becomes inflated and filled with BS, causing financial pain.

[American Economic Liberties Project @econliberties]

JUST NOW: "I'm all for transparency, but why don't we ... get rid of, outlaw, vertical integration?"

@SenJohnKennedy calls for structural separation of pharmacy benefit managers from pharmacies.👇

[Jolleys Compounding @Jolleyscompound]

@EPotterMD We call the prices that the pharmacy arms of these companies (PBMs) pay us "negotiated rates" but there is no negotiating with them. I've tried, and the response is generally "ha nice try" or "the rates we listed are our best and final offer and necessary to provide value to X."

[Hayden Rooke-Ley @Hayrook]

The Trump admin appears poised to double down on one of Washington’s most entrenched orthodoxies: value-based payment (VBP) and its ideology of managed care.

@Andy_Ryan_dydx and I argue this is a mistake. It’s time for a new agenda in Medicare. 1/x