Lisa Yourman

Mother of 2 who happen to have cystic fibrosis/T1d & loving life! Help families w/eff strategies. Author: CF in the Classroom #bestisyettocome #trifecta

[Mark Cuban @mcuban]

Hey @DOGE , @costplusdrugs is out here ready to save taxpayers billions. This is just 16 meds. 16…

[InsuranceOligopoly @InsOligopoly]

Life of retail independent pharmacy in the World of the mafioso Pharmacy Benefit Manager

Statin atorvastatin, generic for Lipitor.
Cost $1.44
PBM allows $0.73
PBM pays $0.73
Patient copay $0

PBM CVS/Caremark is paying below cost. Is paying below what they themselves, CVS pharmacy, other chains would accept.
Then, the PBM uses a discounted amount from the submitted average wholesale price of $207.62 to bill payor. If that number is 50%, it’s still $103.81. While they paid us $0.73

Additionally, they prevent us from dispensing 90 day supply, something they offer via their own mailorder.

Yes, this is what PBMs do thousands of times per day, 365 days per year. Underpaying pharmacy and over billing payors.

@RepAuchincloss @RepBuddyCarter @RepJamesComer @linakhanFTC @BedoyaFTC @RKSlaughterFTC @MHolyoakFTC @JCScottPCMA @pcmanet @JusticeATR @RobertKennedyJr @VivekGRamaswamy @DOGE @mcuban @costplusdrugs @GOPoversight @OversightDems @SquawkCNBC @SquawkStreet @DrugChannels @Commpharmacy @A_Ciaccia

[Lisa Yourman @lyourman]

Hawthorne NJ Dietitian - Pharmacy Benefit Managers Have "Not Resulted in Lower Prices for Patients Like Me" Hawthorne, NJ News ⁦@costplusdrugs⁩ https://t.co/TQ7E1sBiun

[Lisa Yourman @lyourman]

@KellyClarksonTV Would you be able to help spread the word?
#cysticfibrosis #type1diabetes

https://t.co/nQzu1grJHS

[Lisa Yourman @lyourman]

Thank you @costplusdrugs ! Your company has made a difference in savings for consumers and reveals the dark side of PBM’s.

New drug. Insurance approves a prescription for only 9 tablets 90 day supply - $25 copay.
@costplusdrugs fills it as 90 pills for $10.40 plus $5 shipping!

[Lisa Yourman @lyourman]

@mcuban Whoo hoo!

[No Patient Left Behind @NPLB_org]

It's just not right... why does insurance charge people out-of-pocket for a medicine no one would take if they didn't have to?

We need to cap these costs for patients and #fixinsurance.

Please share and help, @MariahCarey , @jessicaalba, @Eminem, @Pink, @JeromeBettis36!

[Mark Cuban @mcuban]

If you truly want to change healthcare and drug pricing for the better, it starts with what you do for your owned and portfolio companies

Stop using the big insurance companies and their big 3 PBMs and you will see your drug pricing,and healthcare $ drop immediately.

Get enough of your peers to do the same and you will change the behavior of the people that are forcing the country to over pay for meds and care and prices will come down with or without legislation

At @costplusdrugs we get requests to sell our meds around the world because our pricing is transparent and cheaper than in many countries.

Big pharma wants to see this change. They hate dealing with the big insurance and PBMs .

The only thing holding them back is the Fortune 5000 not acting in their own self interest

If you want a simple couple tests. Try these

1. Look at your rebate contracts from the last 4 years. Then compare what your PBM promised vs want they paid. It won't be the same

2. Ask your PBM to add Humira biosimilar Yusimry to their formulary for you. They charge you probably 3k per month after rebates. Yusimry is $594. Completely transparent pricing at @costplusdrugs

3. Ask them for all your claims for humira and all specialty generics. They won't give them to you without charging you and taking forever.
If they do get them to you , go to https://t.co/HSbdDXpdy9 and compare pricing

The prices are high because we let the system become an opague mess.

All of us that have any way in our corporate healthcare decisions and self insure are the ones that created this mess

We also can fix it by direct contracting , transparency and rebate free PBMs. If which there are many

Here is some more insight :

https://t.co/0bDtmh1Dpj starts at the 36 minute mark.

[Lisa Yourman @lyourman]

https://t.co/nQzu1grJHS
#cysticfibrosis #type1diabetes #surrogacy

[Lisa Yourman @lyourman]

@elonmusk Thank you!
#BringThemHome

[Lisa Yourman @lyourman]

@mcuban What’s with @changedapps - not paying properly! No communication!

[Lisa Yourman @lyourman]

Congrats @7BOOMERESIASON

[Sydney Esiason Martin @sydneyemartin]

🧡🖤

[Lisa Yourman @lyourman]

@mcuban Thank you for bringing this to the attention of the public. In addition we have another problem which is PBM’s (middle men) either own insurance companies, or the insurance companies own the PBM’s. Seems like another type of AT&T monopoly.

[Mark Cuban @mcuban]

Most of the drug pricing issues are industry middle men induced problems that have been exasperated because big companies dont understand the money they spend on meds and health care

There is a correlation between the number of contracts required by payers, providers, distributors and PBMs and a drug's price.

M4A wont solve that problem, not will de-regulation.

@costplusdrugs has a chance to.

[Lisa Yourman @lyourman]

https://t.co/nQzu1grJHS
#cysticfibrosis #type1diabetes #surrogacy

[Lisa Yourman @lyourman]

@donnyosmond Thanks for the memories! 🐶🥰

[Lisa Yourman @lyourman]

@pulte #cysticfibrosis and #type1diabetes #motherhood #Amiraclecometrue #surrogacy #readstory #trifkafta
https://t.co/IlNcIkDICU

[Lisa Yourman @lyourman]

@A_Ciaccia @G17Esiason Is Texas next? #HB999

[Antonio Ciaccia @A_Ciaccia]

We saw big PBMs charge as much as $16,000 for an 180-supply of generic Tecfidera at the end of last year.

Mark Cuban Cost Plus Drugs charges $162 for the same prescription. @martyschladen @OhioCapJournal @mcuban @costplusdrugs @alexosh https://t.co/KYkCA5qj3D

[Texans for Health Access @TX4HealthAccess]

When out-of-pocket costs rise because of harmful insurer policies, patients leave the pharmacy empty-handed. @loiskolkhorst @electcharles @SenBryanHughes @CesarJBlanco, please support #HB999 by @DrSchwertner & @FourPriceTX to protect TX patients! #AllCopaysCountTX #TXlege

[National Infusion Center Association (NICA) @infusioncenter]

More than 70% of marketplace plans in Texas have harmful insurer and PBM practices. @KHancock4TX @loiskolkhorst @electcharles @SenBryanHughes, please step up for Texans – support #HB999 by @DrSchwertner to ensure #AllCopaysCountTX! #TXlege https://t.co/MQiBAghhN3