Zack

pharmacist and girl dad.

[Zack @pharmred]

@SecKennedy Ego lift.

[NRA @NRA]

This sentiment from the First Assistant U.S. Attorney for the Central District of California is dangerous and wrong.

Responsible public voices should be awaiting a full investigation, not making generalizations and demonizing law-abiding citizens.

[Bobby Bones @mrBobbyBones]

Me and all my Arkansas homies

[Dylan Jones @dylnjon4]

Thank you for your leadership on this issue @SarahHuckabee! Arkansas leading the way and the country is quickly finding out. Your turn, USA. @rep_stevewomack @RepRickCrawford @RepFrenchHill @RepWesterman @JohnBoozman @SenTomCotton @SenateGOP @RepBuddyCarter

[Zack @pharmred]

@nhhorton Nobody has forced CVS health to close it’s CVS stores in Arkansas. They are choosing to because they won’t be able to manipulate the market with the help of their PBM business, but the truth doesn’t matter.

[Zack @pharmred]

It’s hard to watch our country be soft on the Russians. We’ve been in a proxy war with them for about 75 years running. America needs to get back to kicking Russian Ass.

[Zack @pharmred]

All ears for someone to explain how this okay.

[The White House @WhiteHouse]

"CONGESTION PRICING IS DEAD. Manhattan, and all of New York, is SAVED. LONG LIVE THE KING!"
–President Donald J. Trump

[PUTT @TruthRX]

New #PUTTcast Alert!
HB1150 isn’t just about corporate greed, it’s about the lives of #Arkansas families, #patients, & #healthcare providers

🎧LISTEN NOW🎧
https://t.co/xcTsbzKQCB

@brandon_achor @JeremiahMooreAR @kimdhammer @arkpharm @LaurenDC5 #PBMreform #Podcast

[Jeremiah Lee Moore @JeremiahMooreAR]

Today I filed HB1150. Arkansas will lead the way in PBM reform. No longer will PBMs be able to pay their competitors below drug cost, while paying themselves up to 1000% above cost. It’s anticompetitive. It’s crony capitalism. It’s just plain wrong. #arpx https://t.co/psBgxsvZgQ

[Arkansas Pharmacists Association @arkpharm]

PBM stands for “Pretty Big Markups” by middlemen on drug costs. Thank you to Arkansas state legislators and @SarahHuckabee for promoting fair prices, local access and better care at Arkansas pharmacies. @FTC @brandon_achor @JustinBoydAR @Commpharmacy @NACDS @pharmacists

[Jeremy Counts @HokiePharmacist]

The 3axis report has far more implications than I thought, and with the Supreme Court ruling, there are going to be legal challenges that take ages for any FTC action to be implemented.

All regulatory laws will be challenged.

They are running out the clock.

The fact that they have moved so much margin and spread to mail order and "specialty" shows that they are ready for PBM legislation and even if we get reimbursement reform it will be held up and challenged at every step.

Their ability to move margin is giving them the ability to price out small insurers, small PBMs, and pharmacies while bamboozling employers with tons of low cost maintenance meds and gouging on the prescriptions they require to be in-housed.

It's why we see the mail order facilities call for transfers or contact physicians directly to steal the prescriptions.

This pricing out is putting pressure across the entire landscape and positioning them to be the only entities left standing.

This is why they are gobbling up physicians offices. They will move margin to that side if the mail order practices become scrutinized.

This presents numerous problems. After physicians, they will go after the only thing left, hospitals. The poweful hospital lobby will find themselves defending revenue and practices of the very entities that are trying to consume them.

That's when they get behind a push for a single payer system. One that they run.

The tipping point is here, which is why they've applied so much pressure the last few years.

The sense of urgency kept me up all night. I'm running on two hours of sleep.

PBMs were legislated a kickback exemption that gave them a huge market advantage that was never meant to be given to pharmacies and insurers. Of course, there is no way for others to have significant leverage to negotiate while they possess that massive fulcrum.

The misaligned incentives and anticompetitive behavior is nothing less than racketeering and if something isn't done immediately, irreparable damage will be done to the healthcare infrastructure of this country.

I call upon everyone in healthcare, tech, and benefits to come up with a market based solution for employers. Communicate with one another. Share ideas. Collaborate.

We can not count on the government to save us. There is too much regulatory capture. We must all work together for a solution and disrupt the vampires.

Otherwise, we're all going to be under the thumb of CigUniVS.

#Pharmacy #Healthcare #Medtwitter #cigunivs #twitteRx #Medx #Twirx

[Zack @pharmred]

@PlayStation @helldivers2

[Zack @pharmred]

@mcuban with the pharmacy truth bombs.

[Mark Cuban @mcuban]

In other words, independent pharmacies subsidize profits for the big 3 PBMs

Hate to say this, but the Medicare Advantage program seniors pick may be putting your local Indy pharmacy out of business. Next renewal, ask how much they pay pharmacies. And pharmacists need to help their senior patients figure this out

I would hand out flyers saying which MA plans support you the most.

Even worse, your employer has no idea that their insurance decisions are also putting pharmacies in bankruptcy

Not a single CEO I have spoken had any idea they were contributing to the death of Indy pharmacies

Indy pharmacies need to be proactive and educate local employers

It is wrong on so many levels that this is happening.

Time to fight back

[Zack @pharmred]

@joeymattingly

[Zack @pharmred]

@cspakes12 It’s almost like the haves always had and still have.

[Zack @pharmred]

@joeymattingly PBMs do however control formularies and drive perverse incentives.

[Zack @pharmred]

@cspakes12 Add facial hair and they are even worse.

[Zack @pharmred]

@JasonIsbell realized how much gear mattered at your Little Rock show earlier this year. Different guitar for every song best I could tell.

[Zack @pharmred]

Maybe I can actually afford @TTChilders tickets now.

[Zack @pharmred]

@cspakes12 I got 20 bucks on @JasonIsbell in that fight. I bet he’s been in plenty of fights in his drinking days.