My wife and I own Forest Park Pharmacy, and we don't accept insurance. None of it. That decision is exactly why we could fix what happened to a patient today.
A family came in wanting to transfer their kid's antibiotic to us. The child had already STARTED the course. Then, mid-treatment, the insurance company decided the last 14 tablets suddenly needed a "prior authorization" before the other pharmacy could hand them over. A sick kid, halfway through an antibiotic, and the answer was "please hold."
The drug is linezolid. It's a generic. It's been generic for over a decade. It treats serious gram-positive infections — the kind you do NOT want to stop antibiotics in the middle of, because an interrupted course is how you breed resistant bugs and end up right back where you started.
So why the hold-up on a cheap, common generic? Follow the fake math.
Insurance and the PBMs behind them price drugs off a number called AWP — "Average Wholesale Price." People in my industry have another name for it: "Ain't What's Paid." It's a benchmark number, not a real-world cost. On paper, the AWP for just those last 14 tablets is about $2,500.
My cash price for the same 14 tablets? $18.
Read that again. The system that's supposedly "protecting" this family from cost is the same system that inflated an $18 medication into a $2,500 line item, then slapped a prior auth on it to "review the expense" THEY invented. They manufactured the problem, then billed everyone for the privilege of solving it — and made a sick kid wait while they did it.
This is the whole game. When a drug is priced honestly, there's nothing to "manage." When it's priced off a fantasy benchmark, you get spread pricing, PA paperwork, pharmacy phone trees, and delayed treatment — all dressed up as cost control.
Here's the part nobody tells you: roughly 90% of prescriptions are low-cost generics. For the vast majority of what people pick up every day, running it through insurance does two things — raises the real cost and risks delaying your care. That's it. That's the value-add.
That's why we fired the insurance companies. No middleman deciding your kid can't finish their antibiotics on schedule. No fake prices. Just the real number, on the shelf, today.
The medication was always cheap. The insurance was the expensive part.
Freddy: My flight got canceled
American Airlines: We’ll do whatever it takes to get you there
Me: My flight got canceled
American Airlines: Dang that’s crazy here’s a link to our FAQ
Rod sneakily built in a 35 pound cinderblock lift into the Canes offseason workouts, called it “Blue Collar Presses”, and the boys never thought anything of it…
Turns out he was having them practice lifting the Cup all season long 🤯🔥
(via @Canes)
2006 - Rod Brind'Amour wins a Stanley Cup for the Hurricanes as a player
2026 - Rod Brind'Amour wins a Stanley Cup for the Hurricanes as the coach
The only two Stanley Cup wins in the Canes' history.
@miles_commodore This and Honeycomb were the only “sugary” cereals allowed in our house. Otherwise we had regular Cheerios and Rice Krispies (both which required added sugar to be palatable 😆)
Imma need North Carolina come together in prayer for our Canes today.
They lost in double OT last night after making the greatest comeback in history.
But it ain’t over yet. God’s Country can still defeat Sin City. 💯
@45vegasmingo@RealMattCouch The one in the tiny bed is a Walker Coonhound. The other is maybe a Walker Bluetick mix. Both are rescues so lineage is uncertain 😆
@WallStreetApes@NCAngieKay The other contributing factor is that the wholesale cost differs based on who is buying. This happens with contact lenses as well. Companies like Costco can sell contact lenses to consumers for less than what private practices can actually purchase them.
Dear @WhiteHouse, my name is Rodney Smith Jr., founder of Raising Men & Women Lawn Care Service in Huntsville, Alabama. Through our 50 Yard Challenge, over 6,000 kids across the country have signed up to mow free lawns for the elderly, disabled, veterans, active-duty military, first responders, and single parents. With America celebrating its 250th birthday this year and me also being born on July 4th, I wanted to humbly ask if a few kids from our program and myself could travel to Washington, D.C. to help mow the White House lawn for this historic celebration.
More than anything, I want these kids to see how a simple act of service something as ordinary as mowing a lawn for someone in need can lead to extraordinary places. What better lesson in community service than showing them that helping others can take them all the way to our nation’s capital? I’d also love to bring my American flag-themed mower in hopes that the President might sign it, so I can later auction it off and donate 100% of the proceeds to a nonprofit supporting veterans. It would be a once-in-a-lifetime opportunity to highlight the importance of service, patriotism, and the impact young people can have when they choose to make a difference. 🇺🇸