The SIP for PBM Reform

[The SIP for PBM Reform @theSIPRx]

It's long past time to act! #pbmreformnow

[Rep. Jake Auchincloss 🟧 @RepAuchincloss]

Too much of the economy is captured by monopolists and middlemen. Pharmacy Benefit Managers are both. My bipartisan legislation will stop their unfair tactics, support community pharmacists, and lower Rx drug prices. https://t.co/hiz7B6iQGT

[The SIP for PBM Reform @theSIPRx]

.... The awakening, let's hope!

[Mark Cuban @mcuban]

It's happening

https://t.co/UBie4ChQXH

[Oklahoma Attorney General Gentner Drummond @Okla_OAG]

I’ve secured a $32 million settlement with CVS Caremark after the company allegedly kept money that belonged to Oklahoma's state employee health plan. When a company keeps money belonging to taxpayers, we're going to fight to get it back.

[The SIP for PBM Reform @theSIPRx]

@LAGovJeffLandry, your leadership is admirable! Thank you for taking a stand! We pray that our MS lawmakers will be willing to show the same strength! #pbmreformnow

[Governor Jeff Landry @LAGovJeffLandry]

It’s all about the money! In Louisiana, we are stopping the madness and reining in PBMs—Profiteering Big Money! Call your legislator. Special session coming to lower your drug prices!

[The SIP for PBM Reform @theSIPRx]

What’s the old saying??? Bigger isn’t always better.

Large self-insured businesses are used repeatedly by PBM lobbyists to fight against PBM reform. They’re repeatedly told that reform will raise their cost, with no evidence to support the claim.

Big businesses need educating as much as anyone. Creating transparency and having 100% pass through rebates will lead to significant cost savings for both patients and businesses.

[IPhA @ILPharmacists]

🚨PBMs Turn Employer Health Plans Into Profit Machines🚨

Employers think they’re saving. In reality, PBMs inflate prices, hoard rebates, and skim profits through hidden fees.

You are not managing costs.
You are being drained.

#PBMMissionFailed #FixPBMsNow

[American Pharmacies @APRxNews]

𝐓𝐡𝐞 𝐇𝐨𝐮𝐬𝐞 𝐄&𝐂 𝐂𝐨𝐦𝐦𝐢𝐭𝐭𝐞𝐞 𝐑𝐞𝐥𝐞𝐚𝐬𝐞𝐬 𝐑𝐞𝐜𝐨𝐧𝐜𝐢𝐥𝐢𝐚𝐭𝐢𝐨𝐧 𝐃𝐫𝐚𝐟𝐭 𝐭𝐡𝐚𝐭 𝐢𝐧𝐜𝐥𝐮𝐝𝐞𝐬 𝐏𝐁𝐌 𝐑𝐞𝐟𝐨𝐫𝐦

📌 Minimum Medicaid Managed Care Pharmacy Dispensing Fee Same as FFS
📌 Bans Spread Pricing In Medicaid 🚫💸
📌 Prohibits PBM Compensation Based on Formulary Decisions 🛑📋

📄 Read the draft here: https://t.co/RyriPRdq9B

This draft represents the likely House position on Reconciliation. 🏛️📝

🗓️ Committee Will Hold Markup May 13. These reforms save taxpayers money! 💰✅

#PBMReform #Medicaid #HealthcarePolicy #PharmacyReform

[Mark Cuban @mcuban]

If you are a CEO of a self insured companies and you want to know what the problem with pricing on medications do this:
Call your PBM and ask for
1. A list of all your pharmacy claims the last month and the net price for each
2. A price list of all net prices
3. Why a drug that is just a pill, is considered a specialty drug
4. Who pays for the rebates you get (hint, it's your sickest employees)
5. Why they reimburse your local pharmacy less than their cost and charge them crazy fees
6. If you can discuss your PBM contract with anyone
7. Why you can't add @costplusdrugs to your network, for when our prices are cheaper than theirs
8. Why you can't call a manufacturer to discuss adherence or wellness programs with the company who created the drug
9. Why they don't provide claims data to the manufacturer to help them improve the safety profile
10. Why they sell positioning on their formulary rather than using it exclusively for clinical value
11. Whether they calls doctors to get them to change scripts to the PBMs white label biosimilar
12. Why your consultant didn't tell you any of this

The level of opacity that the big PBMs create is why the price of brand drugs are outrageous

[The SIP for PBM Reform @theSIPRx]

@POTUS you asked what do the middlemen do and how do they make money... here is one example! @SecKennedy @DrOz #pbmreformnow #pbmreform

[The SIP for PBM Reform @theSIPRx]

Let's take a look at spread pricing, a process that generates billons of dollars in revenue a year for PBMs, while employer health plan costs increase and pharmacies are underpaid their cost. #pbmreformnow #pbmreform

[The SIP for PBM Reform @theSIPRx]

Let's take a look at spread pricing, a process that generates billons of dollars in revenue a year for PBMs, while employer health plan costs increase and pharmacies are underpaid their cost. #pbmreformnow #pbmreform

[The SIP for PBM Reform @theSIPRx]

@TruthRX @mcuban appreciate the share on LinkedIn!

[The SIP for PBM Reform @theSIPRx]

Everyone talks about how pharmacies are paid less than what they pay wholesalers to purchase medications. But, you hear little about how much pharmacies are actually loosing when overhead cost such as vials, labels, and computer systems, etc. are factored in. @TruthRX breaks it down. #thesipforpbmreform #pbmreformnow #pbmreform

[The SIP for PBM Reform @theSIPRx]

“In 2023, drug manufacturers paid $356 billion in rebates and discounts to PBMs that are not making their way back to patients, Nguyen testified.” #thesipforpbmreform #pbmreformnow #pbmreform

[Independent Pharmacy Alliance @IPAPharmacies]

Pharmacy benefit managers lining pockets at expense of patients, say lawmakers #PBM #drugprices #independentpharmacy
https://t.co/llf15qkNVQ

[Lauren Colee Young @LaurenDC5]

This is happening across the country. Every single AG that signed on to the letter asking for Congress to act against PBMs, should protect patients by doing what MI AG Nessel did. @TruthRX

[PUTT @TruthRX]

"The worst marriage in the history of healthcare, is the unholy union of #PBMs & formulary design." ~ @ChrisHobar14375, PUTT Board Member, independent pharmacy owner

Why Pharmacy Benefit Managers & Formulary Design Need a Divorce | TruthRx
https://t.co/V4L9BWRMIb

#PBMreform

[The SIP for PBM Reform @theSIPRx]

The SIP director, @fairpharmd and her husband attended @Commpharmacy #ncpaonthehill today. They had wonderful discussions with Senator @cindyhydesmith and Representative @BennieGThompson. Both expressed their support and hope for federal PBM reform in the near future. The SIP thanks you all for your time and efforts! #thesipforpbmreform #pbmreformnow #pbmreform

[The SIP for PBM Reform @theSIPRx]

@TruthRX Thank you, @TruthRX !

[The SIP for PBM Reform @theSIPRx]

Looking forward to tomorrow's hearing! #thesipforpbmreform #pbmreformnow #pbmreform

[Lynn Fitch @LynnFitchAG]

Mississippi’s independent pharmacies have been forced to take low reimbursements because PBMs have used their influence to force non-negotiable contracts on them. But we are fighting back. Thank you @WCBINEWS for highlighting my office’s work to protect our local pharmacies.