PharmD. CommunityRx Crusader. Defender of Appalachia. Hokie. Big mouth. Bigger ❤️. Hot mess. Forever a SWVA gal. Speaking on behalf of myself. #TwitteRx
PBMs paying influencers $13,000 for a single video that’s coordinated to protect the PBMs vertical integration model - aka monopoly. This year, TN is working hard to break-up pharmacy monopolies, increase competition, improve access and protect the free-market. It’s time the PBMs return their rebates to the patient, not keep them as enhanced profits. @realDonaldTrump@mcuban@TruthRX@TNPharmacists
CNN: “Trump called you a loser.”
REPUBLICAN @SenThomTillis: “I’m thrilled about that. That makes me qualified to be homeland security secretary AND senior advisor to the president.” 🔥 👀
The level of consolidation in our health system helps explain why Americans feel anxious about their health care – because the coverage they have, the drugs they rely on, and the doctors they can see, are increasingly controlled by the same corporate families.
Get that shit out of here 😁 @costplusdrugs its $20.13 plus shipping.
https://t.co/d7UzdxoYdc
OR, you can pick it up at a local pharmacy via https://t.co/jEJmObtLEi for $37.14, which includes $12 for the pharmacist who works their ass off and rarely gets paid for their time.
https://t.co/KndQP3IfHk
This is one of my favorite speeches of all time…
It always hits me hard:
“You get up every day—you’re entitled to nothing. Nobody owes you nothing. You could have talent, but if you don’t have discipline, and you don’t execute, you don’t focus… What do you get? Nothing. If you’re complacent and not paying attention to detail… What does that get you? Nothing. So nothing is acceptable but your best.”
This is a harsh reality of life:
Talent is meaningless without discipline.
Ambition is worthless without execution.
Focus is the difference between potential and reality.
You’re not entitled to success—it’s earned in the quiet, thankless moments when no one is watching.
The antidote to entitlement is relentless ownership.
Show up fully. Pay attention to the details. Do your best—every single day.
Because in a world where everyone wants the reward, it’s those who refuse to accept anything less than their best who build something worth being proud of.
Wow, I feel like every pharmacy just experienced this same problem during the DIR hangover cliff that happened the start of 2024.
How many more will close down if they can’t randomly pull tens of thousands of dollars out of their ass for 2026?
Thousands of pharmacies will be gone 1st quarter of next year.
Big applause 👏 to all of the people who made this possible due to the Medicare negotiated drugs.
FIRE THE PHARMACY BENEFIT MANAGERS?
No, let’s just add another layer to the already over-cooked cake.
@RonFilipkowski Imagine if a Republican Senator was thrown to the ground and handcuffed under Biden’s presidency…. Lauren Boebert would be cracking open a fresh set of Crayons and fumbling her way through articles of impeachment by now.
This is why our system is crazy.
Brand drug manufacturers subsidize hospitals w 340b and PBMs many ways, and the insurance companies that own them
Hospitals/providers subsidize insurance comps, which also take advantage of CMS/HHS/taxpayers and employers
@joeymattingly Medical billing is the same. Common practice is to charge 1.5- 2.5x Medicare to ensure the reimbursements are captured when changes are made. Trust me. They make their contractual adjustments. The whole system is stupid & needs reform.
This is why being a member of your state association is SO important. Beyond that - please take advantage of the laws & regs in place to hold PBMs accountable! If you're overwhelmed, with the how reach out to TPA for guidance.
🚨 BREAKING: A new audit from TN Dept. of Commerce & Insurance exposes major violations by Express Scripts — including $30M in spread pricing and discriminatory reimbursements paying their own affiliated pharmacies at higher rates. Read more at: https://t.co/ig9RCn65xc #PBMReform
Went on a rant on instagram about all the craziness going on w PBMs at the state level. This is a full on attack & the PBMs desperation to maintain their criminal activity. It has to end!! #stopPBMabuse