Removing #pharmacy DIR reduced #pharmacy reimbursement by -1.6%, while expanding AWP-to-gross-prescription-cost spread. Looks like Part D plans reduced pharmacy reimbursement to offset loss of post-sales rebates from pharmacies to plans. Source: @Milliman

Pharmacies are holding on by a thread waiting on politicians to legislate responsible payments. Repeating myself here,it’s easier to fix it now than to wait till thousands close and try to replace them. @RepAuchincloss @RonWyden @RepBuddyCarter @DOGE @MikeCrapo

This is what PBM’s are doing to small businesses in Alabama @nfib_al @BCAToday Help stop the steal of independent pharmacies by supporting SB99 in Alabama! @GovernorKayIvey @willainsworthAL @RepLedbetter

This is how short I am paying drug bill(s) due Monday 2/10/25. I have no available savings ($100,000 drained in 2024) nor LOC left ($40,000)! @Walgreens in my town is closing 2/25/25. I’ve received numerous transfers. We did over 1600 prescriptions last week, average of 300 per day. The only other pharmacy in town busier than me is @cvspharmacy and @Walmart. So, I’m doing the business. This is in addition to being the only HME/DME provider in 30 miles. My salary is $50/hr. I have no large personal expenses being funded by my business (no boat, no RV, no airplane, no second home). My wife and I have 1 house. 1 child. 1 dog. A 5 year old Ford Explorer, a 10 year old GMC Sierra, and a 16 year old GMC Sierra. I have been a pharmacist for 20 years, so no school loans either. What’s the problem: @CencoraGlobal Pricing? Elevate PSAO reconciliation? Everyone letting PBMs racketeer? @OptumRx I hate you @CVSHealth I hate you @ExpressScripts I hate you @Humana I hate that you under pay over $30 on some Part D brands. I hope I can stay in business long enough to see @GOPoversight @OversightDems @RobertKennedyJr @HHSGov regulate PBMs out of existence

My pharmacy opened in 1892. This is my same story. I bought my pharmacy to keep its legacy alive and to continue to serve our community. We are the only pharmacy that delivers and our homebound patients and seniors greatly value what we bring to their lives. Sometimes we are the only people they see or talk to for weeks. We need PBM reimbursement reform and we need it now. @CraigGoldman @olcott4texas @HagenbuchTX @KHancock4TX @PhilKingTX @JohnMcQueeneyTX @JohnCornyn @SenTedCruz

I would do the following: 1. Eliminate PBMs from all pricing and formulary decisions 2. Pay no more for drugs than other comparable countries 3. Enforce the Robinson-Patman Act and every pharmacy Will get the same wholesale price We need price transparency and the elimination of middlemen in healthcare.