Started By
Message

re: UnitedHealth subsidiary sues Mississippi Board of Pharmacy

Posted on 1/8/25 at 9:03 am to
Posted by SwayzeBalla
Member since Dec 2011
19551 posts
Posted on 1/8/25 at 9:03 am to
Check out the Brigham Buhler interview on the Tucker Carlson podcast. It was a posted a few days ago. He does a good job of breaking down PBMs and their drug pricing model.
Posted by JohnnyKilroy
Cajun Navy Vice Admiral
Member since Oct 2012
40326 posts
Posted on 1/8/25 at 9:07 am to
The CEO of Optum RX is Dr. Patrick Conway.
Posted by MRTigerFan
Baton Rouge
Member since Sep 2008
6426 posts
Posted on 1/8/25 at 9:11 am to
quote:

Everytime I go to CVS to pickup a prescription for my son I get pissed off. I told my wife she’s either going or the prescriptions are getting filled at our neighborhood pharmacy.

Cannot stand that place.

Why don't you just go to the neighborhood pharmacy instead of complaining?
Posted by jchamil
Member since Nov 2009
18887 posts
Posted on 1/8/25 at 9:17 am to
(no message)
This post was edited on 1/16/25 at 8:41 pm
Posted by iwantacooler
Pig Nose Feet
Member since Aug 2017
2698 posts
Posted on 1/8/25 at 9:20 am to
quote:

Ultimately it doesn’t matter when the congressmen are on the take , they’ll kill any pbm reform despite the shouting from Indy owners as it would directly help them. They don’t care. It’s such a shame.


A friend of mine wrote to several legislators. This was one of their replies:


    I am sitting down answering emails and yours popped up. I have voted to get rid of PBM’s for years! The problem is that PBM’s rush in with big money to pay off legislators that have the influence to kill the legislation. All legislators understand what’s going on please don’t kid yourself by thinking they don’t.  At this point your message is long an old news. It should be to shame the legislators that take money and kill the bill. Point out that they don’t care about their constituents getting their medicine they need to live nor their local pharmacies staying in business.  They just care about themselves. Don’t go backward and look and blame go forward and say if you kill the bill we will make sure everyone knows who did it. Sorry to be so blunt but people need to understand that all legislators know exactly what is going on it has been a hot topic for years. Locals should put pressure on their senate and house members and let them know they are watching and will report to their constituent's how they voted.  Put it in the papers, radios, mail them letters that you will make their name public if they vote against it or kill the bill in committee or don’t bring it out for a vote. Facebook is free and your friend. Everyone reads it. Make sure all of our constituents know that the bill is coming up for a vote and they will fight to make it happen.  The one thing most important to a legislator is they win their next election. They continue to get away with killing the bill because nobody pays attention or points out what happening. Constituents don’t understand because it is a hard subject to explain. But they will understand they could get medicine much lower if their legislator cared. That is your message. Going on supertalk blah blah blah is great but your locals have no idea what is going on and that is where the rubber is going to meet the road. If someone goes on a radio their message should be simple you will get cheaper medicine. Y’all have had the same message for years and it is not working. But people will get it. Keep it simple but you need to hit it hard not beg legislators to do the right thing. Ok I need to quit because I am saying a lot and I don’t know you!! Just telling the truth. The last thing I will say is get the bill you want if you do this it will pass. Representative Stacy Wilkes is writing the bill and wants to get it done. She has also fought for it for years so you have good people. It will pass if put before the legislature for a vote.  We have tried to get it done for years. Don’t waste another year! Time is running out. It’s a short session. 





Posted by morganwadefan
TN
Member since May 2023
1447 posts
Posted on 1/8/25 at 9:25 am to
I love my Publix pharmacy. I had an episode of elevated BP a year ago and my pharmacist insisted I call her to let her know I made it home safely.
Posted by themetalreb
Mississippi
Member since Sep 2018
6757 posts
Posted on 1/8/25 at 9:30 am to
A friend of mine in south Mississippi owns a small pharmacy, He is also on the Board Of Pharmacology in Mississippi. There are only 5 members on the board. Anyway, he has said for awhile it's only a matter of time before big pharma shuts him, and others like him, down. They are repeatedly challenged over "ethics of commerce" by the establishment. Damn shame.
Posted by Stexas
SWLA
Member since May 2013
6848 posts
Posted on 1/8/25 at 9:32 am to
100% support local RXs... Better service, care, and ease of use. big PBMs are only about profits.
Posted by MintBerry Crunch
Member since Nov 2010
5845 posts
Posted on 1/8/25 at 9:41 am to
The Big Pharma trade group has a 340B suit going against Louisiana right now.
Posted by HogPharmer
Member since Jun 2022
3431 posts
Posted on 1/8/25 at 9:53 am to
quote:

Is this even illegal? I would assume that it’s public record, is it not?


PBMs put gag clauses in their contracts that prevent pharmacies (mainly independents) from releasing this information.

I read a contract a few years back that literally said we could be dropped from network if we "bad mouthed" the insurance company/PBM.

And the word "contract" is used very loosely here. Mainly due to the fact that typically with contracts, it is negotiated. The PBMs like to throw around the word "negotiated" when arguing against pharmacies. But make no mistake, there is ZERO negotiations that go on between an independent pharmacy and a PBM. They give you a contract and say "take it or leave it. We don't care." So there is zero leverage for most pharmacies to negotiate for fair reimbursement.
Posted by CatfishJohn
Member since Jun 2020
19059 posts
Posted on 1/8/25 at 9:55 am to
I tried to use our local pharmacy, the owner/pharmacist actually lives in my neighborhood.

We gave it a real go for almost a year, but it was like 2x the cost of meds at Walgreens and I have no idea why.
Posted by BigBinBR
Baton Rouge
Member since Mar 2023
9348 posts
Posted on 1/8/25 at 10:22 am to
quote:

PBMs put gag clauses in their contracts that prevent pharmacies (mainly independents) from releasing this information.


This sounds like jobs telling people that they can't talk about their salaries because then they would know they have been getting screwed or the other employees will figure they are getting screwed.
Posted by SwayzeBalla
Member since Dec 2011
19551 posts
Posted on 1/8/25 at 10:38 am to
Those “contracts” also say you can’t disclose to the patient/customer if their prescription would be cheaper without billing it to insurance and instead charging a “cash” price.
Posted by Weekend Warrior79
Member since Aug 2014
20812 posts
Posted on 1/8/25 at 10:51 am to
quote:

My local pharmacy sees me walking in and starts ringing me up before I get to the counter. Sometimes they offer to drive it to my house.

That sounds a little inconvenient when you are standing right there
Posted by Harry Caray
Denial
Member since Aug 2009
20298 posts
Posted on 1/8/25 at 11:03 am to
quote:

This sucks. Big Pharma needs to be dealt with.

I know a brother of a plumber that was looking into this
Posted by LSUScores
Member since Oct 2015
1371 posts
Posted on 1/8/25 at 11:04 am to
Wonderful news as our company just switched to United healthcare.
Posted by KamaCausey_LSU
Member since Apr 2013
17168 posts
Posted on 1/8/25 at 11:09 am to
quote:

Is this even illegal? I would assume that it’s public record, is it not?


Not a lawyer or auditor but. Generally, audit findings are not public record until stakeholders have been notified and had a chance to respond.

Hope United Health gets fined massively.
This post was edited on 1/8/25 at 11:14 am
Posted by DakIsNoLB
Member since Sep 2015
1234 posts
Posted on 1/8/25 at 11:09 am to
quote:

Most consumers don’t even realize what a pbm is or does, but they certainly don’t have your best interest in mind or lower medication costs as they claim they do.


And yet you won't state what PBM stands for. Pharmacy Benefit Manager.

After reading on them a bit, it's not hard to see how they can manipulate prices and screw over mom and pop pharmacies.
Posted by UptownJoeBrown
Baton Rouge
Member since Jul 2024
7481 posts
Posted on 1/8/25 at 11:11 am to
I tried a local pharmacy. They sucked arse. Went right back to Walmart. Never an issue.
Posted by iwantacooler
Pig Nose Feet
Member since Aug 2017
2698 posts
Posted on 1/8/25 at 11:22 am to
quote:

And yet you won't state what PBM stands for.

Read my original post, starting at the third word.


Here is an example of a claim from United health earlier today. I was paid $65 below cost. My acquisition cost is $1,113 and I was paid $1,047.25 for a net of -$65.
This post was edited on 1/8/25 at 11:28 am
first pageprev pagePage 2 of 5Next pagelast page

Back to top
logoFollow TigerDroppings for LSU Football News
Follow us on X, Facebook and Instagram to get the latest updates on LSU Football and Recruiting.

FacebookXInstagram