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This is a big one 🚨 US Pharmacist found another “Massive way for DOGE and Elon Musk to cut” Medicare costs - Medication is called Abiraterone, Medicare pays $3,400 for each prescription - At a pharmacy that doesn’t take insurance it ONLY COST $96. (Medicare mark up 3441%) -...

285,559 görüntüleme • 1 yıl önce •via X (Twitter)

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Crazy Vibes profil fotoğrafı
Crazy Vibes1 yıl önce

The US government sent $2.7 TRILLION in Medicare & Medicaid money overseas to people who were NOT eligible to receive it. That’s 8% of our national debt. Medicare isn't going broke. The money is being stolen.

The Liberation Project profil fotoğrafı
The Liberation Project1 yıl önce

𝐀 𝐇𝐞𝐚𝐥𝐭𝐡 𝐈𝐧𝐬𝐮𝐫𝐚𝐧𝐜𝐞 𝐂𝐄𝐎 𝐢𝐬 𝐍𝐨𝐭 𝐓𝐡𝐞 ‘𝑾𝒐𝒓𝒌𝒊𝒏𝒈 𝑪𝒍𝒂𝒔𝒔 𝑯𝒆𝒓𝒐’ Americans of all political affiliation suddenly woke up realize they agree that their healthcare system is inherently cruel and produces unnecessary misery. ★ NEW ARTICLE ⬇️

Politickle profil fotoğrafı
Politickle1 yıl önce

Breaking: Big Pharma's new math! $96 pill + Medicare magic = $3,400 DOGE Department's next mission: Teaching these "benefits managers" that 3441% markup isn't a typo. Express Scripts making Express Profits while taxpayers get the Express Shaft! Trump was right about Big Pharma all along. Time for DOGE to put these middlemen in the doghouse.

Beth profil fotoğrafı
Beth1 yıl önce

If you know any Medicaid and Medicare fraud and want to report it, or has suggestions, send the info directly to via messages on the official 👉 @DOGE_HHS account. They are using AI to filter them. Together, we can make a difference! 🇺🇸

Mrs B profil fotoğrafı
Mrs B1 yıl önce

Wow, that’s insane. There isn’t a single thing about government that is efficient.

Jammles profil fotoğrafı
Jammles1 yıl önce

Medicare’s overpaying $3,400 for a $96 drug, a 3,400% markup, wasting $1.458 billion yearly on Abiraterone alone. Pharmacy benefit managers, who own pharmacies, set these prices. Trump and Musk call it out. Why do we let middlemen rob us blind?

Baste Records profil fotoğrafı
Baste Records1 yıl önce

Middlemen set the price… and own the pharmacies. What a coincidence!

Peak Perspective profil fotoğrafı
Peak Perspective1 yıl önce

Wow. This is proof the system’s rigged: Medicare’s getting fleeced by middlemen who are laughing all the way to the bank. Would love to see Elon and DOGE dismantle this.

🇺🇸MI_DiamondDave🇺🇸 profil fotoğrafı
🇺🇸MI_DiamondDave🇺🇸1 yıl önce

I don't even know what to say about this. Big Pharma and our Government entities are nothing short of criminal enterprises. Stunning information.

Antithetical Way profil fotoğrafı
Antithetical Way1 yıl önce

What he’s saying is great, but getting Americans off of pharmaceuticals would be better.

Rican Menace profil fotoğrafı
Rican Menace1 yıl önce

$1.458 billion wasted on ONE drug—and they call this “healthcare”? Medicare isn’t broken—it’s rigged. Pharmacy benefit managers (PBMs) like Express Scripts, Optum, and CVS Caremark are setting the prices, controlling the supply, and cashing in on both ends. They tell Medicare what to pay, then own the pharmacies that rake in the profit. This isn’t just inefficiency—it’s a systematic looting of taxpayers.😡 If slashing drug prices is this simple, why haven’t politicians done it? Maybe because the ones writing the laws are bought off by the same middlemen robbing us blind. 💰🔥

Benzer Videolar

My wife and I own a pharmacy. Last month we spent days trying to pry one prescription loose from a company that did everything it could to hold onto it. The drug was everolimus. A generic. It treats cancer and protects transplant patients from rejecting their new organ. Not exotic. Not rare. A pill. The patient wanted it filled with us because we're cash-pay and cost-plus. No insurance. No PBM. No secret markups, no games. Our price was $318. That's not cheap by our standards — most of what we fill runs under $20 — but it was honest. Here's what that same prescription looked like on the other side of the counter. In 2023, Medicare was paying about $6,645 for it. That's roughly 21 times our price for the identical medication. Medicare spent around $240 million on everolimus alone that year. If they'd paid our price, they'd have saved roughly $230 million. On one generic drug. So how does an insurance company profit off a drug that expensive? Don't they pay for it? No. You pay for it. In your premiums. Their job isn't to spend less — it's to keep your healthcare dollars circulating inside their own companies. And the tool they use is called spread pricing. Spread pricing works like this: the middleman bills the health plan one price, pays the pharmacy a lower one, and keeps the difference. You never see it. On TRICARE, they pay an independent pharmacy like mine about $311 to fill everolimus. That barely covers our cost of the drug. Meanwhile the plan gets billed thousands. That gap — north of $6,000 on a single fill — is pure margin the middleman pockets. Now here's the part they'd rather you not think about. The pharmacy we were fighting was Accredo. Accredo is owned by Express Scripts. Express Scripts is the pharmacy benefit manager owned by Cigna. Same company, three masks. That nesting-doll structure isn't an accident — it's the whole design. When the pharmacy, the PBM, and the insurer are all one entity, they can shuffle money between their own pockets and call it whatever they want. The confusion is the product. And this isn't a story about one weird drug. It's the business model. The FTC has been digging into exactly this. In its January 2025 report on the three biggest PBMs — CVS Caremark, Express Scripts, and OptumRx — staff found those companies marked up specialty generic drugs by hundreds and thousands of percent when dispensing through their own affiliated pharmacies. Just those markups generated more than $7.3 billion above what the drugs actually cost to acquire, from 2017 to 2022. One in five of the specialty generics they studied was marked up over 1,000%. Some cancer generics: over 3,000%. On top of that, the FTC pegged spread pricing on those same drugs at another $1.4 billion. One example straight from the FTC's files: dimethyl fumarate, a multiple sclerosis drug. Costs about $177 to acquire. The PBMs paid their own pharmacies close to $4,000 for a 30-day supply. Same trick. Different drug. And they steer the profitable ones to themselves on purpose. Pharmacies affiliated with the big three took in 68% of specialty dispensing revenue in 2023 — up from 54% in 2016. The prescriptions marked up more than $1,000 disproportionately end up at their own pharmacies, not independents like mine. So when we called to transfer this patient's everolimus to be filled without insurance, it landed like we were asking them to set $6,000 on fire. Of course they stonewalled us. That's why we fired them. No insurance means no invisible $6,000 charge buried in a premium you can't itemize. It means the price you see is the price. Ours was $318. Theirs was thousands. Same pill.

Forest Park Pharmacy

58,733 görüntüleme • 1 ay önce

Dear all Republicans who suddenly claim that Trump's Prescription Drug Price Controls are no longer "socialism." You are hypocrites. Look at all the things you said when Democrats tried to do this. - Republican Senator Mitch McConnell on Biden's Drug Price Negotiations, called the idea "Prescription drug socialism." - Republican Rep. Morgan Griffith on Biden's Medicare Drug Price plan: “However the scheme is written is unconstitutional… It is a Godfather, mafia style negotiation where Bureaucrats at CMS make companies an offer they can not refuse.” - House GOP Leader Kevin McCarthy on H.R. 3 which limited how much Medicare would pay for drugs: “the Democrats’ socialist prescription drug plan gives the government full control over prices.” - Rep. Tom McClintock on the same bill: “This bill is nothing but classic price controls … shortages always follow.” - Conservative American Action Network ad buy: It’s a “socialist prescription drug bill that will inch us closer to government-run medicine.” - Republican Senator Mike Crapo on Biden’s plan to allow Medicare to negotiate prices: “These drug price controls would hand a competitive edge to our global rivals, including the Chinese Communist Party.” - Republican Rep Devin Nunes called the government telling companies how much they can charge for drugs “Socialist policies”. - Republican Rep. Buddy Carter on Biden’s Medicare Drug Negotiation: “This will destroy R&D in our country.” - Just last year, House Republicans released an “ideal budget plan” that called for the banning of Medicare being able to negotiate drug prices..

Ed Krassenstein

179,010 görüntüleme • 1 yıl önce

Tennessee just did what Congress can't. They passed a law to break up the health insurance giants. Specifically, they made it illegal for pharmacy benefit managers — the companies in charge of pharmacy insurance — and pharmacies to be owned by the same company. That makes perfect sense. For example: CVS Caremark is the PBM, and CVS is the pharmacy. So if you have Aetna insurance, you have CVS Caremark as your PBM, and they're going to do everything they can to make sure you use CVS as your pharmacy. Aetna, Caremark, CVS — all the same company. That causes all kinds of incredibly obvious problems that this law hopes to fix. If your insurance company is in charge of approving your medication, deciding how much to pay for it, AND deciding who gets that money — while also being the pharmacy that gets paid at the end — guess what happens to prices? They go up. Governor Lee signed the law last week. CVS immediately filed a federal lawsuit because they said it will force them to close all 136 stores they have in Tennessee. Let that sink in. I'm not sure most people realize what that says about CVS and health insurance in general. They had to choose between owning the middleman (the PBM) or the healthcare provider (the pharmacy). Without hesitation, they chose the middleman. The biggest pharmacy chain in the country — with a store on every corner — would drop all 136 of their Tennessee locations in a second if it means keeping their middleman business. It is more profitable for them to be a health insurance middleman getting between you and your healthcare than it is to actually provide the healthcare. That is the problem with healthcare in America. We have made the middleman so powerful that they've taken complete control of the entire system. Three PBMs — Caremark, Express Scripts, and OptumRx — handle around 80% of all prescriptions in this country. How on earth can we expect healthcare to work well and remain affordable if that's where the money is? We all auto-pay our insurance straight out of our paycheck before we even see the money. And not surprisingly, they're keeping a ton of it. That's why we fired them. And they can't file a lawsuit to stop us. That lets us offer fair, transparent prices. No PBMs. No insurance games. No hidden markups. You see the cost, you pay the cost.

Forest Park Pharmacy

33,253 görüntüleme • 2 ay önce

WOAH 🚨 Pay attention to this American pharmacist exposing that some cheap, very effective drugs, HAVE BEEN BANNED form being prescribed because they’re too cheap So instead of the cheap option, drugs that cost $1,000+ are allowed for certain treatments (INSANE) “The most insane examples of why drugs cost so much is a drug called Brenzavvy. You almost certainly haven't heard of it, but you've probably heard of similar drugs like Jardiance or Farxiga. The reason you haven't heard of Brenzavvy, though, is because no insurance companies will cover it. Most doctors won't prescribe it, and most wholesalers won't even carry it. When I tell you why our entire healthcare industry is turning its back on this proven drug in one of the most critical classes in existence, you are going to be furious. They are shunning Brenzavvy because it's too cheap. I'm not being hyperbolic or sensational. I mean it literally. At my pharmacy, Brenzavvy costs $60 bucks. When they took that price to the pharmacy benefits managers, or PBMs, that's the people in charge of deciding what's covered on your insurance, they all said no, because Brenzavvy can't do a rebate at a price that low. Farxiga and Jardiance, the other Drugs in the SLGT 2 class with Brenzavvy, cost insurance payers $1000 bucks each prescription up front. Then they get a big, probably like 40% rebate later. So that's a $400 rebate, and that is a huge selling point for the PBMs to prove how important they are. The PBMs get a piece of that rebate, and they get a percentage of the final price. An HHS report from last year said that the PBMs get 23% on average for for brand meds. After the rebate, Farxiga and Jardiance still cost $600. 23% of that is $138 for the middleman. Those drugs get dispensed 8 million times a year, which means the total they make in a year off of those two drugs is $1.1 billion. They don't make the drug, they don't prescribe it, they don't dispense it, they don't sell it. They only have to do one thing to make that money. Keep Brenzavvy off their list. If they let in a drug that costs 1/10 of the price and doesn't pay rebate, they literally lose a billion dollars a year. To me, that's the clearest example of why we will never get affordable health care in America. As long as we have PBMs involved, they can't afford to save you money.“ So while this might not be an outright ban, meaning illegal to create, for all purposes it is a ban. Because if the insurance companies won’t cover it, their doctors won’t prescribe it and nearly all wholesalers won’t carry it, that means the insurances companies and PBMs are effectively banning medication in America so they can make maximum profits. Billions a year on a single Medicine, when there are much cheaper options available for the customer This is organized crime. This is racketeering

Wall Street Apes

107,917 görüntüleme • 1 yıl önce

A pharmacy in Hancock, Maryland just closed its doors after 21 years. Their reason? "These PBMs are killing us." Let me show you exactly how that happens — because it's not what most people think. A pharmacist posted an audit on a prescription he filled back in December. Here's how these audits work: if the PBM finds *any* mistake, they don't dock you a little. They claw back the *entire* reimbursement. In this case, they claimed the doctor's address was missing from the prescription. An administrative detail. A paperwork technicality. So they took back $1,343. Here's the brutal part. The drug itself cost the pharmacy $1,337. The pharmacist had already bought it. Already filled it. The patient already walked out the door with it. The drug is gone. The script is filled. And the insurance middleman reaches back in time and reclaims virtually the entire amount — over a missing address. The upside on that prescription was $6. The downside was $1,337. That is the actual math of running a pharmacy that takes insurance. You risk thousands to earn pocket change, and a clerical nitpick months later can wipe out the entire transaction. Multiply that across a whole store and you understand why the lights go off. Meanwhile, UnitedHealth made $90 billion. Nobody — not one patient — wants their insurance company behaving like this. But I only know of one way to stop them. Fire the middleman. That's what we did. No PBMs. No insurance games. No surprise clawbacks months later. Just transparent cash pricing you can see before you ever walk in.

Forest Park Pharmacy

10,310 görüntüleme • 1 ay önce