I am a RN for 40 rears. If PBMs regulate prices which put independent pharmacies out of business, the very many readmitted patients often low educated, low income will not have access to rural pharmacies which cost less to drive to who can also give better prices than chain pharmacies do.
Please stop the misinformation that PBMs advertise and help all in Alabama by passing SB99.
Hospitals are not reimbursed if a Medicare patient is readmitted within 30 days. If we do make it easier for patients to succeed in better health things will continue getting worse never better and those to profit from sick populations keel getting richer!
CVS Caremark, who controls prescription benefits for 1 in 3 Americans, forced me and 150,000 other heart patients off the blood thinner we had been stable on for years purely for non-clinical, profit motivated reasons. Adverse events resulted and medical expenses increased. Patients need protections
One of my medications, a biologic, cost $1398. The convoluted system where a certain percent discount has to be offered for the insurance/PBM to have the medication on the formulary has the billed amount as $11,211. If you Google the cost of the medication, it is around $1398. There is a fake price that only affects you if you are uninsured or a corporation/government paying the bill. The FTC has the information on PBMs overcharging by thousands and keeping rebates.
My local pharmacy was closed, merged into another small pharmacy. This year, that one is out of network, so I paid 6 times what it cost last year for the same drug. And I see the foreboding signs of sparsely stocked shelves.
My son has an autoimmune disease-ulcerative colitis and requires a daily pill called Rinvoq that has given him his life back! However, insurance/PBM requires caretakers/patients to jump thru many hoops, hours on the phone and constant worry to get the medication they need. It should not require tears and lots of $$$to get meds delivered. I will have everything in order, Rx on file and prior authorization and every time I call to order the medicine it can never be ordered in 1 phone. Multiple phone calls, explaining to an agent who doesn’t care or have answers. It is not right and something needs to change. UC is debilitating to a person. Bloody stools, multiple 18-30 bathroom visits, weight loss, depression, no quality of life. Rinvoq has healed my sons colon. A pharmacist should not be allowed to deny medicine over the ordering GI doctor either!
My Lupus medication went from $120 a month 2 years ago to $200 a month last year. I tried to refill my script last month and the new copay was 3K. I can’t afford that, I barely can afford the $200 I was paying, and this is for (4) does of meds. It’s a shot once a week. Now I can’t take it until I find out if Benlysta the manufacturer will help with the cost, if not I’ll have to try something different or take nothing. Sucks when I feel the best I have in 5 years on that medication. Hoping for the best but not holding my breath.
My Lupus medication went from $120 a month 2 years ago to $200 a month last year. I tried to refill my script last month and the new copay was 3K. I can’t afford that, I barely can afford the $200 I was paying, and this is for (4) does of meds. It’s a shot once a week. Now I can’t take it until I find out if Benlysta the manufacturer will help with the cost, if not I’ll have to try something different or take nothing. Sucks when I feel the best I have in 5 years on that medication. Hoping for the best but not holding my breath.
I have a severe allergy to Folic Acid. It took 10 years to figure out what the cause of my debilitating eczema was. There are so many other ways to get folate in diet. We don’t need to enrich our grains with it. There’s a reason that is mandatory listed with ingredients, because synthetic folic acid is TOXIC.