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Velvet
by Turkey_neck. 05/04/24 09:13 AM
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Re: Get ready to bend over at the pharmacy...
[Re: bald347]
#4099748
03/11/24 08:12 PM
03/11/24 08:12 PM
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Joined: Oct 2008
Posts: 1,376
Albertville
rblaker
8 point
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8 point
Joined: Oct 2008
Posts: 1,376
Albertville
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Also If it doesnt affect medicare, medicaid, people with insurance copays and cash paying customers.....Who will be paying this?? who is left??? It does not affect cash patients at all, Medicaid already has a dispensing fee figured in when we fill the medications. This bill in itself will not increase anyone’s copays. Whether part D or commercial plans try to recoup money through an increase in premiums or copays is to be determined.
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Re: Get ready to bend over at the pharmacy...
[Re: bald347]
#4099835
03/11/24 10:37 PM
03/11/24 10:37 PM
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Joined: Jul 2006
Posts: 6,557
Sylacauga
CAL
14 point
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14 point
Joined: Jul 2006
Posts: 6,557
Sylacauga
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Also If it doesnt affect medicare, medicaid, people with insurance copays and cash paying customers.....Who will be paying this?? who is left??? The middleman (PBM) will be the one paying it. They control what we are paid per transaction.
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Re: Get ready to bend over at the pharmacy...
[Re: CAL]
#4100154
03/12/24 04:41 PM
03/12/24 04:41 PM
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Joined: Jan 2002
Posts: 4,672
Madison, AL
wmd
10 point
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10 point
Joined: Jan 2002
Posts: 4,672
Madison, AL
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Also If it doesnt affect medicare, medicaid, people with insurance copays and cash paying customers.....Who will be paying this?? who is left??? The middleman (PBM) will be the one paying it. They control what we are paid per transaction. Who pays the middleman?
"Any way you look at it, most of the problems facing baboons can be expressed in two words: other baboons" -
D.L. Cheney and R.M. Seyfarth
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Re: Get ready to bend over at the pharmacy...
[Re: CAL]
#4100160
03/12/24 04:48 PM
03/12/24 04:48 PM
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Joined: Jan 2002
Posts: 4,672
Madison, AL
wmd
10 point
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10 point
Joined: Jan 2002
Posts: 4,672
Madison, AL
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There’s so much misinformation you just stated. The ONLY way I can imagine that this would increase cost to the consumer would be if you do no have a set copay. Even then, you would be paying toward your deductible. I’m tired of getting paid phucking pennies to fill prescriptions. Often times, I run a prescription through and will get reimbursed less than a dollar to fill it. Yes, I went to school for 7 years, opened a business, front the overhead, accept the liability to make pennies. This bill would fix that and many other issues with PBM reform. The issue is NOT with high drug costs it is with PBMs bending us, the consumer and the employee over at every damn turn. You need to be more educated about a subject before making a statement Why not go to a cash-only business if you are not making money on insurance-covered prescriptions?
"Any way you look at it, most of the problems facing baboons can be expressed in two words: other baboons" -
D.L. Cheney and R.M. Seyfarth
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Re: Get ready to bend over at the pharmacy...
[Re: CAL]
#4100164
03/12/24 04:56 PM
03/12/24 04:56 PM
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Joined: Oct 2009
Posts: 5,713
Henry county
coldtrail
12 point
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12 point
Joined: Oct 2009
Posts: 5,713
Henry county
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There’s so much misinformation you just stated. The ONLY way I can imagine that this would increase cost to the consumer would be if you do no have a set copay. Even then, you would be paying toward your deductible. I’m tired of getting paid phucking pennies to fill prescriptions. Often times, I run a prescription through and will get reimbursed less than a dollar to fill it. Yes, I went to school for 7 years, opened a business, front the overhead, accept the liability to make pennies. This bill would fix that and many other issues with PBM reform. The issue is NOT with high drug costs it is with PBMs bending us, the consumer and the employee over at every damn turn. You need to be more educated about a subject before making a statement I don't have a copay on prescriptions. It's a negotiated rate. My prestigious are all different cost depending on the medication. They will just raise this $10.
"And the days that I keep my gratitude
Higher than my expectations
Well, I have really good days" Ray Wylie Hubbard
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Re: Get ready to bend over at the pharmacy...
[Re: wmd]
#4100282
03/12/24 08:11 PM
03/12/24 08:11 PM
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Joined: Jul 2006
Posts: 6,557
Sylacauga
CAL
14 point
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14 point
Joined: Jul 2006
Posts: 6,557
Sylacauga
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There’s so much misinformation you just stated. The ONLY way I can imagine that this would increase cost to the consumer would be if you do no have a set copay. Even then, you would be paying toward your deductible. I’m tired of getting paid phucking pennies to fill prescriptions. Often times, I run a prescription through and will get reimbursed less than a dollar to fill it. Yes, I went to school for 7 years, opened a business, front the overhead, accept the liability to make pennies. This bill would fix that and many other issues with PBM reform. The issue is NOT with high drug costs it is with PBMs bending us, the consumer and the employee over at every damn turn. You need to be more educated about a subject before making a statement Why not go to a cash-only business if you are not making money on insurance-covered prescriptions? We are only 10% cash so giving up all insurances is not an option. We obviously do not lose on all insurance claims but a significant percentage. The PBM sits back and alters the reimbursement on a whim it seems. This bill would alter that.
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Re: Get ready to bend over at the pharmacy...
[Re: wmd]
#4100283
03/12/24 08:12 PM
03/12/24 08:12 PM
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Joined: Jul 2006
Posts: 6,557
Sylacauga
CAL
14 point
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14 point
Joined: Jul 2006
Posts: 6,557
Sylacauga
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Also If it doesnt affect medicare, medicaid, people with insurance copays and cash paying customers.....Who will be paying this?? who is left??? The middleman (PBM) will be the one paying it. They control what we are paid per transaction. Who pays the middleman? It is my understanding that it is employers.
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Re: Get ready to bend over at the pharmacy...
[Re: coldtrail]
#4100285
03/12/24 08:13 PM
03/12/24 08:13 PM
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Joined: Jul 2006
Posts: 6,557
Sylacauga
CAL
14 point
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14 point
Joined: Jul 2006
Posts: 6,557
Sylacauga
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There’s so much misinformation you just stated. The ONLY way I can imagine that this would increase cost to the consumer would be if you do no have a set copay. Even then, you would be paying toward your deductible. I’m tired of getting paid phucking pennies to fill prescriptions. Often times, I run a prescription through and will get reimbursed less than a dollar to fill it. Yes, I went to school for 7 years, opened a business, front the overhead, accept the liability to make pennies. This bill would fix that and many other issues with PBM reform. The issue is NOT with high drug costs it is with PBMs bending us, the consumer and the employee over at every damn turn. You need to be more educated about a subject before making a statement I don't have a copay on prescriptions. It's a negotiated rate. My prestigious are all different cost depending on the medication. They will just raise this $10. I don’t have much to say to you after being called a socialist democrat in another thread. Hard to believe that is the case when all we want is transparency and fairness. Sounds like I’m the capitalist.
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Re: Get ready to bend over at the pharmacy...
[Re: CAL]
#4100288
03/12/24 08:25 PM
03/12/24 08:25 PM
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Joined: Jul 2020
Posts: 8,501
Chelsea
Lockjaw
14 point
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14 point
Joined: Jul 2020
Posts: 8,501
Chelsea
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Also If it doesnt affect medicare, medicaid, people with insurance copays and cash paying customers.....Who will be paying this?? who is left??? The middleman (PBM) will be the one paying it. They control what we are paid per transaction. Who pays the middleman? It is my understanding that it is employers. So that's less salary dollars they pay in wages. As the main HR person in my office, a person costs a lot more than just their salary. There is health insurance, life, disability, retiremebt match plus 7.65 percent to SS and Med. The biggest expense in a lot of business is HR. So if they have to pay out more, then they don't give raises or they raise prices. No one is coughing up $10 a script for free.
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Re: Get ready to bend over at the pharmacy...
[Re: Lockjaw]
#4100317
03/12/24 09:20 PM
03/12/24 09:20 PM
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Joined: Jul 2006
Posts: 6,557
Sylacauga
CAL
14 point
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14 point
Joined: Jul 2006
Posts: 6,557
Sylacauga
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This is nothing more than spin. You cannot add a cost into the distribution stream and it not pass thru to the customer. This is the same stupid line of reasoning they toss out when they talk of taxing a corporation. As though any entity is going to just give up profit margin because a bunch of dumb politicians want to pass a bill so they can spend more $. Politicians did not come up with this bill. It was drafted by the APA (Alabama Pharmacy Association) and APCI (American Pharmacy Cooperative Initiative). It is asking the PBM to take some out of their pocket to make the pharmacy whole. It would also allow us to talk to the customer about cheaper alternatives or possibly not putting the prescription on insurance.
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Re: Get ready to bend over at the pharmacy...
[Re: bama_earl]
#4100654
03/13/24 03:35 PM
03/13/24 03:35 PM
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Joined: Aug 2016
Posts: 252
Hollywood, Alabama; Jackson Co...
Hunter454
4 point
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4 point
Joined: Aug 2016
Posts: 252
Hollywood, Alabama; Jackson Co...
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Republicans are not about smaller government and dang sure are not about being fiscally conservative. Most of these are Republicans and they doing what Republicans do.. they give ya'll some false hope that they will reduce govt but that has really never happened. But the core will always vote for them because they come across as Pro Life... so they can do what they want to do in regards to spending and taxes.
You will vote for them again and again. This!!! Alabama has been run by republican for as long as I can remember. We are one of the poorest states and most taxed.
All you need to know is. Dead deer don't grow!
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Re: Get ready to bend over at the pharmacy...
[Re: Guru]
#4100713
03/13/24 06:37 PM
03/13/24 06:37 PM
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Joined: Dec 2015
Posts: 864
Lamar County
Luxfisher
6 point
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6 point
Joined: Dec 2015
Posts: 864
Lamar County
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I'll have to change from local independent pharmacy to one across line in Mississippi if it passes. Sure other local people will do the same.No way will I believe the increase will not be passed down to customers.
Last edited by Luxfisher; 03/13/24 07:57 PM.
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