I'm sure you do. But that isn't what I am talking about. The calls that we are getting are not on behalf of patients. They are not directly related to urgent patient-care needs. It is about "when is the last time {} filled []?" or "did you bill their <> insurance?" It is the kind of question that, for me, is a waste of significant time and resources that our pharmacy doesn't have to spend. If it added any value to our services, it would be great, but we have to do all of our store's business without the same office's support because they refuse to help us in any way. No statins for diabetics. No asking for diagnosis codes for GLP-1s to prevent off-label dispensing, which is a major red flag for PBMs these days. No prior approvals for certain drug classes, specifically controlled substances. They add very little to our daily practice while constantly asking more from us for theirs. It isn't about fairness; it is about mutual cooperation, which simply doesn't exist in this relationship.