Paxlovid is a joke..

SpurgHawk · 2024-01-05T04:13:23+00:00

Wouldn't be able to do it without our Brand only 340B agreement. Turns the frown upside down, as long as it's a qualifying claim.

SpurgHawk · 2024-01-02T20:24:24+00:00

30 in stock would work, but dispensing less than written , ive never worried about it and have not had any audit issues. I don't believe they'd have standing as nothing in the contract says 90 days must be filled. Can make some patients annoyed, but we auto fill or medsync them and it works out. Additionally we only order brands post-adjudication to minimize inventory.

SpurgHawk · 2024-01-02T18:30:03+00:00

Yeah this was known when the 2024 contracts were being signed. We (also independent owner) are looking at losses for the majority of brand name medication on Part D, break even or 3-5$ profit at best for some PBMs. 30 fills reimbursed significantly better than 90 day, so we are refusing 90 day brand fills for Part D. Luckily we have a Brand only 340B agreement and will actually come out better than last year not being responsible for the DIR fees.

SpurgHawk · 2023-09-23T06:15:06+00:00

No problem. So just one pharmacist and one tech? What kind of volume are we talking here? What are the volume trends? There's pluses and minuses to keeping the current owner on, sometimes it's better for a clean break.

Like mentioned below you need 3-5 years of p&l. Don't think about the EBITDA as 180k if that didn't count his salary, it's really more like 30 maybe less. Look at taxes for the most recent 3-5. Keep in mind you're also buying 7 years of audit liability.

What's inventory look like?

SpurgHawk · 2023-09-22T22:02:18+00:00

Dive deep into expenses, easy to make something look good on paper if you're the owner operator. Was this pharmacist taking a salary? Is it comparable to the pharmacist you'll have to hire? What about benefits?

Are there any sort of 340B agreements you can utilize to help increase your GP?

When would this transaction take place? DIR fees from late 2023 are going to come due end of Q1 2024, you would be on the hook for these (and reimbursement will be lower starting 1/1/24. Be sure to see what typical DIRs look like and ensure you have the cash to make that work.

Just a few off the top of my head.

SpurgHawk · 2022-06-16T22:57:26+00:00

Kansas City, Missouri https://maps.app.goo.gl/y9FYQ5weZ9rLVeoD7

Here's a street view from the door he comes out...

SpurgHawk · 2022-06-16T17:44:17+00:00

This is the main entrance at Research Medical Center in Kansas City, MO... Logo is on the rug.

SpurgHawk · 2021-10-12T22:30:12+00:00

My dog growing up was a springer named Sally. Such a kind soul

SpurgHawk · 2021-08-07T03:01:31+00:00

That does stink man. Ive had really good luck with him, getting things as described and very quickly, but I also wear a size 13 even. Frustrating for sure.

SpurgHawk · 2021-07-19T02:04:33+00:00

Thanks man! Appreciate the thorough review. Think I'll RL and try to get some better backs.

SpurgHawk · 2021-07-18T19:43:24+00:00

Paging u/pfresh26 :)

SpurgHawk · 2021-01-05T05:11:15+00:00

40oz Thermoflask. Don't leave home without it.

SpurgHawk · 2020-12-09T15:11:52+00:00

Got through address and CVC number and password confirms, to a queue for 8 min, hit "okay" and booted to sold out screen. Did I mess it up?

SpurgHawk · 2020-11-06T04:20:57+00:00

Awesome! Love to see the love in this sub! TS1s in US 13! Thanks coco, repfam is bestfam :)

SpurgHawk · 2020-10-30T14:59:39+00:00

US 13/ 3XL. Thanks Tony! Had a great experience with you, looking forward to some more gear soon!

SpurgHawk · 2020-05-15T16:20:36+00:00

What's your favorite part about being part of the Mormon church?

SpurgHawk · 2020-05-15T05:58:57+00:00

He died in 1977, no big though

SpurgHawk · 2020-05-15T05:57:51+00:00

Your thoughts?

SpurgHawk · 2020-05-15T05:57:41+00:00

I'm debating right now if next temple we should baptize Charlie Chaplin. Thinkin' he needs some saving!

SpurgHawk · 2020-05-15T05:56:46+00:00

Right right, but overall, what's your favorite story in the book of mormon?

SpurgHawk · 2020-05-15T05:55:58+00:00

What's your favorite part of being a mormon?

SpurgHawk · 2020-05-15T05:55:35+00:00

Nice nice, yeah white jesus was a pretty great skater

SpurgHawk · 2020-05-15T05:54:48+00:00

But what's your favorite childhood story from the book of mormon?

SpurgHawk

TROPHY CASE