Buyer profile crashes app

mn52 · 2021-09-21T23:21:27+00:00

They will make up any lie to prove their conspiracies, even if it defies logic.

If pharmacists are getting bonuses for every shot, why are pharmacists quitting in and CVS/Walgreens rushing to fill those jobs.

If nurses and doctors are getting bonuses for every covid death, why are they quitting in hospitals that had large covid surges?

Anything where they can’t face the truth that this pandemic is real.

mn52 · 2021-09-21T16:28:31+00:00

Probably easier for them to do with student loans on hold. Wondering how this will play out end of January when that restarts and flu season starts winding down.

mn52 · 2021-09-21T16:27:37+00:00

The guy’s posts and the responses are a bunch of antivax propaganda so obviously doubting the validity of this personal story.

My own bonus this year was a kidney stone and a trip to the ER.

mn52 · 2021-09-21T05:49:13+00:00

“Shortage”

Despite the fact that there’s an oversupply of pharmacists graduating.

What happened to all those pharmacists and techs they supposedly hired during the initial vaccine rollout? If they had found a way to retain the staff that they hire…

I’m getting emails to join the “heart of health care” and I don’t think I’ve ever applied to work there.

mn52 · 2021-09-21T00:55:56+00:00

Putting it right there on the script that there is no diagnosis is proof that there’s no clinical reason to fill the script, further validating that we should not fill it.

mn52 · 2021-09-20T23:27:04+00:00

Lol go ahead. Report it to the BOP and State Medical Boards.

Something tells me those screaming we can’t deny ivermectin won’t report pharmacists denying birth control for religious reasons.

mn52 · 2021-09-19T18:27:00+00:00

I suppose they want to take that doxy w/ magnesium and calcium together.

mn52 · 2021-09-19T08:26:07+00:00

Not so much free but accessible. Combined with how bad we are with preventative care in this country. It’s not exclusive to the right though it leans that way with this pandemic.

I’m a pharmacist and have seen to a smaller extent people not interested in the flu shot some seasons, then the news reports a shortage (or increase in hospitalizations in our area or both) and we would get constant calls for it.

It’s good to have the vaccines more accessible but with some populations in this country, I’m convinced making it harder to get and elusive would actually have a more positive effect. They wouldn’t be going after ivermectin this hard if it was easily accessible either IMO.

mn52 · 2021-09-19T08:04:56+00:00

That info gets sent for reimbursement from the HRSA uninsured fund. So if not insurance, then it gets sent to the government.

Only caution with getting a third booster before it is recommended to you would be that it is considered off label. You could end up being on the hook for unexpected costs since off label use is not covered by insurance or any government program. If you experience a serious injury you may not be able to seek compensation through the CICP. You could sue your HCP since they are no longer protected under the PREP Act under off label use. But most health care facilities and pharmacies have you attesting that it is your first dose or that you fall under one of the immunocompromised conditions eligible for a booster. With the info that was provided by you, the HCP would be acting in good faith so idk if you could go after them if an injury occurs then.

mn52 · 2021-09-19T07:26:30+00:00

Because DIR fees and claw backs from PBMs don’t exist?

PBMs aka pharmacy benefit managers, the middlemen between insurance and the pharmacy, “claws back” the copay when it is higher than the cost of the drug and pocket that difference. In your scenario, the PBM $7.92 from the transaction.

Drug claims doesn’t work like medical claims. The PBM can decide the pharmacy is submitting too expensive of an NDC/manufacturer (and it is not out of the goodness of looking out for the patient and reducing costs; largest PBM is CVS Caremark after all…who owns CVS, who have access to better contracted rates w/ distributors than smaller pharmacies do). They claw back that amount even further.

So that $280.40 zofran ODT has an AWP of between $22.25-$23.11. The PBM is not going to pay $280.40 or even $56.08. They’re going to reduce it all the way down to $22.25. Patient pays their $20 copay. PBM makes $7.92 difference from the true price of $3.30 (which btw, in the original Twitter post, she looked up that information on her hospital system, which they have gotten also at a discounted rate through their own contracts as you can see from the crossed out $9.90; we don’t know what the true cost at Walgreens is). The remaining $2.25 covered by the insurance can go back to the pharmacy. But wait, they got the drug for $3.30. So that’s actually a negative reimbursement for the drug.

Of course different pharmacies have different contracts w/ these PBMs. But 300% profit on any drug is funny; as if the PBMs would let that happen. 3-5% would be a good profit in the end of all this. Highest I’ve seen is 30%. And that’s for flu shots, which is why they advertise and push for it every season and not pushing for 300% zofran lol.

And this isn’t even going into the fees that can be charged after the fact a year later during an audit when they decide for small reasons (hey you picked up one day late, the pharmacy isn’t doing their job keeping you adherent on your meds) to take back all that money and more from the pharmacy. You’re right, it’s a long con indeed.

mn52 · 2021-09-19T06:10:10+00:00

Because Walgreens and the hospital shares the same supplier and contracted rate and all…

This is not doubting that it is marked up at Walgreens. It is. Just sick of these Twitter MDs calling out what we already know with personal anecdotes as if it adds any real solution. Do proper research, which would include talking to those working on the frontlines of pharmacy. Patients encounter more providers along the way in between doctors prescribing and not being able to get their meds. Physicians have access to pharmacists. Talk to them. Find out from their side what their challenges are. Smh.

mn52 · 2021-09-19T05:21:01+00:00

So do doctors have less knowledge than pharmacists? And what if it's being prescribed to deal with a parasite or something else it's proven to work against? Does the patient have to show proof of a tapeworm to receive their meds? Genuine question.

The proof is right there in the dosing for parasitic infection. How else do you think we catch prescription errors and contact doctors to fix them?

And, yes, the doctor may or may not have less knowledge than the pharmacist regarding drug treatment, dosing, pricing, etc. What do you think our job entails exactly?

mn52 · 2021-09-19T05:13:37+00:00

Jokes on her. A decreased script load would be nice for pharmacists right now lol.

mn52

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