I love cvs

[VictorOfHungerGames]

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What the actual fart man...

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[MrBonita]

If I owned a company and had to pay myself I would pay myself more and others less. Cvs is a douch bag but that’s what most people would do.

 

[dmd20000]

When CVS owns CVS Caremark and Aetna of course CVS pharmacies are going to get better reimbursements on the medications they dispense. I was surprised at the huge difference in reimbursement between the pharmacies though.

 

[VictorOfHungerGames]

When CVS owns CVS Caremark and Aetna of course CVS pharmacies are going to get better reimbursements on the medications they dispense. I was surprised at the huge difference in reimbursement between the pharmacies though.

Right, but the problem is in many states, this is illegal.

PBM Legislation

Current Legislation: On October 10th, 2018, the Patient Right to Know Drug Prices Act became law. The Senate approved it by a 98-2 vote, and President Trump signed it into law. It prohibits gag...

www.pbmwatch.com

 

[VictorOfHungerGames]

For example...

Tennessee:
HB 786 (2019): Approved on 5/29/2019. This bill forbids a PBM from reimbursing a pharmacy or pharmacist for a drug in an amount less than the covered entity or PBM reimburses itself of an affiliate for providing the same drug.

 

[zelman]

If I owned a company and had to pay myself I would pay myself more and others less. Cvs is a douch bag but that’s what most people would do.

That makes you kind of a bad person. You know that, right?

 

[VictorOfHungerGames]

That makes you kind of a bad person. You know that, right?

Not just a bad person but an actual criminal. Interestingly, they are getting away with their such blatant crime.

 

[Aznfarmerboi]

I believe part of their agreement to the FTC when they approved the merger was that Caremark have to reimburse CVS pharmacies the same as other pharmacies.

The problem with that now is it doesn’t matter what they reimburse their regular pharmacies. Reimbursing their stores at a loss allows them to say they are not “profitable”, cut hours, avoid taxes, and get tax deductions.

Meanwhile Caremark profits can be shifted to tax states where they avoid paying taxes. It’s all a numbers game.

I am guessing Arkansas is a tax friendly state for them to be giving their pharmacies that much extra in reimbursement. In NY, most of the scripts filled are at a loss or break even.

Damn if you do, damn if you don’t.

Only way to win is to get rid of PBMs together.

 

[VictorOfHungerGames]

I believe part of their agreement to the FTC when they approved the merger was that Caremark have to reimburse CVS pharmacies the same as other pharmacies.

The problem with that now is it doesn’t matter what they reimburse their regular pharmacies. Reimbursing their stores at a loss allows them to say they are not “profitable”, cut hours, avoid taxes, and get tax deductions.

Meanwhile Caremark profits can be shifted to tax states where they avoid paying taxes. It’s all a numbers game.

I am guessing Arkansas is a tax friendly state for them to be giving their pharmacies that much extra in reimbursement. In NY, most of the scripts filled are at a loss or break even.

Damn if you do, damn if you don’t.

Only way to win is to get rid of PBMs together.

Correct me if i'm wrong but I think Oklahoma or Kansas is trying to pass a law to make PBMs obsolete or prohibit PBMs in medicaid/medicare. This would benefit literally everyone haha