WVUPharm2007

imagine sisyphus happy
15+ Year Member
Jun 23, 2003
13,897
3,945
36
Born: Parkersburg, WV | Now: Montgomery TWP, PA
Status
Pharmacist
Catamaran is the biggest piece of crap organization in healthcare. The BIGGEST. They'll shut people's insurance off the day it lapses, then won't turn it back on until like 5 days after they receive payment. They don't pay on time. They delay, delay, delay. All of the big boys should get together and refuse to accept their business.
 
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wickedone

7+ Year Member
Jan 27, 2012
29
13
Status
Pharmacist
Catamaran is the biggest piece of crap organization in healthcare. The BIGGEST. They'll shut people's insurance off the day it lapses, then won't turn it back on until like 5 days after they receive payment. They don't pay on time. They delay, delay, delay. All of the big boys should get together and refuse to accept their business.
yeah its now united healthcare....
 

MountainPharmD

custodiunt illud simplex
15+ Year Member
Aug 15, 2004
4,570
326
Status
Pharmacist
Catamaran is the biggest piece of crap organization in healthcare. The BIGGEST. They'll shut people's insurance off the day it lapses, then won't turn it back on until like 5 days after they receive payment. They don't pay on time. They delay, delay, delay. All of the big boys should get together and refuse to accept their business.
True fact! The absolute worst. I'm on board with a total industry boycott of Catamaran and United Health Care. They are screwed if there isn't one pharmacy in the United States that will accept their ****ty plans.
 

MountainPharmD

custodiunt illud simplex
15+ Year Member
Aug 15, 2004
4,570
326
Status
Pharmacist
There is an independent pharmacy lawsuit going forward as well. Now if we get get one of the big players like CVS, Walgreens or Wal-Mart involved something may happen. I lose money on nearly every single claim paid through Catamaran. It makes my blood boil every time I process a Catamaran claim.

http://www.punchpbm.com/mass-action-lawsuit/
 

Digsbe

7+ Year Member
Aug 6, 2011
1,368
994
Status
Pharmacist
Wouldn't it be something if the chains and independents formed some kind of coalition to collectively end abusive PBM practices? I know a few states are passing laws regarding how pricing needs to be done to prevent underpaying of PBMs to pharmacies.
 
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farmadiazepine

7+ Year Member
Jul 10, 2011
1,045
578
Status
Pharmacist
Yea because CVS Health would want to end abusive PBM practices. After all, they don't have a PBM, right.

All day, every day, huge underpayments from CVS. CVS in NY does Fidelis and underpays $450 for Harvoni. How are you going to underpay almost half a grand? There is no adjustment from them, just the response to get the drug cheaper. How can we get this brand name even cheaper? Meanwhile Wellcare is paying $2500 over cost.

The whole health care industry is screwed up in America.
 

MountainPharmD

custodiunt illud simplex
15+ Year Member
Aug 15, 2004
4,570
326
Status
Pharmacist
Yea because CVS Health would want to end abusive PBM practices. After all, they don't have a PBM, right.
Good 'ole CVS figured it out. PBM's have a license to steal. What better way to take advantage than to buy a PBM. It was a genius move on their part.
 

PharFromNormal

5+ Year Member
Dec 27, 2013
482
238
Status
Pharmacist
Yea because CVS Health would want to end abusive PBM practices. After all, they don't have a PBM, right.

All day, every day, huge underpayments from CVS. CVS in NY does Fidelis and underpays $450 for Harvoni. How are you going to underpay almost half a grand? There is no adjustment from them, just the response to get the drug cheaper. How can we get this brand name even cheaper? Meanwhile Wellcare is paying $2500 over cost.

The whole health care industry is screwed up in America.
You get the brand name cheaper through purchasing scale. Consolidate with all the other independent speciality pharmacies and make a purchasing pact in order to compete. I don't see why you don't have this ability...

Kidding but I guess not really kidding...
 

Leper Messiah

5+ Year Member
Jan 7, 2013
166
109
Status
Pharmacist
the big three WANT the PBMs to succeed in eliminating the independents. When they're gone, That's when CVS/WAG/RAD can all demand reimbursement at 100%AWP and a $5.00 dispensing fee.
 
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txpharmguy

10+ Year Member
Dec 20, 2007
333
178
Status
Pharmacist
There is an independent pharmacy lawsuit going forward as well. Now if we get get one of the big players like CVS, Walgreens or Wal-Mart involved something may happen. I lose money on nearly every single claim paid through Catamaran. It makes my blood boil every time I process a Catamaran claim.

http://www.punchpbm.com/mass-action-lawsuit/
Walgreens tried to take a stand against Express Scripts and it back fired.