If (when?) Most Favored Nation pricing takes effect on GLP-1 medications, people will be better off private paying for Zepbound than using insurance and being forced to a less effective drug their doctor hasn’t prescribed. Things are upside down when doctors can’t make decisions that are in the interest of their patients. Big pharma and the insurance industry need to be reigned in.
If there’s one thing administrators hate, it’s actual work. So, every Zepbound user receiving their meds via CVS/Caremark should flood them with Prior Authorization requests.
We have Trump and Musk to thank for nixing any bit of PBM reform. There was bipartisan agreement on reform language included in a stopgap budget bill until those two pressured Republican lawmakers to drop said language. So the bill passed sans PBM reform.
This ish is exhausting. We just want to healthily live our modest lives.
Once again, I’ll pick up the phone to push my electeds to keep working on state and federal PBM reform. We’re all in this together - please contact your state and federal reps to express your displeasure with PBMs.
If (when?) Most Favored Nation pricing takes effect on GLP-1 medications, people will be better off private paying for Zepbound than using insurance and being forced to a less effective drug their doctor hasn’t prescribed. Things are upside down when doctors can’t make decisions that are in the interest of their patients. Big pharma and the insurance industry need to be reigned in.
Not even the same medication…and they don’t care!
If there’s one thing administrators hate, it’s actual work. So, every Zepbound user receiving their meds via CVS/Caremark should flood them with Prior Authorization requests.
I don’t understand why people
can’t people just use a different pharmacy?
Like Walgreens, Costco, Walmart, etc…
In this case, it’s not CVS pharmacy it’s the pharmacy benefits manager.
We have Trump and Musk to thank for nixing any bit of PBM reform. There was bipartisan agreement on reform language included in a stopgap budget bill until those two pressured Republican lawmakers to drop said language. So the bill passed sans PBM reform.
This ish is exhausting. We just want to healthily live our modest lives.
Once again, I’ll pick up the phone to push my electeds to keep working on state and federal PBM reform. We’re all in this together - please contact your state and federal reps to express your displeasure with PBMs.