Brigham Buhler

hey, it's tough out there for a small privately held pharmacy. We're actually buying pharmacies right now. Would you like to sell to us? So, Etna owns, or CVS, CVS Health owns Etna. CVS Health owns CVS Pharmacies. CVS Health owns the PBM. All of that's vertically integrated. They set the price point. They set the copay. They set the reimbursement. They set the deductible.

hey, it's tough out there for a small privately held pharmacy. We're actually buying pharmacies right now. Would you like to sell to us? So, Etna owns, or CVS, CVS Health owns Etna. CVS Health owns CVS Pharmacies. CVS Health owns the PBM. All of that's vertically integrated. They set the price point. They set the copay. They set the reimbursement. They set the deductible.

hey, it's tough out there for a small privately held pharmacy. We're actually buying pharmacies right now. Would you like to sell to us? So, Etna owns, or CVS, CVS Health owns Etna. CVS Health owns CVS Pharmacies. CVS Health owns the PBM. All of that's vertically integrated. They set the price point. They set the copay. They set the reimbursement. They set the deductible.

They also own mail pharmacies, like mail order pharmacies, and they will tell patients, oh, we can get you this drug cheaper if you'll go to our mail pharmacy in an effort to cannibalize and monopolize that patient life so nobody else has access to them. And so they can't see behind the curtain to find out that they're really getting screwed.

They also own mail pharmacies, like mail order pharmacies, and they will tell patients, oh, we can get you this drug cheaper if you'll go to our mail pharmacy in an effort to cannibalize and monopolize that patient life so nobody else has access to them. And so they can't see behind the curtain to find out that they're really getting screwed.

They also own mail pharmacies, like mail order pharmacies, and they will tell patients, oh, we can get you this drug cheaper if you'll go to our mail pharmacy in an effort to cannibalize and monopolize that patient life so nobody else has access to them. And so they can't see behind the curtain to find out that they're really getting screwed.

that they never should have been paying that price point on the drug in the first place. And so like one of the things we're doing at my pharmacy is we disclose pricing. Like we added, you could search and find out what the real wholesale price is on any drug and research that. And to show a real world example of how dirty this is, Tucker, and if any of it's too much, let me know.

that they never should have been paying that price point on the drug in the first place. And so like one of the things we're doing at my pharmacy is we disclose pricing. Like we added, you could search and find out what the real wholesale price is on any drug and research that. And to show a real world example of how dirty this is, Tucker, and if any of it's too much, let me know.

that they never should have been paying that price point on the drug in the first place. And so like one of the things we're doing at my pharmacy is we disclose pricing. Like we added, you could search and find out what the real wholesale price is on any drug and research that. And to show a real world example of how dirty this is, Tucker, and if any of it's too much, let me know.

I can tailor this to whatever.

I can tailor this to whatever.

I can tailor this to whatever.

Because it's a lot. Okay, the state of Ohio. launched an investigation, hired 32 forensic auditors, just the state of Ohio, just Medicare, just Medicaid, sorry. Guess what they found? $230 million in fraud from the insurance companies in one year through gap pricing, what they're calling gap pricing, the whole Ponzi scheme I just explained.

Because it's a lot. Okay, the state of Ohio. launched an investigation, hired 32 forensic auditors, just the state of Ohio, just Medicare, just Medicaid, sorry. Guess what they found? $230 million in fraud from the insurance companies in one year through gap pricing, what they're calling gap pricing, the whole Ponzi scheme I just explained.

Because it's a lot. Okay, the state of Ohio. launched an investigation, hired 32 forensic auditors, just the state of Ohio, just Medicare, just Medicaid, sorry. Guess what they found? $230 million in fraud from the insurance companies in one year through gap pricing, what they're calling gap pricing, the whole Ponzi scheme I just explained.

They are telling the state, this drug cost us $200, you owe us $200. But the state pays them the $200, they only paid $100. So they made $100 every time that script got written. The state realized that they could negotiate directly with the pharmaceutical companies and get better pricing. So the state of Ohio is saving hundreds of millions of dollars. Now multiply that times all 50 states,

They are telling the state, this drug cost us $200, you owe us $200. But the state pays them the $200, they only paid $100. So they made $100 every time that script got written. The state realized that they could negotiate directly with the pharmaceutical companies and get better pricing. So the state of Ohio is saving hundreds of millions of dollars. Now multiply that times all 50 states,

They are telling the state, this drug cost us $200, you owe us $200. But the state pays them the $200, they only paid $100. So they made $100 every time that script got written. The state realized that they could negotiate directly with the pharmaceutical companies and get better pricing. So the state of Ohio is saving hundreds of millions of dollars. Now multiply that times all 50 states,

Now multiply that times all the federal payers because Medicaid is just the state. The Medicare program covers the whole freaking country. 60% of the profits of these insurance companies is coming from the taxpayers. So we're getting killed paying taxes to give these guys all this money at the government level. But then we're getting killed on our company insurance plans.

Now multiply that times all the federal payers because Medicaid is just the state. The Medicare program covers the whole freaking country. 60% of the profits of these insurance companies is coming from the taxpayers. So we're getting killed paying taxes to give these guys all this money at the government level. But then we're getting killed on our company insurance plans.