Mark Cuban
π€ SpeakerAppearances Over Time
Podcast Appearances
They put profits over everything, right? And they know in an... In an industry that's completely opaque, they can pretty much do what they want and nobody gets to see what they're doing in detail. And so, you know, the first thing when you sign a contract with one of those big PBMs is says you can't disclose any of this.
And the fact that you can't be disclosed means they could tell Lex's company that they're getting a great price and they're only being charged X. And they can tell Mark's company, oh, you're getting a great price and we're charging Mark X plus, right? But Mark doesn't know any better because there's no way to know.
And the fact that you can't be disclosed means they could tell Lex's company that they're getting a great price and they're only being charged X. And they can tell Mark's company, oh, you're getting a great price and we're charging Mark X plus, right? But Mark doesn't know any better because there's no way to know.
And the fact that you can't be disclosed means they could tell Lex's company that they're getting a great price and they're only being charged X. And they can tell Mark's company, oh, you're getting a great price and we're charging Mark X plus, right? But Mark doesn't know any better because there's no way to know.
The cost isn't transparent. The markup isn't transparent. And there's different things. I was just talking to a company in a presentation a couple of days ago. And they took the step to leave the big three PBMs to go to a rebate-free PBM that was smaller. And what they said led to the decision. They had a contract with the PBM for these things called rebates, right?
The cost isn't transparent. The markup isn't transparent. And there's different things. I was just talking to a company in a presentation a couple of days ago. And they took the step to leave the big three PBMs to go to a rebate-free PBM that was smaller. And what they said led to the decision. They had a contract with the PBM for these things called rebates, right?
The cost isn't transparent. The markup isn't transparent. And there's different things. I was just talking to a company in a presentation a couple of days ago. And they took the step to leave the big three PBMs to go to a rebate-free PBM that was smaller. And what they said led to the decision. They had a contract with the PBM for these things called rebates, right?
Where depending on the volume of medications you buy, they'll kick back to you a percentage of them. And as it turns out, when they compared what was contracted for to what they actually got, they were getting underpaid every single year. Right. They just don't care, right? They'll take products. There's a drug called Humira, right? And it is the number one revenue drug in the country.
Where depending on the volume of medications you buy, they'll kick back to you a percentage of them. And as it turns out, when they compared what was contracted for to what they actually got, they were getting underpaid every single year. Right. They just don't care, right? They'll take products. There's a drug called Humira, right? And it is the number one revenue drug in the country.
Where depending on the volume of medications you buy, they'll kick back to you a percentage of them. And as it turns out, when they compared what was contracted for to what they actually got, they were getting underpaid every single year. Right. They just don't care, right? They'll take products. There's a drug called Humira, right? And it is the number one revenue drug in the country.
And there's also a biosimilar, multiple biosimilars, but one we carry called Usimri. And Humira, the pre-rebate price is about $8,000 per month. And after rebates, depending on the size of the company, it'll be anywhere from $3,000 to $6,000 a month. You can go to get your doctor to prescribe that biosimilar, USIMRI, and you pay $594.
And there's also a biosimilar, multiple biosimilars, but one we carry called Usimri. And Humira, the pre-rebate price is about $8,000 per month. And after rebates, depending on the size of the company, it'll be anywhere from $3,000 to $6,000 a month. You can go to get your doctor to prescribe that biosimilar, USIMRI, and you pay $594.
And there's also a biosimilar, multiple biosimilars, but one we carry called Usimri. And Humira, the pre-rebate price is about $8,000 per month. And after rebates, depending on the size of the company, it'll be anywhere from $3,000 to $6,000 a month. You can go to get your doctor to prescribe that biosimilar, USIMRI, and you pay $594.
But those big three PBMs won't allow their clients to get USIMRI because they don't get a rebate on USIMRI. So they'd rather keep a drug on their formulary, even though... their patients would save, their customers would save a lot of money, they'd rather keep a drug and exclude another because they'll make a lot more money.
But those big three PBMs won't allow their clients to get USIMRI because they don't get a rebate on USIMRI. So they'd rather keep a drug on their formulary, even though... their patients would save, their customers would save a lot of money, they'd rather keep a drug and exclude another because they'll make a lot more money.
But those big three PBMs won't allow their clients to get USIMRI because they don't get a rebate on USIMRI. So they'd rather keep a drug on their formulary, even though... their patients would save, their customers would save a lot of money, they'd rather keep a drug and exclude another because they'll make a lot more money.
No, call them up. You go to Cost Plus Drugs. We'll give you our price list of all 2,500 plus drugs. The actual cost. The actual cost and what we sell it for because it's just a plus 15%. Call up any of the big three companies and ask them for the same thing. They're going to laugh at you. It's so bad.
No, call them up. You go to Cost Plus Drugs. We'll give you our price list of all 2,500 plus drugs. The actual cost. The actual cost and what we sell it for because it's just a plus 15%. Call up any of the big three companies and ask them for the same thing. They're going to laugh at you. It's so bad.
No, call them up. You go to Cost Plus Drugs. We'll give you our price list of all 2,500 plus drugs. The actual cost. The actual cost and what we sell it for because it's just a plus 15%. Call up any of the big three companies and ask them for the same thing. They're going to laugh at you. It's so bad.
In fact, if you do business with them right now and you just ask for your claims data, meaning how many people use Humira that we're paying, what are we paying for it? They won't even give it to you unless you really, really scream and yell at them. And then they'll charge you and take six months to get it.