mickymarkowitz08.bsky.social

16 October 2026 01:21

I don't think you have to choose between PBMs and community pharmacies here. We can request for a better pharmacy access and still recognize that benefit managers have an important job.

mickymarkowitz08.bsky.social

16 October 2026 01:19

Losing a pharmacy hurts a lot more when there's nothing nearby to replace it. Getting some of these really high drug prices down could help take pressure off smaller pharmacies.

JGreenblatt

j-greenblatt.bsky.social

16 October 2026 01:17

I don’t think the answer is to make PBMs the villain every time there’s a drug pricing fight. They’re part of the system that manages the benefit. The one that we need to focus on is how we get the underlying cost of expensive drugs down.

Adam Baer

adambaer34.bsky.social

16 October 2026 01:12

Hands down to PDAB. Keeping prior authorizations from getting lost during a plan change seems like a pretty practical way to protect continuity of care.

ZackeryR

zacke-rut.bsky.social

16 October 2026 01:08

Pharmacy choice matters, especially when communities are already losing local pharmacies. But blaming PBMs or insurers doesn't solve the underlying problem. We should be looking at why these drugs are so expensive to begin with.