๐ŸŽงHealth & wellness community (+ podcast!) ๐ŸฅผBoard certified ambulatory care pharmacist ๐Ÿ’ŠAdvocate for community pharmacy + appropriate med use #StopPBMAbuse

Joined November 2019
Katie Trotta, PharmD, BCACP retweeted
๐Œ๐ž๐๐ข๐œ๐š๐ซ๐ž ๐ข๐ฌ ๐ฉ๐š๐ฒ๐ข๐ง๐  ๐ƒ๐จ๐œ๐ญ๐จ๐ซ๐ฌ ๐Ÿ๐Ÿ—๐Ÿ—๐Ÿ– ๐ฐ๐š๐ ๐ž๐ฌ ๐ญ๐จ ๐ฉ๐ซ๐š๐œ๐ญ๐ข๐œ๐ž ๐Ÿ๐ŸŽ๐Ÿ๐Ÿ“ ๐ฆ๐ž๐๐ข๐œ๐ข๐ง๐ž. ๐’๐ข๐ง๐œ๐ž ๐Ÿ๐Ÿ—๐Ÿ—๐Ÿ–, ๐ข๐ง๐Ÿ๐ฅ๐š๐ญ๐ข๐จ๐ง ๐ก๐š๐ฌ ๐ซ๐ข๐ฌ๐ž๐ง ๐Ÿ–๐Ÿ.๐Ÿ%. Medicareโ€™s physician payment formula (the Conversion Factor)? Down 9.9%. Thatโ€™s not โ€œfiscal responsibility.โ€ Thatโ€™s institutional gaslighting. ๐Œ๐ž๐š๐ง๐ฐ๐ก๐ข๐ฅ๐ž, ๐๐ž๐Ÿ๐ž๐ง๐ฌ๐ž ๐œ๐จ๐ง๐ญ๐ซ๐š๐œ๐ญ๐ฌ, ๐‚๐„๐Ž ๐ฌ๐š๐ฅ๐š๐ซ๐ข๐ž๐ฌ, ๐š๐ง๐ ๐ข๐ง๐ฌ๐ข๐๐ž๐ซ ๐ญ๐ซ๐š๐๐ž๐ฌ ๐Ÿ๐ฅ๐จ๐ฎ๐ซ๐ข๐ฌ๐ก. But the doctors treating Medicare patients? Theyโ€™re being asked to do more with less, year after year, because โ€œ๐ก๐ž๐ฒ, ๐ฐ๐ž ๐๐จ๐งโ€™๐ญ ๐ก๐š๐ฏ๐ž ๐ญ๐ข๐ฆ๐ž ๐ญ๐จ ๐›๐ซ๐ข๐›๐ž ๐‚๐จ๐ง๐ ๐ซ๐ž๐ฌ๐ฌ ๐ฅ๐ข๐ค๐ž ๐ž๐ฏ๐ž๐ซ๐ฒ๐จ๐ง๐ž ๐ž๐ฅ๐ฌ๐žโ€, while the cost of running a practice skyrockets. If the American people want Congress to preserve access to care for aging Americans, itโ€™s time to speak up and tie Medicareโ€™s payment formula to inflation, just like their own salaries. ๐”๐ง๐ญ๐ข๐ฅ ๐ญ๐ก๐ž๐ง, ๐ ๐จ๐จ๐ ๐ฅ๐ฎ๐œ๐ค ๐Ÿ๐ข๐ง๐๐ข๐ง๐  ๐š ๐๐จ๐œ๐ญ๐จ๐ซ ๐ฐ๐ก๐จโ€™๐ฅ๐ฅ ๐ญ๐š๐ค๐ž ๐Œ๐ž๐๐ข๐œ๐š๐ซ๐ž. Theyโ€™re busy trying to survive the 20th century in the 21st. #HealthcarePolicy #Medicare #PhysicianBurnout #InflationMath #FixTheFormula
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Katie Trotta, PharmD, BCACP retweeted
Worked with some awesome colleagues and former students on this scoping review of literature related to the impact that PBMs have on community pharmacies. sciencedirect.com/science/arโ€ฆ
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WATCH: After @ChuckGrassley asks what the antitrust agencies are doing about PBMs that raise drug prices, harm patients, and hurt local pharmacists, @linakhanFTC breaks down how the @FTC is cracking down on the industry.
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Katie Trotta, PharmD, BCACP retweeted
The winner of competition between Amjevita (-55%) and Amjevita (-5%) is higher $$ Amjevita. Clear ex. how biosims on PHARMACY side do NOT bring prices down. CVS makes more $$ on higher list pr The battle to win formulary placement is no different w/ biosims, highest price WINS!
Huh? @CVSHealth $CVS #PBM admits "plan sponsors will benefit from significant savings" of #biosimilars Sorry, patients! #Amjevita (list price -55% vs. #Humira) is non-preferred, i.e., not lowest cost for patients with deductibles or coinsurance Yuck. drugch.nl/3Fya0v4
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Katie Trotta, PharmD, BCACP retweeted
The US labor market blows past expectations to add an astonishing 517,000 jobs in January, even as the Fed continues to raise rates cnn.it/3JCkSuE
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Katie Trotta, PharmD, BCACP retweeted
"It is creating pressures on legacy PBMs to explain why their prices have been so bad relative to what a startup is offering ... @mcuban and his company are pulling the rug out from under them." - @A_Ciaccia modernhealthcare.com/supply-โ€ฆ @PBGHealth @mcuban @costplusdrugs @alex_kacik
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Katie Trotta, PharmD, BCACP retweeted
Most of traditional school is a waste of your kids' time. If you want your kids to thrive in a 21st-century world, these are the top 7 skills you need to be teaching them. (And let's be real โ€” most adults need to learn these, too) ๐Ÿ‘‡
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Katie Trotta, PharmD, BCACP retweeted
This is beyond problematic! @HHS @CMS allowing drug co-pay accumulator & maximizer programs by the insurer #PBM complex to take money away from those who need it most. Ironic that as the @JoeBiden agencies give lip service to fixing health disparities they are fueling them.
This is problematic! Benefit plans with copay #accumulators and #maximizers "pose a disproportionate burden on historically marginalized populations and people of color, further exacerbating existing health disparities" Poster from @amcporg Nexus drugch.nl/3CZOAWD
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Katie Trotta, PharmD, BCACP retweeted
1. FTC has voted to order the six largest pharmacy benefit managers (PBMs) to produce documents and data as part of an inquiry into PBMs and their impact on patients, pharmacies, payers, and doctors. ftc.gov/news-events/news/preโ€ฆ
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Katie Trotta, PharmD, BCACP retweeted
Last week, I had the chance to speak with a class of third graders. They had just done a unit on government and my job was to come in and be an example of an elected official. I spoke for a few minutes, then opened it up for questions. And they were *ready.* /thread/
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Katie Trotta, PharmD, BCACP retweeted
Three companies (CVS, UHG, and Anthem) will make $756 billion in combined 2022 revenue. Just let that sink in.
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Katie Trotta, PharmD, BCACP retweeted
Woohoo, weโ€™re doing this! Pharm5 Podcast coming this February on Apple Podcasts and Spotify! Link in bio! ๐Ÿ’Š๐ŸŽง๐Ÿ“ฑ #TwitteRx #AmCareRx
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Katie Trotta, PharmD, BCACP retweeted
Remarkable that @ExpressScripts hired outside counsel, wrote a cease and desist letter to @Axios & demanded destruction of documents โ€”seems like a per se prior restraint in violation of the 1st Amendmentโ€”why are they so afraid?
"Employers foot a chunk of the bill for millions of workers' scripts. But secret contracts, which are nothing new in health care, are blocking employers from understanding whether they are paying reasonable drug prices." @bobjherman @A_Ciaccia @TPPF axios.com/aon-express-scriptโ€ฆ
Katie Trotta, PharmD, BCACP retweeted
With regards to prevention of atherosclerotic cardiovascular disease: Pharmacologic therapies typically only furnish a 10-25% reduction of relative risk, while lifestyle measures may reduce risk by over 80%. Our new paper is out now! sciencedirect.com/science/arโ€ฆ โ€“ at Newport Beach, CA
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Katie Trotta, PharmD, BCACP retweeted
ARSENIC is readily absorbed by rice plants in contaminated soil. Rice produced in the US South where cotton was sprayed w/ arsenic-based pesticides is highest in arsenic (high in CA too). Organic does not help! If you eat rice, choose India, Pakistan, Thailand.
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1. In today's op ed in @CourierTimes , The head of TRG healthcare tells us that #PBM provide better access at a lower price. When you are done laughing, ๐Ÿคฃ read all his unsubstantiated claims here: theintell.com/story/opinion/โ€ฆ
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Katie Trotta, PharmD, BCACP retweeted
Exclusive: #340B Continues Its Unbridled Takeover of #Pharmacies and #PBMs ==> drugch.nl/3vlUvOJ <== 30,000 (1) #pharmacy locations now act as #340B contract pharmacies Biggest players: @Walgreens $WBA @CVSHealth $CVS @Walmart $WMT @ExpressScripts $CI @OptumRx $UNH
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Katie Trotta, PharmD, BCACP retweeted
Today a patient brought us $15,000 worth of insulin to be destroyed after their spouse passed away. This is the waste that is generated by forcing patients to use mail order pharmacies. Itโ€™s so painful throwing this away knowing how many patients canโ€™t afford their own insulin ๐Ÿ˜ญ
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Katie Trotta, PharmD, BCACP retweeted
This. Is. Asinine. Pharmacies are moving mountains to administer #COVID19 vaccinations only to be sidetracked by predatory #PBM audits?! @POTUS @VP @CMSGov @HHSGov @ewarren @SenSchumer the time for #PBMreform is NOW!! #TwitteRx @Commpharmacy
Pharmacist colleague who is COVID testing and providing 300 doses of the COVID vaccine to his community this week just got notice of an onsite audit from @CVSHealth coming up 2 weeks from now. They canโ€™t be regulated soon enough. @NeilBreslin44 @DickGottfried #FixRx
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Katie Trotta, PharmD, BCACP retweeted
Really bad, terrible week for #PBMs. First, @NBCNews expose shows PBM mail order abuses to patients. Next, Florida Medicaid found PBMs bilked the state out of $89 million! Now, Supreme Court votes unanimously that PBMs can't hide behind ERISA in their dirty profiteering schemes.
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