Kayla Copeland

To the pharmacists and technicians working behind the counters at CVS, We want to start with something that matters more than anything else in this conversation—you. With the recent passage of the Tennessee FAIR Act, there’s been a lot of discussion, noise, and in some cases, misunderstanding about what this means and who it’s about. So let us be very clear: This is not about you. This is not directed at you, your coworkers, or the profession you represent so well every single day. From...

Without that claim-level information, it becomes significantly harder for regulators to detect systemic issues within PBM reimbursement practices.

Pharmacies, listen up. It has come to my attention that Express Scripts (ESI) is manipulating the MAC appeal system. Pharmacies across Tennessee are reversing and rebilling approved MAC appeals — exactly as required — only to be hit with lowered reimbursement and increased patient copays. In many cases, the difference is hundreds of dollars, not just a few. Pharmacies are being forced to call patients — whose prescriptions are ready for pickup or already picked up — and tell them they...