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PBMs: Spitzer puts the boot into Express Scripts

NY A-G Eliot Spitzer continues his swath through the boardrooms of America. He’s piling in on the recent investigations and he comes right out and accuses Express Scripts of fraud.

The suit alleges the company inflated the cost of generic drugs at the expense of New York state’s largest employee health plan, the Empire Plan. It charges the company cheated the state on payments from drug companies that Express Scripts received when negotiating on behalf of New York. Spitzer, who has been probing the company for a year, said the abuses occurred over a five-year period and cost the state $100 million. Also named as defendants were two subsidiaries of Cigna Corp.

“They are using their role as an intermediary to line their own pockets,” he told reporters on a conference call. “They were simply committing fraud, and it cuts to the core of the integrity of the company.” Spitzer said abusive practices are not limited to Express Scripts but are rampant throughout the sector. Pharmacy benefits managers, or PBMs, are brokers that act as middlemen, buying drugs for employers and health plans.

That’s not exactly soft speaking, and it doesn’t augur well for PBMs if they have to administer a Medicare program in 2006 that is being run by a Democratic HHS, with possibly a Justice department overseen by an Attorney-General called Spitzer.

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  1. >
    > Dear Mr. or Ms. D.(undisclosed for privacy)
    >
    > Thank you for contacting Express Scripts.
    >
    > We have researched your account and have found that you have called in
    > and spoken with a patient care advocate and you were advised that your
    > order form was “checked” for no generics. Our records indicate that a copy
    > of the order form is being sent to you. We are unable to accept a return
    > on the medication. We apologize for any inconvenience. If you have any
    > further questions, please contact customer service by phone at
    > 1-800-467-2006 and press ‘0’ to speak with a live patient care advocate.
    THIS LETTER IS TO OUR GREAT EXPRESS SCRIPTS THAT WE PAY AND PAY and pay FOR PRESCRIPTIONS ONLINE……….
    You have “researched my account” is that right?Well let me say and because Im typing i just will leave a few words out .,to whom it may concern: WHAT WE HAVE HERE IS A FAILURE TO COMMUNICATE! the original person whom my wife dealt WITH i and hope his future @ EXPRESS IS SHORT lived & BLEAK!
    Maybe your policy could have a exception to the rule for TAKING PEOPLES HARD EARNED MONEY AND NOT WISELY CHOOSING HOW TO PLACE IT FOR A “SIMPLE” HONEST MISTAKE FROM A SIMPLE CHECKED BOX INDICATING WETHER OR NOT THE PRESCRIPTION CALLS FOR A GENERIC BRAND TO A “SIMPLE” UNCHECKED BOX, YOUR KIDDING ME RIGHT. THATS JUSTIFIED BY WHOM? WHERE IS MY MONEY? YOUR BAG OF PILLS ARRIVED AT MY HOME SAFELY AND UNOPENED BUT YOU WILL NOT TAKE THEM BACK IS THAT RIGHT?
    2 HOURS AFTER WE REALIZED WE MADE A MISTAKE YOU WOULDN’T CORRECT THIS PROBLEM ! DOES THE PRESCRIPTION CALL FOR BRAND NAME DRUGS? NOOOOOOOOOOOOOO ANOTHER QUESTION YOU CAN ASK YOURSELF IS HAVE WE BOUGHT BRAND NAME DRUGS BEFORE AND THE SAME PRESCRIPTION HAS BEEN SHIPPED FOR YEARS AS A GENERIC DRUG FOR 20 DOLLARS AS COMPARED TO BRAND AT 280.00 WHO THE HELL ARE YOU KIDDING? THIS REPORT WILL GO CC”D TO NUMEROUS PEOPLE IN HIGHER PLACES THEN YOURSELF!MAYBE EVEN 20/20 FOR A START /ANDY ROONEY EATS PEOPLE LIKE YOU UP AND NO REMORSE MAYBE YOU SHOULD SEND A CD BRIEFLY DESCRIBING HOW TO USE YOUR SIGHT AT NO COST OF COURSE.LMAO THANKS FOR TAKING FOOD OFF OUR TABLE SO YOU CAN JUST BE FLATTERED ON YOUR NEXT MEAL, MY SUGGESTION TO YOU IS TO BUY STOCKS IN ASPIRIN
    BELOW IS THERE(EXPRESS SCRIPTS) FINDINGS OF $20.00 VERSES $280.00 I CANNOT BELIEVE THEY CAN GET AWAY WITH THIS AND MAYBE WE JUST OPENED UP A CAN OF WORMS , BECAUSE I’M SURE THERE ARE THOUSANDS MORE LIKE US THAT THIS COMPANY PRAYS UPON………………….MAYBE THERE IS A EXPRESS SCRIPTS RIP OFF BLOG ALREADY?
    SINCERELY NOT A HAPPY CAMPER…….MIKE DICLEMENTE
    “questions” wrote:
    > Message Redirected by the Secure Messaging System.
    >
    >

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