LogFAQs > #975397789

I learned today that we have decided to no longer accept Cigna/Express Scripts due to pharmacies like ours being pushed out of preferred network. I also found out that Cigna is telling its clients that independent pharmacies are refusing to opt-in to its more than generous new terms.

They want the pharmacy to take a loss on every single prescription. And if the pharmacy can't afford the loss? They suggest you lie and tell patients that you don't carry the medication in question.

This shit is evil and happens because community pharmacies cannot individually negotiate special rates like CVS or Walgreens or whoever can.

Those major chains rake in money hand over fist, but pharmacy benefits managers are auditing the little guy with a fine tooth comb, piling fees onto them for legitimate insurance claims, under the guise of protecting against fraud, waste, and abuse. And this is on top of the losses of each individual claim.

I'm tired of this shit. Everyone hates insurance companies. Everyone hates chain pharmacies. But almost no one with poltical power works for "everyone" so they have no urgency in fixing the problems of the healthcare industry.