Mississippi's pharmacies

preacher_dawg

All-Conference
Nov 12, 2014
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Apologies if this has been talked about before, but from my understanding, Mississippi passed legislation which has made it more difficult for small pharmacies to stay open. A list:
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johnson86-1

All-American
Aug 22, 2012
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Apologies if this has been talked about before, but from my understanding, Mississippi passed legislation which has made it more difficult for small pharmacies to stay open. A list: View attachment 1418040
A lot of the independent pharmacies are arguing that pharmacy benefit managers are putting them out of business, but they are doing a terrible job explaining it. I think there are may be real anti-trust type abuses where there is common ownership of PBMs and chain pharmacies and they are using that to hammer independents, but when you hear pharmacists talk about it, it sounds like they are complaining about chains having economies of scale. There was legislation they were pushing to "fix it", but it did not pass I don't think.
 

thatsbaseball

All-American
May 29, 2007
18,308
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I do business with an independent in Madison and I'm sure I pay a little more but it's worth it to me to walk in and do business (particularly involving healthcare) with people you know and vice versa . The staff turnover at chains is worrisome to me .
 

DawgTown Blues

Freshman
Aug 31, 2022
56
63
18
We use a couple of local pharmacies in Rankin county. They seem to be thriving. I have a feeling this is more related to not being able to understand/handle legislation versus the legislation itself.
 

johnson86-1

All-American
Aug 22, 2012
15,116
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As a medical weed patient in need of my medicine, I can say that it sure does seem there is a new dispensary opening every day.
I'm really interested in how that's working. I know originally there were some numbers that indicated patients that legitimately qualify (according to the legislation) for a weed card wouldn't even be numerous enough to support a dispensary in every county. Not sure if those numbers were incorrect to begin with, if weed cards are being handed out without concern about the legality, or if there are a lot of dispensaries barely making it (or not making it) with the expectation that restrictions will be loosened and they want to be established in the market.

I'm assuming cards are just being handed out willy nilly and they aren't just selling illegally also, but no real clue. But they seem to be operating legitimately and taking all the requirements seriously when I go in for medicine to deal with my persistent hang nail pain.
 

Duke Humphrey

All-Conference
Oct 3, 2013
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There are a lot of details in this debate between PBMs and independent pharmacies that I do not understand, but i think the biggest problem facing independent pharmacies is the same issue that plagues healthcare services overall in MS; lack of volume of consumers.
 

Lucifer Morningstar

All-Conference
Aug 30, 2022
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I'm really interested in how that's working. I know originally there were some numbers that indicated patients that legitimately qualify (according to the legislation) for a weed card wouldn't even be numerous enough to support a dispensary in every county. Not sure if those numbers were incorrect to begin with, if weed cards are being handed out without concern about the legality, or if there are a lot of dispensaries barely making it (or not making it) with the expectation that restrictions will be loosened and they want to be established in the market.

I'm assuming cards are just being handed out willy nilly and they aren't just selling illegally also, but no real clue. But they seem to be operating legitimately and taking all the requirements seriously when I go in for medicine to deal with my persistent hang nail pain.
It is complete and total ******** in the handing out of cards. I had to meet with the NP for about ten minutes, and all I was asked for was describe your pain and check a box on a form. I was once a college football player and when I went to talking about knee and shoulder surgery, she just said OK and that was that. I will say the dispensary workers are very professional and very kind in their presentation to "patients." The other issue is the state allows for almost 4 ounces a month in terms of grams that you can buy. Even when I was a hardcore smoker, that is a lot. But so far, I have had nothing but great experiences with the people in the actual dispensaries.
 
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patdog

Heisman
May 28, 2007
60,127
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I'm really interested in how that's working. I know originally there were some numbers that indicated patients that legitimately qualify (according to the legislation) for a weed card wouldn't even be numerous enough to support a dispensary in every county. Not sure if those numbers were incorrect to begin with, if weed cards are being handed out without concern about the legality, or if there are a lot of dispensaries barely making it (or not making it) with the expectation that restrictions will be loosened and they want to be established in the market.

I'm assuming cards are just being handed out willy nilly and they aren't just selling illegally also, but no real clue. But they seem to be operating legitimately and taking all the requirements seriously when I go in for medicine to deal with my persistent hang nail pain.
I have no actual knowledge, but I strongly suspect if you want a medical marijuana card it's probably pretty easy to get one. I do know we have 2 medical marijuana dispensaries within easy walking distance of my office and at least 2-3 more within a couple of miles. Some of these companies are doing really really good. And some investors lost their money in others. And in others some investors were (allegedly) defrauded of their money.
 

8dog

All-American
Feb 23, 2008
15,007
7,202
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Dear MS Leg- please do not make me go wait again in that Outbreak/Contamination/Bacteriafest/Horror Movie of a crap show that is the pharmacy area at Walgreens or CVS.

Sincerely,

Constituent 8dog
 

Herbert Nenninger

All-Conference
Feb 9, 2019
834
1,218
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The problem with local pharmacies mainly stems from PBMs cutting deals with chain pharmacies and trying to force patients there. Specifically, local pharmacies lose money by filling more expensive name brand scripts (including all of the ozempic/Mounjaro type shots). So that’s a big chunk of lost revenue right there. And then patients say, well if I gotta get one or two meds at a chain pharmacy, I might as well get all of mine from there. So the local pharmacy loses their business all together.
if anyone one on here is a PBM or wants to offer something good about them, I’m all ears, but I’ve yet to since they’ve been in existence.
 

dorndawg

Heisman
Sep 10, 2012
9,306
10,536
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I have no actual knowledge, but I strongly suspect if you want a medical marijuana card it's probably pretty easy to get one. I do know we have 2 medical marijuana dispensaries within easy walking distance of my office and at least 2-3 more within a couple of miles. Some of these companies are doing really really good. And some investors lost their money in others. And in others some investors were (allegedly) defrauded of their money.
If anyone is considering a card, I am told PTSD is one of the more common maladies.
 

Dawgbite

Heisman
Nov 1, 2011
9,769
11,024
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If anyone is considering a card, I am told PTSD is one of the more common maladies.
My wife has one but really doesn’t use it. She has a legit reason but it really doesn’t help her. As a former recreational user from back in the 80’s I wasn’t a fan of the medical stuff. The edibles hit too hard and didnt sustain long term. The actual buds all smelled and tasted like you licked a skunks ***. I’ll just stick with beer.
 

Dawgbite

Heisman
Nov 1, 2011
9,769
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If anyone is considering a card, I am told PTSD is one of the more common maladies.
But to answer your question. If you have a documented ailment and the paperwork to show it then getting a card is simple. All you need is something written showing whatever ailment you’re claiming. A dispensary will refer you to a Dr who will write the card’s prescription.
 

horshack.sixpack

All-American
Oct 30, 2012
12,027
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I'm really interested in how that's working. I know originally there were some numbers that indicated patients that legitimately qualify (according to the legislation) for a weed card wouldn't even be numerous enough to support a dispensary in every county. Not sure if those numbers were incorrect to begin with, if weed cards are being handed out without concern about the legality, or if there are a lot of dispensaries barely making it (or not making it) with the expectation that restrictions will be loosened and they want to be established in the market.

I'm assuming cards are just being handed out willy nilly and they aren't just selling illegally also, but no real clue. But they seem to be operating legitimately and taking all the requirements seriously when I go in for medicine to deal with my persistent hang nail pain.
don't sleep on hang nail pain; it's serious
 

johnson86-1

All-American
Aug 22, 2012
15,116
5,660
113
The problem with local pharmacies mainly stems from PBMs cutting deals with chain pharmacies and trying to force patients there. Specifically, local pharmacies lose money by filling more expensive name brand scripts (including all of the ozempic/Mounjaro type shots). So that’s a big chunk of lost revenue right there. And then patients say, well if I gotta get one or two meds at a chain pharmacy, I might as well get all of mine from there. So the local pharmacy loses their business all together.
if anyone one on here is a PBM or wants to offer something good about them, I’m all ears, but I’ve yet to since they’ve been in existence.
But are the PBMs cutting deals with chains because chains have more purchasing power? Or because they have shared ownership interest?

PBMs are in theory working for insurance companies. If chains can use their purchasing power to lower prices, then I'm not sure how much anybody should carea bout that other than the independent pharmacies and their purchasing groups. It's basically walmart versus mom and pops again. There are legitimately some things that suck dealing with walmart instead of a mom and pop retail store, but overall, it's a much better deal for most people, so that's what dominates.

Doesn't mean price tying or whatever antitrust laws shouldn't apply. I'm just having trouble understanding what the real harm or unfairness is, or whether it's just another example of small businesses having trouble competing with large ones because of economies of scale.
 

Herbert Nenninger

All-Conference
Feb 9, 2019
834
1,218
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But are the PBMs cutting deals with chains because chains have more purchasing power? Or because they have shared ownership interest?

PBMs are in theory working for insurance companies. If chains can use their purchasing power to lower prices, then I'm not sure how much anybody should carea bout that other than the independent pharmacies and their purchasing groups. It's basically walmart versus mom and pops again. There are legitimately some things that suck dealing with walmart instead of a mom and pop retail store, but overall, it's a much better deal for most people, so that's what dominates.

Doesn't mean price tying or whatever antitrust laws shouldn't apply. I'm just having trouble understanding what the real harm or unfairness is, or whether it's just another example of small businesses having trouble competing with large ones because of economies of scale.
Why can’t chains use their purchasing power to work directly with insurance companies instead of having to incorporate these highly paid middle men? There’s no way that’s good for overall costs.
 
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MSUDOG24

All-Conference
Mar 31, 2021
1,493
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It is complete and total ******** in the handing out of cards. I had to meet with the NP for about ten minutes, and all I was asked for was describe your pain and check a box on a form. I was once a college football player and when I went to talking about knee and shoulder surgery, she just said OK and that was that. I will say the dispensary workers are very professional and very kind in their presentation to "patients." The other issue is the state allows for almost 4 ounces a month in terms of grams that you can buy. Even when I was a hardcore smoker, that is a lot. But so far, I have had nothing but great experiences with the people in the actual dispensaries.
How much does it cost these days versus back when (whenever that was)?
 

thatsbaseball

All-American
May 29, 2007
18,308
7,281
113
I'm really interested in how that's working. I know originally there were some numbers that indicated patients that legitimately qualify (according to the legislation) for a weed card wouldn't even be numerous enough to support a dispensary in every county. Not sure if those numbers were incorrect to begin with, if weed cards are being handed out without concern about the legality, or if there are a lot of dispensaries barely making it (or not making it) with the expectation that restrictions will be loosened and they want to be established in the market.

I'm assuming cards are just being handed out willy nilly and they aren't just selling illegally also, but no real clue. But they seem to be operating legitimately and taking all the requirements seriously when I go in for medicine to deal with my persistent hang nail pain.
I think you would be surprised at who all has applied for and gotten these cards . I'll just about assure you know some people that have them that you never would have suspected .
 

Lucifer Morningstar

All-Conference
Aug 30, 2022
2,426
3,591
113
How much does it cost these days versus back when (whenever that was)?
Max you can spend is about 1,600 a month per the allowable grams. For good stuff, years ago we were paying 300 to 400 a zip. So, at 3 zips a month, that would be about 1,200 for me. So, I personally have seen a 400 raise in my monthly green spending, but the dispensary is a much nicer and easier experience.
 
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kired

All-Conference
Aug 22, 2008
7,111
2,476
113
I hate all these AI graphic designs.
Whats up with the aggressive red & blue color schemes? I keep seeing these graphics that all look the same but from totally unrelated businesses.
 

HotMop

All-American
May 8, 2006
8,515
7,230
113
Dear MS Leg- please do not make me go wait again in that Outbreak/Contamination/Bacteriafest/Horror Movie of a crap show that is the pharmacy area at Walgreens or CVS.

Sincerely,

Constituent 8dog
Never heard of the drive thru?
 
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johnson86-1

All-American
Aug 22, 2012
15,116
5,660
113
Why can’t chains use their purchasing power to work directly with insurance companies instead of having to incorporate these highly paid middle men? There’s no way that’s good for overall costs.
I think the PBM control is on the insurance side, not the purchasing side. So they probably could buy direct from manufacturers, but they'd still be dealing with PBMs for reimbursement rates and network inclusion.
 

ETK99

Heisman
Jul 30, 2019
10,168
13,988
112
Local mom and pop grocery stores died out in the 80s and 90s

This is what’s going on with pharmacies.

Why is this a surprise to people?
Because big stores were able to provide more and cheaper goods, but big pharmacies are running up the costs. I'd compare it to what you see with the beef processors today, and Trump just announced they're going to break that up (fingers crossed...). My local store can get my meds to me at less than $10 per script. CVS/Walgreens is over $50 for the same script.
 
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