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I found something interesting for Elon and the Doge team regarding Medicare. In 2022, Medicare filled 85,000 prescriptions for Perfinidone at $8,000 each, totaling $680 million. At my cost-plus pharmacy, the same prescription is only $200. Filling all 85,000 prescriptions with me would only cost $17 million. Medicare is overpaying by $663 million annually because Pharmacy Benefits Managers (PBMs) get a percentage of the cost, incentivizing them to inflate prices. The easy solution is to cancel the PBM contracts and use actual costs. If you want to check if PBMs have been raising the cost of your medications, go to forestparkpharmacy.com and check our price to see how much you could save.

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A concerned parent in North Texas shares their lunchtime dilemma. They initially planned to drive to Buc-ee's for gas station food, but realized it was too far and didn't make sense. They didn't want to undermine local restaurants or underestimate their fellow Texans' intelligence. Instead, they decided to go to Vaqueros in Grapevine for a delicious brisket sandwich and enjoy it with a beer at Hop and Sting Brewery, all for under $20. They humorously ask the owner of Buc-ee's to not exclude them from the donation pot, despite not eating there due to the high prices.

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Public Square is a digital marketplace that connects consumers with small businesses that align with their values and do not push woke politics. The platform has over 75,000 vendors, with 99% of them being small businesses. Public Square aims to promote liberty and support businesses that respect individual freedoms. They also organize town hall events with elected officials to give small businesses a voice. The company is growing rapidly and has attracted a diverse user base, including Democrats and independents. Public Square offers a free app for consumers and businesses to join.

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Brenzavvy, a drug similar to Jardiance or Farxiga, is not covered by insurance, prescribed by doctors, or carried by wholesalers because it is too cheap. Brenzavvy costs $60 at the speaker's pharmacy. Pharmacy benefits managers (PBMs) deny coverage because Brenzavvy's low price prevents rebates. Farxiga and Jardiance cost insurance payers $1,000 upfront with a 40% rebate. An HHS report stated PBMs get 23% on average for brand meds. After rebates, Farxiga and Jardiance still cost $600, with PBMs earning $138. With 8,000,000 prescriptions a year, PBMs make $1,100,000,000 off those two drugs. The speaker claims PBMs keep Brenzavvy off their lists to avoid losing a billion dollars annually. The speaker believes affordable healthcare is impossible with PBMs involved. The speaker encourages listeners to use forestpark.pharmacy to save money and to inform their bosses about potential savings.

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I finally made it to HEB in Texas after a lot of requests. HEB is family-owned, founded over a century ago by the Butt family, and they donate 5% of pretax profits to charity. I noticed their HEB-sourced steak, Texas wine, and craft beer sections supporting local businesses. While the bread selection wasn't great, HEB has its own brand. The barbecue sauce aisle was impressive with local, founder-owned brands. I found that HEB brand items often avoid high fructose corn syrup. Dog food options weren't great, stick to raw food for your pets. Syrup aisle had some trickery, but real maple syrup was available. Cereal and dairy sections were solid, and tortilla chips had family-owned Texas brands. Shampoo, skincare, and cleaning product aisles were dominated by mega-brands or fake "family-owned" brands. Tampons and toothpaste had similar issues, but HEB brand offered a family-owned alternative for toothpaste. HEB is legit, and you can find many family and founder-owned brands with my spreadsheets on cancelthisclothingcompany.com/resources.

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The general manager of the last Blockbuster in Bend, Oregon, says they open two or three new accounts daily due to customer excitement. Every Tuesday, they purchase new releases from Walmart, Target, and Fred Meyer because they don't get them from their vendor. Customers smile upon entering, experiencing warmth and childhood memories, allowing them to momentarily forget everything else. The manager started working there in 2004, during Blockbuster's peak. They can't even use debit cards anymore.

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Margaret is at a vaccination center getting her 45th booster shot. She has had Covid 14 times and believes that her boosters have helped her avoid severe illness. Today, she is getting a 3fa, which includes a booster, a cold and flu shot, and a shingles vaccine. Margaret jokes that she has received more boosters and vaccines than she has blood. She is excited about a loyalty card she received, where she earns reward points for each vaccine she gets. She only needs 2 more points to earn a heart attack.

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Only two countries worldwide allow pharmaceutical TV ads, including the U.S., where over a billion dollars monthly is spent. These ads convey that Americans frequently experience bowel and bladder issues, active seniors enjoy tennis and sex, and pills can solve any problem, even pill overuse. The speaker questions the need to suggest medications to doctors and highlights the growth of ketamine clinics in America. Western medicine, it's argued, treats respectable drugs differently from street drugs, despite similarities. Oxycodone is heroin, Adderall is meth, and Ritalin is cocaine for kids. Ketamine, once an illegal club drug, was FDA-approved as an anesthetic. The speaker suggests the first drug one uses is the gateway drug, be it beer, pot, or pharmaceuticals prescribed to children. Resisting profitable but harmful substances requires individual effort.

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Medicare overspent on dimethyl fumarate in 2022, paying $590 million for a drug I offer at $65 per prescription. This discrepancy highlights how Pharmacy Benefits Managers (PBMs) inflate drug costs to increase their profits. Medicare's PBM charged them $3,800 per prescription when the real price is only $65. This PBM price gouging cost Medicare $580 million on just this one drug. The solution is simple: eliminate PBM contracts to save money. Also, your insurance likely uses a PBM, overcharging you too. Check if you're overpaying for your medications at fourthparkpharmacy.com to use our price checker.

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This Walgreens location recently faced a car crash at its entrance, part of a troubling trend in the Bay Area. Walgreens stated that closures are due to rising regulatory and reimbursement pressures affecting their ability to manage costs, without mentioning crime. However, locals report frequent shoplifting incidents, including thefts by various individuals. This location was previously linked to a crime spree involving a group that stole over $84,000 in merchandise, leading to multiple arrests. Residents express the need for the pharmacy for essential items, emphasizing its importance for the community.

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At a veterinary conference, a six-doctor practice owner described constant corporate offers to buy her business: 'it's constantly every single week' with 'great offers to buy her practice.' She would 'be willing to take a loss to be able to sell the practice to an individual instead of corporation.' The talk underscored a broader trend: 'Mars now owns so many of the vets, so many of the ERs, and now insurance, animal insurance companies.' To counter this, she urged consumers to 'Seek out veterinary hospitals that are owned by an individual' and to 'Call them, ask them who owns them.' She concluded that 'The consumer becomes more knowledgeable about the process and gravitates toward veterinary practices that are owned by individuals,' and that we should 'support small businesses and small practitioners' for better patient care and outcomes.

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Speaker 0: The pharmacy benefit managers. Speaker 1: Think of it like this. So you go to a restaurant and you order a burger. Okay? And let's say that burger costs $15. But before your order goes through, some guy steps in and says, hold on. If the restaurant wants to sell you that burger, they need to pay me $5. And if not, you can't have the burger. Speaker 0: Think of them as the toll bridge between you and drug prices. Speaker 1: But the PBM isn't just collecting the toll. They're also controlling which cars can pass. They own the bridge. They set the price of gas. They use their contracts to profit off of everyone crossing. Speaker 1: So the PBM charges the employer a very high price. It pays the pharmacy a very low price, and it keeps the difference, and that's called spread pricing.

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Nicole Valens, a pharmacy manager at Safeway, store 18/92 in Cortez, announces her immediate resignation. She refuses to dispense what she refers to as poison to people, urging everyone to wake up to the harm it causes. Having witnessed customers die, she strongly advises against taking it.

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I'm excited about the recent bill in Arkansas aiming to make ivermectin an over-the-counter medication; all states should follow suit. Ivermectin, despite being an antiviral, antimicrobial, and anti-parasitic medicine, was villainized during COVID. When I contracted COVID in 2020, I decided against the under-researched options and tried ivermectin. My symptoms vanished within 24 hours. Ivermectin's benefits extend beyond COVID. I know three people who had stage four cancer that were cured after taking ivermectin. It is strange that effective treatments are often suppressed due to profit motives. The medical industry wants to keep you sick. Get ivermectin now from a reliable US-based source like All Family Pharma before it becomes more expensive and harder to find. You never know when you might need it.

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I've identified wasteful spending in Medicare, specifically with generic Cialis, or Tadalafil. In 2022, Medicare spent $237 million on this drug, averaging $481 per prescription across 492,000 prescriptions. However, at my pharmacy, the same prescription costs only $14 without insurance. That means it would only cost $7 million to cover the entire country at my pharmacy's pricing. The overcharge of $230 million for just this one drug is due to pharmacy benefits managers (PBMs). PBMs manage all pharmacy-related aspects for Medicare, deciding coverage, copays, government costs, and pharmacy payments. They've essentially decided on a 3000% markup. It's time to fire the PBMs and bring prices back to reality. To check the markups on your prescriptions, visit forestparkpharmacy.com and use our price checker.

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The FTC sued the largest three PBMs. The FTC accuses these three companies for artificial inflating insulin prices, investigating their rebate system. There were marked up specialty drugs for cancer, HIV, and other conditions by over $7,300,000,000. One of the companies actually countersued the FTC over false and defamatory statements. PBMs own the insurance companies, and the pharmacies. Caremark owns CVS. Express Scripts owns a home delivery pharmacy. Rx owns Optum home delivery pharmacy, so they can ship directly to your house. Control of 80% of all the medications in The US comes from three of the biggest PBMs. In reality, the PBMs are not just the middleman. Since they've merged with the insurance companies and the pharmacies, now they're the actual gatekeepers of medicine.

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Mega corporations like Procter and Gamble and Unilever own most of the baby products and toilet paper options in stores, prioritizing profits over the safety of consumers. Reports and studies have revealed toxins in baby food and diapers. While there are expensive family-owned brands of baby food, no good solutions for diapers were found. However, there are family-owned toilet paper brands like Who Gives a Crap, which offers chemical-free options. It is important to be mindful of who owns the products we buy and support family-owned businesses that genuinely care about consumers. By doing so, we can make a positive impact and protect ourselves.

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We're continuing our investigation into Medicare overspending, and today we found Aripiprazole. In 2022, Medicare spent $1.5 billion on this drug, with 7.2 million prescriptions at an average cost of $208. However, at my pharmacy, without insurance, the same medication costs only $12. Filling all those prescriptions at my pharmacy would only cost $86 million. That means over $1.4 billion was wasted due to pharmacy benefits managers (PBMs) using inflated prices and directing patients to pharmacies they own. The solution is simple: cancel the PBM contracts, eliminate the made-up prices, and get back to reality. To see how much you've been overcharged, visit forestparkpharmacy.com and use our price checker to see your potential savings.

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Big Pharma targeted Eastern Kentucky, offering doctors a remedy to kill pain quickly. An individual claimed to have been working underground since 1983 and could provide the solution. The remedy spread rapidly, with half the town consuming it without questioning its effects. Doctors allegedly profited from prescriptions and kickbacks.

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Obesity is America's deadliest epidemic, contributing to half a million deaths yearly. Seventy-four percent of Americans are overweight. The problem isn't personal failure; it's a broken system. The $160 billion weight-loss industry profits from our struggles, prioritizing profits over patients. Existing medications can be effective, but are often unaffordable. Hims & Hers offers a solution: affordable, doctor-approved weight-loss medication, formulated in the USA. We provide personalized treatment plans tailored to individual needs and lifestyles. We believe everyone deserves to feel good in their body. Join us in building a healthier America.

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Big pharma and mega corporations own a significant portion of the supplement and vitamin brands. Companies like Nature's Maid, Centrum, Vita Fusion, and Nature's Bounty are all owned by major corporations. Nature's Way is owned by Schwabe North America, a German pharmaceutical company. Emergency is owned by Pfizer, and Simple Truth is owned by Kroger. However, Oregon Wild Harvest stands out as a family-owned brand. The issue with big pharma and mega corporations buying out these natural supplements is that they are the same companies that sell chemicals that make people sick and then offer drugs as solutions. This raises concerns about the integrity and effectiveness of these alternative products.

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The general manager of the last Blockbuster in Bend, Oregon, says they open two or three new accounts daily due to customer excitement. Every Tuesday, they purchase new releases from Walmart, Target, and Fred Meyer. Customers smile upon entering, experiencing warmth and childhood memories. The manager started working there in 2004, during Blockbuster's peak. They also mention not being able to process debit cards anymore.

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The Amish rarely get sick despite rejecting modern medicine, and one secret is an Amish ibuprofen recipe. The book, *The Amish Ways*, written by someone who lived seventeen years with the Amish, offers access to every natural remedy the Amish use to stay fit and healthy. Each recipe includes exact ingredients, dosages, and step-by-step instructions. Most can be made right away in your kitchen with readily available ingredients. Click the link to grab a copy of *The Amish Ways* and receive three free gifts.

20VC

TJ Parker: Building PillPack, The First E-Commerce Pharmacy, to Amazon's $1B Acquisition | E1022

Guests: TJ Parker

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TJ Parker grew up in New Hampshire in a family that owned a classic mom-and-pop pharmacy, later switching from business to pharmacy to study the customer’s needs. He co-founded PillPack by merging his pharmacy expertise, design obsession, and startup curiosity. The founding moment arose from iterating across pharmacy models and design with MIT's ecosystem (MIT 100K and Hacking Medicine), converging into a consumer, aesthetically driven pharmacy service—PillPack. From the outset, Parker emphasizes founder-market fit as essential for understanding the customer problem. He notes that the value lay in deeply knowing patients’ experiences—delivering meds, home visits, and the messy complexity of pharmacy—and pairing that with design and technology. He contends the end customer deserved focus, while acknowledging naivety about broader industry dynamics that incumbents and PBMs controlled. That customer-centric stance guided product choices. Equally central are Parker’s views on uncertainty, risk, and speed. He argues that founders must tolerate uncertainty to innovate, yet acknowledge personal temperament in choosing roles. He describes parenting as a model for independence and learning to depart from predictability. In execution, he stresses that speed matters but irreversible decisions should be deliberate; he favors hiring doers, giving them autonomy, and changing course quickly when needed. On growth and regulatory tension, PillPack's story centers on PBM dynamics and a critical two-week deadline. Express Scripts terminated contracts, threatening 40% of revenue; PillPack countered with a public educational campaign and a pivot to new GPOs, preserving access. The company then scaled after VIP accreditation and Facebook ads, culminating in a strategic sale to Amazon in 2018, with a billion-dollar price tag. Ultimately, Parker reflects on leadership, culture, and personal life after PillPack. He argues for functional, not GM, org design early on, and for equity as a cultural lever to align teams. He credits early angel Katie Ray and Zen Chu, and his co-founder Elliot Cohen as key board partners. He notes time and family bring happiness, buys a Park City farm, and remains hopeful about building ventures that improve lives.

My First Million

How to launch a $100M DTC brand | My First Million #194

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In this conversation, Saam Paar and Shaan Puri discuss entrepreneurship and side hustles with Justin Mares, highlighting his journey from roommate businesses to successful ventures like Kettle and Fire and Perfect Keto. They reminisce about their early days in San Francisco, where they both pursued various entrepreneurial projects. Justin shares insights on the importance of side hustles for financial stability while launching a main business, emphasizing that many entrepreneurs start with small, manageable projects. Justin outlines four types of side hustles: buying existing assets to improve their value, leveraging marketplaces with existing demand, launching unique products with paid customer acquisition, and creating content on emerging platforms. He discusses his experience with Airbnb, Udemy courses, and the success of Kettle and Fire, which raised $16 million in funding and achieved significant revenue. The conversation also touches on the rise of non-alcoholic beverages and the changing attitudes of younger generations towards alcohol consumption. Justin mentions his new venture, Shirley, a non-alcoholic wine brand, and reflects on the growing market for healthier alternatives. They explore the concept of accountability in health and wellness, discussing a glucose monitoring experiment Justin conducted, which incentivized participants to maintain healthy habits. The discussion concludes with Justin's thoughts on automation in business, advocating for the use of virtual assistants to enhance productivity. Overall, the dialogue showcases the entrepreneurial spirit, innovative ideas, and the evolving landscape of consumer preferences, particularly in health and wellness.