What happened?
I was defamed and removed as a participating prescription medicine provider for Express Scripts in St. Louis, MO. This exclusion was retaliatory—triggered by my raising concerns about Pharmacy Benefit Managers (PBMs) failing to meet their legal obligations for community reinvestment. Instead of addressing the issue, they punished me for speaking out, undermining both my professional standing and the communities I serve.
What would you like to see happen? I want Express Scripts and all PBMs to reinstate those they've harmed through retaliatory exclusions and make them whole—financially, professionally, and reputationally. I also want to see stronger organizing efforts to support independent, community-based pharmacies that are being squeezed out by opaque and monopolistic practices.
How do you think others can help? Patients, citizens, Congress, and public health stakeholders must demand transparency from PBMs. They should require reversals of decisions that recklessly undermine small businesses and neighborhood access to care. We need oversight, legislation, and public pressure to stop these abuses and restore equity in prescription access.
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