30 day supply of Lisinopril:
Mark Cuban Cost Plus Drug Company, PBC : $5
Required TRICARE mail
order: $94
Patient copay: $13
Taxpayers pick up the rest..
This is not a rare drug, it is one of the most basic blood pressure medications out there. Yet the system mandates where military families fill, not based on price or value… but based on contracts-or should I say who paid the most to get the contract.
Our tax dollars going to a PBM Express Scripts Pharmacy Benefit Services on inflated charges to our military families.
What nobody talks about…
If you’re a self-funded plan, you carry 100% of the risk.
Not your TPA. Not your carrier. You.
Costs keep rising.
Fiduciary responsibility gets “delegated” (it doesn’t).
And millions are quietly leaking out the door in overpayments and ineligible charges.
Most plans aren’t failing because they don’t care…
They’re failing because they don’t see it.
Or worse—
they’re trusting a system that was never designed to show them.
Fiduciary duty isn’t something you outsource.
It’s something you own.
We have been studying effects of different medications on your body.
This matters more than we talk about.
The medications you take don’t just affect your body… they can affect your mind, your mood, even who you feel like as a person.
Think about that.
A routine heart medication, something prescribed every day, without much thought, can lead to:
Personality change-
1. Memory Loss
2. Dizziness
3. Nausea (feeling of having an urge to vomit)
4. Paranoia (psychotic disorder characterized by delusions of persecution with or without grandeur)
5. Constipation
6. Depression
7. Abnormal Behavior
8. Weakness
9. Fatigue (feeling of tiredness)
10. Stable Angina (a constant chest pain):
Real people reporting real effects.
We’re so focused on treating the condition, we forget to ask-
What is this doing to the person?
Because if a medication changes how you think, feel, or act…
that’s not a small side effect.
That’s your life.
Most employers think their health plan is being “managed.”
It’s not.
It’s being processed.
There is a BIG difference.
At US Beacon, we don’t just look at whether a claim was paid.
We examine whether it should have been paid and if it was paid correctly.
Because here’s what really happens to claims when being paid without oversight-
• Contracts are often misunderstood
• Discounts are assumed, not verified
• Line items go unchecked
• Duplicate, unbundled, and ineligible charges slip through
• Fiduciary oversight neglected
And every single penny matters.
When you are a self-funded plan sponsor, you are a fiduciary under ERISA. That means you don’t just have the right to verify, you have the responsibility.
Independent review changes everything.
We review claims line-by-line, pre-payment when possible, with clinical and coding oversight.
We are not owned by private equity.
We are not tied to a carrier.
We are not paid based on how much gets pushed through.
We stand between the plan and unnecessary spend.
Over 20 years in this space has taught us one thing-
Trust is good.
Verification is better.
When planning the @sideeffectsmayinclude_ screening party, I never could’ve DREAMED we’d end up in @usweekly alongside Margot Robbie, Halle Berry, Dakota Johnson, Kathy Hilton just to name a few ✨
Feeling so grateful for this moment and all who showed up; we’re just getting started!!!
A special mention to @kimcarleson at @us_beacon who was the Underwriter Sponser for this incredible event at kemosabe ✨
#pbmprincess #sundance
