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America’s Nursing-Home Pharmacy System
Is About to Break

Original Article

Posted By: ConservativeYankee, 12/3/2025 4:10:18 PM

Democrats in Washington have spent the last two years celebrating the Inflation Reduction Act’s drug-pricing provisions. And, yes, lower prices and a $2,000 out-of-pocket cap make for good headlines, but beneath that victory lap sits a part of the health-care system almost no one thinks about: the pharmacies that serve nursing-home residents. Their stability determines whether millions of elderly Americans receive the medications they rely on every day. Those pharmacies are the weak point in the IRA rollout, and the pressure on them is building. Long-term-care (LTC) pharmacies aren’t retail storefronts. They don’t rely on walk-in traffic, and they don’t have the product mix that helps chains absorb financial shocks.

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Reply 1 - Posted by: slipstik 12/3/2025 4:30:20 PM (No. 2037013)
Blah blah blah. My mother lived with me for a while until several hospital stays and recoveries required her to move into a nursing home. All of her drugs were long time generics and never cost more that about $10 per month from the Costco pharmacy. The nursing home managed to do the job at $120 per month. I was not allowed to fill her weekly pill container with my $10 contents.
4 people like this.

Reply 2 - Posted by: texaspast 12/3/2025 4:41:49 PM (No. 2037018)
Don't shed any tears for the nursing home. As #1 said, they are as big a meds rip-off as hospitals are. Plus, many of the nursing home chains own their own pharmacies - and doctors. My parents couldn't keep their PCP when they went into nursing home, but the nursing home's doctor 'visited' once a week (VERY cursory visit), and the nursing home system billed for a doctor visit for EVERY 'inmate.' Every week.
6 people like this.

Reply 3 - Posted by: K620 12/3/2025 6:01:00 PM (No. 2037035)
Wow, #1 and #2. My experience was the opposite. My mom was in a nursing home, bedridden, for 19 months before she passed away. It was good to know that her meds were always in supply and dispensed (generally in applesauce!) several times a day on schedule. I feel like these guys operate on a fairly small profit margin and everything we do to make it harder for them exist is double plus ungood.
6 people like this.

Reply 4 - Posted by: TXknitter 12/3/2025 8:34:38 PM (No. 2037095)
I dare not say much here. Every red state Governor needs to do a big audit of one of the most corrupt systems in any state - the nursing homes. A gold mine for the owners but what happens in even some of the best is a horror. No sympathy for nursing home owners on this issue.
4 people like this.

Reply 5 - Posted by: TXknitter 12/3/2025 8:38:30 PM (No. 2037097)
Oh and #2, a lot of times that is no doctor visit either. Many nursing home patients in our county are admitted and if their families are not checking and pay attention, they never see a doctor at all. The nursing home often contracts with NP or PA group and they do pretty much ALL medical care. There is little to no oversight.
5 people like this.

Reply 6 - Posted by: ladydawgfan 12/3/2025 10:24:12 PM (No. 2037126)
I know that not every family is able to do this, but my sisters and brothers and I all got together and made the decision that, barring an Alzheimer's diagnosis, our parents would never see the inside of a nursing home. With five children in the family, one of us would always be available for caring for my parents in their sunset years. I happen to be that child now, although my eldest sister also has been Godsend with her medical knowledge and general help around the house. And although my mom has since passed, my father is still going strong and it is my pleasure and honor to share a home with him. This was brought about
3 people like this.

Reply 7 - Posted by: ladydawgfan 12/3/2025 10:31:12 PM (No. 2037128)
This was brought about by the mistreatment of my maternal grandmother at the nursing home she was in before she passed. It was a cold, creepy uninviting place with concrete block walls, metal beds and a prison-like lifestyle for the residents. She didn't even have a comfortable chair in her room and they wouldn't let us bring her one!! I believe that the decision regarding my parent's career was borne from this. Meanwhile, my father lives in his own comfortable room, in a spacious apartment, with whatever food he feels like eating, and his car is outside so he can go to church or the store whenever he wants. His prescriptions are at his favorite pharmacy and he sees his doctors on a regular basis when needed. As I said, not all families are able to do this, but this was the best solution for our family.
2 people like this.

Reply 8 - Posted by: Timber Queen 12/4/2025 12:17:01 AM (No. 2037150)
My mother suffered from Alzheimer's. Knowing that the day would come when she could not be at home with Dad, we put her name on several long waiting-lists for Alzheimer care facilities. In 1992, just as she began to become combative and violent, we found the perfect place only fifteen minutes from my parent's home. It was a former nursing home, circa 1960's, that had been completely remodeled for Alzheimer and memory loss patients only. She was among their first group admitted. The walls were brightly painted yellow, pink, blue and green. The single rooms had nice hospital beds but also comfy chairs and a little desk. People could bring favorite things from home if they wanted. The dayroom was cozy and inviting. They transformed the parking lot in back into a walking garden, with interconnecting paths through trees, flowers, shrubbery, and many benches...all surrounded by a pink cinder-block wall about twelve feet high. No one could "wander off". She was only there for about six months before she died from a heart attack...two days before Christmas. Jesus called her home for His Birthday. We were blessed, but I know there are good places out there.
5 people like this.

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Democrats in Washington have spent the last two years celebrating the Inflation Reduction Act’s drug-pricing provisions. And, yes, lower prices and a $2,000 out-of-pocket cap make for good headlines, but beneath that victory lap sits a part of the health-care system almost no one thinks about: the pharmacies that serve nursing-home residents. Their stability determines whether millions of elderly Americans receive the medications they rely on every day. Those pharmacies are the weak point in the IRA rollout, and the pressure on them is building. Long-term-care (LTC) pharmacies aren’t retail storefronts. They don’t rely on walk-in traffic, and they don’t have the product mix that helps chains absorb financial shocks.
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