Opinion Voices | Contributor: Focus on the real causes of the shortage in hormone treatments by Jennifer Weiss-Wolf and Suzanne Gilberg
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The article explains that the nationwide shortage of estradiol hormone patches for menopausal women is not due to a surge in demand but stems from structural problems in the U.S. pharmacy benefit manager (PBM) system, where a few vertically integrated insurance‑pharmacy conglomerates (CVS Caremark, Express Scripts, OptumRx) control most drug coverage and logistics, giving little incentive to keep low‑margin generic products like estradiol patches consistently stocked and instead favoring higher‑priced alternatives; the piece also notes that prescription rates for hormone therapy have actually remained low, debunks media narratives blaming women, and offers practical short‑term coping strategies (alternative formulations, online or compounding pharmacies, calling ahead) while urging systemic reforms to break the PBM-driven supply constraints.
Read more: https://www.latimes.com/opinion/story/2026-04-20/estradiol-patch-shortage-drug-supply
#FDA #CVSCaremark #ExpressScripts #OptumRx #CVSHealth #Cigna #UnitedHealthGroup #FTC #
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Does every CVS look like it's perpetually going out of business? Few cars in the lot, no one inside, listless employees . . .
@secretlybatman @analgesicsleep Yep, there is a small woman-owned pharmacy 2 blocks from me which is considered in-network by CVS, so I know the pharmacist-owner and she is great.
However, she is still beholden to the billing/coding screwups of the CVS computer system, which is why my 10-day emergency supply of a different dosage Rx Is now 3 days late: ENDLESS PHONE CALLS WITH #CvsCaremark (more accurately known as CVS-Could-Not-Care-LESS)
We have entered the “switch all your prescriptions to OUR mail-order or you will have to pay cash” highway robbery. What about prescriptions Our Government says cannot be mailed? Just pick them up at OUR store.
I’m looking at you, #CVSCaremark