Antonio Ciaccia
@aciaccia.bsky.social
Advocate for drug price transparency, competitive healthcare markets, & patient-centered care at 46brooklyn Research and 3 Axis Advisors. Dad to Franco, Marco, Vera, Enzo.
Extensive discussion with Virginia Focus on new year drug price changes, rebates, the push for domestic manufacturing, TrumpRx, the Inflation Reduction Act, 340B, PBMs, and the business of pharmacy www.iheart.com/podcast/1248...
Virginia Focus - Drug Pricing Update Virginia Focus | iHeart
The Trump administration has announced many changes to the prices of prescription drugs for Medicaid and Medicare as well as Trump RX, a website for people to get...
www.iheart.com
February 11, 2026 at 4:09 PM
Extensive discussion with Virginia Focus on new year drug price changes, rebates, the push for domestic manufacturing, TrumpRx, the Inflation Reduction Act, 340B, PBMs, and the business of pharmacy www.iheart.com/podcast/1248...
The FTC has a proposed settlement agreement with Express Scripts over allegations of artificially inflating insulin prices.
Will this be the start of a new era, or will we continue to see old money harvested in new ways?
Will this be the start of a new era, or will we continue to see old money harvested in new ways?
FTC settles lawsuit with Express Scripts over charges it manipulated insulin prices, impeded access
The FTC settled a lawsuit against Express Scripts over allegations that the company artificially inflated the price of insulin and impeded access to treatment.
www.statnews.com
February 10, 2026 at 1:48 AM
The FTC has a proposed settlement agreement with Express Scripts over allegations of artificially inflating insulin prices.
Will this be the start of a new era, or will we continue to see old money harvested in new ways?
Will this be the start of a new era, or will we continue to see old money harvested in new ways?
Good coverage from @loftus.bsky.social on the latest moves on brand drug list prices and how those hikes and cuts could impact patients and broader prescription drug spending
www.wsj.com/health/pharm...
www.wsj.com/health/pharm...
This Year Drugmakers Cut Prices for Several Widely Used Drugs
Pharmaceutical companies raised prices for most medicines. Federal government policy changes then drove the reductions.
www.wsj.com
January 29, 2026 at 8:26 PM
Good coverage from @loftus.bsky.social on the latest moves on brand drug list prices and how those hikes and cuts could impact patients and broader prescription drug spending
www.wsj.com/health/pharm...
www.wsj.com/health/pharm...
Brand drug list prices are on the move this month.
Here’s good recent coverage of some of the latest spikes and cuts from @usatoday.com:
www.usatoday.com/story/money/...
Here’s good recent coverage of some of the latest spikes and cuts from @usatoday.com:
www.usatoday.com/story/money/...
Drugmakers hike medicine prices in 2026. How much more will you spend?
Pharmaceutical companies have raised prices on hundreds of drugs so far this month despite federal efforts to rein in drug prices.
www.usatoday.com
January 25, 2026 at 6:58 PM
Brand drug list prices are on the move this month.
Here’s good recent coverage of some of the latest spikes and cuts from @usatoday.com:
www.usatoday.com/story/money/...
Here’s good recent coverage of some of the latest spikes and cuts from @usatoday.com:
www.usatoday.com/story/money/...
More NPR coverage of 2026 brand drug list price changes from @sydneylupkin.bsky.social:
www.npr.org/2026/01/16/n...
www.npr.org/2026/01/16/n...
Trump struck deals with 16 drug companies. But they're still raising prices this year
All 16 drug companies that inked deals with the Trump administration over the past few months still raised some of their prices for 2026.
www.npr.org
January 24, 2026 at 1:02 AM
More NPR coverage of 2026 brand drug list price changes from @sydneylupkin.bsky.social:
www.npr.org/2026/01/16/n...
www.npr.org/2026/01/16/n...
New year, new drug prices 💊
Get a sneak peak at some of the early 2026 drugmaker list price hikes – and cuts – in an era of arguably unprecedented drug channel change.
www.reuters.com/business/hea...
Get a sneak peak at some of the early 2026 drugmaker list price hikes – and cuts – in an era of arguably unprecedented drug channel change.
www.reuters.com/business/hea...
Exclusive: Drugmakers raise US prices on 350 medicines despite pressure from Trump
Drugmakers plan to raise U.S. prices on at least 350 branded medications including vaccines against COVID, RSV and shingles and blockbuster cancer treatment Ibrance, even as the Trump administration p...
www.reuters.com
December 31, 2025 at 2:15 PM
New year, new drug prices 💊
Get a sneak peak at some of the early 2026 drugmaker list price hikes – and cuts – in an era of arguably unprecedented drug channel change.
www.reuters.com/business/hea...
Get a sneak peak at some of the early 2026 drugmaker list price hikes – and cuts – in an era of arguably unprecedented drug channel change.
www.reuters.com/business/hea...
“Transparency can end up meaning a presentation of numbers and terms that looks detailed but still doesn't reveal what's really driving employer costs, creating an appearance of openness that protects the status quo instead of enabling real accountability.”
www.benefitspro.com/2025/12/23/p...
www.benefitspro.com/2025/12/23/p...
Prescription benefits clarity is about more than transparency
Getting a list of what the drugs cost is just the start.
www.benefitspro.com
December 23, 2025 at 3:57 PM
“Transparency can end up meaning a presentation of numbers and terms that looks detailed but still doesn't reveal what's really driving employer costs, creating an appearance of openness that protects the status quo instead of enabling real accountability.”
www.benefitspro.com/2025/12/23/p...
www.benefitspro.com/2025/12/23/p...
A often-overlooked fallout of our fragmented drug distribution system: patients with too many medicines, too many prescribers, too many pharmacies, and not enough quarterbacking of the entirety of the patient’s treatment journey.
www.wsj.com/health/healt...
www.wsj.com/health/healt...
America’s Seniors Are Overmedicated
One in six seniors enrolled in Medicare’s drug benefit were prescribed eight or more medications at the same time, an analysis of Medicare data found.
www.wsj.com
December 22, 2025 at 7:09 PM
A often-overlooked fallout of our fragmented drug distribution system: patients with too many medicines, too many prescribers, too many pharmacies, and not enough quarterbacking of the entirety of the patient’s treatment journey.
www.wsj.com/health/healt...
www.wsj.com/health/healt...
The market won't change until employers start changing.
And slowly but surely, employers are starting to change.
www.healthcare-brew.com/stories/2025...
And slowly but surely, employers are starting to change.
www.healthcare-brew.com/stories/2025...
Eli Lilly switches from Big 3 PBM to alternative transparent rival
The drugmaker has about 23,000 employees who will be covered by Rightway.
www.healthcare-brew.com
December 5, 2025 at 9:29 PM
The market won't change until employers start changing.
And slowly but surely, employers are starting to change.
www.healthcare-brew.com/stories/2025...
And slowly but surely, employers are starting to change.
www.healthcare-brew.com/stories/2025...
Now that Congress is back to some degree of normal business, drug pricing reforms are back in the hopper with @mikecrapo.bsky.social and @wyden.senate.gov’s long-anticipated PBM reform policy package now hitting Senate desks www.finance.senate.gov/ranking-memb...
Wyden, Crapo Introduce Bipartisan Pharmacy Benefit Manager Legislation | The United States Senate Committee on Finance
Wyden, Crapo Introduce Bipartisan Pharmacy Benefit Manager Legislation
www.finance.senate.gov
December 4, 2025 at 8:38 PM
Now that Congress is back to some degree of normal business, drug pricing reforms are back in the hopper with @mikecrapo.bsky.social and @wyden.senate.gov’s long-anticipated PBM reform policy package now hitting Senate desks www.finance.senate.gov/ranking-memb...
“That sounds criminal.”
Great chatting by with Paul Miller at WPHM about bloated prescription drug prices and how our reliance on conflicted intermediaries to control them can often make affordability issues even worse www.wphm.net/episode/nove...
Great chatting by with Paul Miller at WPHM about bloated prescription drug prices and how our reliance on conflicted intermediaries to control them can often make affordability issues even worse www.wphm.net/episode/nove...
November 26 Antonio Ciaccia
Rising prescription drug prices
www.wphm.net
November 28, 2025 at 8:04 PM
“That sounds criminal.”
Great chatting by with Paul Miller at WPHM about bloated prescription drug prices and how our reliance on conflicted intermediaries to control them can often make affordability issues even worse www.wphm.net/episode/nove...
Great chatting by with Paul Miller at WPHM about bloated prescription drug prices and how our reliance on conflicted intermediaries to control them can often make affordability issues even worse www.wphm.net/episode/nove...
In just a few months' time, Rite Aid and Fruth Pharmacies have been wiped off the map @martyschladen.bsky.social ohiocapitaljournal.com/2025/11/26/p...
Pharmacy chain closes, worsening deserts in SE Ohio, West Virginia • Ohio Capital Journal
Blaming giant drug middlemen, Fruth Pharmacy is closing its stores in southeastern Ohio and West Virginia after 73 years in business.
ohiocapitaljournal.com
November 26, 2025 at 8:43 PM
In just a few months' time, Rite Aid and Fruth Pharmacies have been wiped off the map @martyschladen.bsky.social ohiocapitaljournal.com/2025/11/26/p...
The waves of community pharmacy closures keep coming; this time it’s my good friends over at Fruth Pharmacy.
More neighborhoods of need in Ohio and West Virginia turning into pharmacy deserts.
Another reminder that you get what you pay for. wchstv.com/news/local/f...
More neighborhoods of need in Ohio and West Virginia turning into pharmacy deserts.
Another reminder that you get what you pay for. wchstv.com/news/local/f...
Fruth to sell its pharmacies to Walgreens by the end of the year
A pharmacy chain that has served the region for decades has announced it is selling its practices.Fruth Pharmacy announced this week that it will sell its pharm
wchstv.com
November 20, 2025 at 8:46 PM
The waves of community pharmacy closures keep coming; this time it’s my good friends over at Fruth Pharmacy.
More neighborhoods of need in Ohio and West Virginia turning into pharmacy deserts.
Another reminder that you get what you pay for. wchstv.com/news/local/f...
More neighborhoods of need in Ohio and West Virginia turning into pharmacy deserts.
Another reminder that you get what you pay for. wchstv.com/news/local/f...
I will give you an 80% discount off the price of your cup of coffee.
Sounds great, right?
Let's sign a contract where all your coffee purchases go through me, and I will honor that 80% discount every time.
BTW, I also set the price of that coffee.
Sounds great, right?
Let's sign a contract where all your coffee purchases go through me, and I will honor that 80% discount every time.
BTW, I also set the price of that coffee.
This drug pricing distortion was supposed to go extinct. It’s never been more alive. — 46brooklyn Research
This summer, we launched a new research work that examined the costs yielded by a reborn and evolved species of the prescription drug supply chain: drug companies who are also part of larger vertica...
www.46brooklyn.com
November 11, 2025 at 3:03 PM
I will give you an 80% discount off the price of your cup of coffee.
Sounds great, right?
Let's sign a contract where all your coffee purchases go through me, and I will honor that 80% discount every time.
BTW, I also set the price of that coffee.
Sounds great, right?
Let's sign a contract where all your coffee purchases go through me, and I will honor that 80% discount every time.
BTW, I also set the price of that coffee.
PBMs say they want low list prices for drugs.
Their new affiliated private label drug companies now have the power to do it themselves.
Instead, the generic prices are on average 33 times higher than the lowest in the market.
www.bloomberg.com/news/article...
Their new affiliated private label drug companies now have the power to do it themselves.
Instead, the generic prices are on average 33 times higher than the lowest in the market.
www.bloomberg.com/news/article...
Cigna Unit Sells Generic Drugs at Higher Prices, Report Says
A little-known Cigna Group subsidiary that sells generic drugs charges prices that skew higher than many competing suppliers, according to a new analysis that raises questions about the company’s role...
www.bloomberg.com
November 7, 2025 at 4:22 PM
PBMs say they want low list prices for drugs.
Their new affiliated private label drug companies now have the power to do it themselves.
Instead, the generic prices are on average 33 times higher than the lowest in the market.
www.bloomberg.com/news/article...
Their new affiliated private label drug companies now have the power to do it themselves.
Instead, the generic prices are on average 33 times higher than the lowest in the market.
www.bloomberg.com/news/article...
Everyone says they want low drug prices until actual low drug prices show up.
(except patients)
@costplusdrugs.com @mcuban.bsky.social @alexosh.bsky.social @drugchannels.bsky.social @pharmalot.bsky.social www.statnews.com/pharmalot/20...
(except patients)
@costplusdrugs.com @mcuban.bsky.social @alexosh.bsky.social @drugchannels.bsky.social @pharmalot.bsky.social www.statnews.com/pharmalot/20...
Mark Cuban is trying to shake up biosimilar pricing with a version of J&J's best-selling Stelara drug
In its bid to shake up drug pricing, the Mark Cuban Cost Plus Drug Company has reached a deal to sell a biosimilar version of Stelara, a widely prescribed treatment.
www.statnews.com
November 6, 2025 at 7:55 PM
Everyone says they want low drug prices until actual low drug prices show up.
(except patients)
@costplusdrugs.com @mcuban.bsky.social @alexosh.bsky.social @drugchannels.bsky.social @pharmalot.bsky.social www.statnews.com/pharmalot/20...
(except patients)
@costplusdrugs.com @mcuban.bsky.social @alexosh.bsky.social @drugchannels.bsky.social @pharmalot.bsky.social www.statnews.com/pharmalot/20...
You don’t say?
UnitedHealth pays its own physician groups 17% more than outside ones, study shows
The findings are similar to an analysis STAT conducted, and raise questions about why UnitedHealth pays its doctors more.
www.statnews.com
November 3, 2025 at 10:37 PM
You don’t say?
From Big 3 to just zero: Rite Aid is officially reduced to ashes as pharmacy market attrition rolls on @martyschladen.bsky.social ohiocapitaljournal.com/2025/10/13/a...
After bailing on Ohio and Michigan, Rite Aid closes completely • Ohio Capital Journal
A wave of pharmacy closures in Ohio and elsewhere appears to be deepening. Once the third-largest pharmacy chain in the United States, Rite Aid announced on its website that all of its stores are now ...
ohiocapitaljournal.com
October 13, 2025 at 8:00 PM
From Big 3 to just zero: Rite Aid is officially reduced to ashes as pharmacy market attrition rolls on @martyschladen.bsky.social ohiocapitaljournal.com/2025/10/13/a...
“Soaking high drug prices as a mechanism to lower premiums is neither a wise nor a sustainable practice.”
Acknowledge @repauchincloss.bsky.social 🎙️
www.realpharma.co/where-policy...
Acknowledge @repauchincloss.bsky.social 🎙️
www.realpharma.co/where-policy...
Where Policy Meets the Pharmacy Counter
Where Policy Meets the Pharmacy Counter Featuring Congressman Jake Auchincloss Episode Summary In this episode of RealPharma , hosts Na-Ri Oh and Ian Wendt sit down…
www.realpharma.co
October 13, 2025 at 5:13 PM
“Soaking high drug prices as a mechanism to lower premiums is neither a wise nor a sustainable practice.”
Acknowledge @repauchincloss.bsky.social 🎙️
www.realpharma.co/where-policy...
Acknowledge @repauchincloss.bsky.social 🎙️
www.realpharma.co/where-policy...
When Amazon makes moves in pharmacy – no matter how seemingly small – you should always be thinking about the long game @nyeungs.bsky.social
endpoints.news/whats-behind...
endpoints.news/whats-behind...
What's behind Amazon’s in-person pharmacy play
Amazon to install prescription medication dispensing machines at One Medical clinics, starting in Los Angeles this December, marking its first in-person pharmacy presence.
endpoints.news
October 9, 2025 at 6:24 PM
When Amazon makes moves in pharmacy – no matter how seemingly small – you should always be thinking about the long game @nyeungs.bsky.social
endpoints.news/whats-behind...
endpoints.news/whats-behind...
“American businesses should not be left to subsidize the lack of transparency, accountability and fair competition in the health care industry.”
www.washingtontimes.com/news/2025/oc...
www.washingtontimes.com/news/2025/oc...
Congress must address the health care cost crisis now
Our health care system has a pressing need for greater competition and transparency.
www.washingtontimes.com
October 8, 2025 at 11:04 PM
“American businesses should not be left to subsidize the lack of transparency, accountability and fair competition in the health care industry.”
www.washingtontimes.com/news/2025/oc...
www.washingtontimes.com/news/2025/oc...
The price is the price.
Unless it’s the other price.
Generic drug prices are going up and down – depending on your perspective.
www.46brooklyn.com/research/are...
Unless it’s the other price.
Generic drug prices are going up and down – depending on your perspective.
www.46brooklyn.com/research/are...
Are generic drug prices going up or down? Depends on which benchmark you ask — 46brooklyn Research
For the first time: Year-over-year generic drug price inflation For those unfamiliar, our team at 46brooklyn Research have a thing for tracking prescription drug prices. Not just the prices of d...
www.46brooklyn.com
October 2, 2025 at 1:29 PM
The price is the price.
Unless it’s the other price.
Generic drug prices are going up and down – depending on your perspective.
www.46brooklyn.com/research/are...
Unless it’s the other price.
Generic drug prices are going up and down – depending on your perspective.
www.46brooklyn.com/research/are...
“The immediate stock reaction across the group affirms our view this is more optics than bite.”
Good rundown on yesterday’s Trump/Pfizer rendezvous from @elaineywchen.bsky.social
www.statnews.com/2025/09/30/w...
Good rundown on yesterday’s Trump/Pfizer rendezvous from @elaineywchen.bsky.social
www.statnews.com/2025/09/30/w...
Will the White House drug-pricing deal lower costs for Americans? Experts are skeptical
Will the White House drug-pricing deal lower costs for Americans? Experts are skeptical.
www.statnews.com
October 1, 2025 at 10:36 PM
“The immediate stock reaction across the group affirms our view this is more optics than bite.”
Good rundown on yesterday’s Trump/Pfizer rendezvous from @elaineywchen.bsky.social
www.statnews.com/2025/09/30/w...
Good rundown on yesterday’s Trump/Pfizer rendezvous from @elaineywchen.bsky.social
www.statnews.com/2025/09/30/w...
If you are someone who wants more drug manufacturing in the U.S., this may please you.
If you are someone who wants lower brand drug prices in the U.S., this may tariffy you.
www.usatoday.com/story/money/...
If you are someone who wants lower brand drug prices in the U.S., this may tariffy you.
www.usatoday.com/story/money/...
Trump announced new drug tariffs. How much will you pay at the pharmacy counter?
President Donald Trump announced 100% tariffs on brand drugs. Companies that build a U.S. manufacturing plant will be exempt.
www.usatoday.com
September 26, 2025 at 6:15 PM
If you are someone who wants more drug manufacturing in the U.S., this may please you.
If you are someone who wants lower brand drug prices in the U.S., this may tariffy you.
www.usatoday.com/story/money/...
If you are someone who wants lower brand drug prices in the U.S., this may tariffy you.
www.usatoday.com/story/money/...