Local pharmacists look to Congress to help loosen Rx squeeze

Pharmacist Nasir Mahmood, Pine Plains Pharmacy, is advocating for independent community pharmacies to allow them to continue serving their communities.
Leila Hawken

Pharmacist Nasir Mahmood, Pine Plains Pharmacy, is advocating for independent community pharmacies to allow them to continue serving their communities.
Local pharmacies are historically central to community life and have been for generations. If they offered a soda fountain counter with round swivel stools, so much the better.
Today’s family pharmacists throughout the area, however, are struggling under an oppressive pharmaceutical insurance middleman system that strips away profit from their prescription counter.
Beginning in the 1960s, Pharmacy Benefits Managers (PBMs) came upon the scene to process drug claims for insurance companies. By the 1970s they were serving as middlemen between manufacturers, insurance companies and pharmacies, adjudicating prices.
Today, PBMs not only adjudicate claims, but now they develop and manage pharmacy networks, determine the list of drugs to be covered by insurance, set co-pay amounts and serve to channel the patient to a particular choice of pharmacy.
According to the Pharmacists Society of the State of New York (PSSNY), PBMs can own their own pharmacies, retail and mail order, and profit from sales and services. The work of the PSSNY is to propagate and protect community pharmacies.
The effect of this progression as PBMs have become “invisible middlemen” has been devastating to local family-owned pharmacies in area towns in New York and Connecticut, endangering their existence and the invaluable service they provide to their patients and the communities they serve.
Today, the three largest PBMs control nearly 80% of the prescription benefits market share in the U.S., according to the PSSNY.
“We are so lucky to have this pharmacy. It’s a blessing,” said Pine Plains resident Ann Noone, a regular customer of the Pine Plains Pharmacy, commenting on Monday, April 8 about the local business and its pharmacist. “He’s done a lot for this town.”
Pharmacist at the Pine Plains Pharmacy since 1989, and owner of the historic corner drug store since 2006, Nasir Mahmood has witnessed the financial squeeze on area pharmacies with some forced to close their doors, victims of the PBM system.
It is the PBMs that pre-determine how much each drug covered under the plan should cost, and this is the amount it reimburses all pharmacies except the large-chain ones they own. Often the reimbursement rates are well below the cost of the drug, putting pharmacies in the position of having to fill a prescription at a loss.
“We cannot wait for PBM reform,” said Mahmood on Wednesday, March 27, describing the current tenuous status of bi-partisan federal legislation awaiting vote in Washington, D.C.
Having served as president of the PSSNY for two years in 2008-09 and having finished a two-year term as chairman of the PSSNY Board in March, Mahmood now continues as a member of that board. He also serves on the National Legislative Committee within the National Community Pharmacists Association (NCPA) working with other pharmacists’ professional organizations promoting new legislation to place limits on PBMs and create an equitable structure of reform and accountability.
Bipartisan bills have passed out of committee and are awaiting floor vote that would provide strict regulation and transparency to the work of the PBMs, improve patient access and lower costs, Mahmood said. The NCPA has achieved some recent success in the long process of bringing bills to the floor for a vote.
A series of Senate and House bills received bipartisan support and convincing vote margins as they emerged from committees. With passage, the various pieces of legislation would bring lower drug costs, greater transparency in the process, require the Centers for Medicare and Medicaid Services (CMS) to define their contract terms, and require PBMs to operate with greater transparency.
The legislation was attached to the government funding package that was passed in late March to avoid a government shutdown, but Mahmood said that at the last minute the PBM bills were stripped out of the package.
Continuing their commitment to PBM reform, however, Senate Finance Committee Chairman Ron Wyden (D-OR) and Ranking Member Mike Crapo (R-ID) pledged to press on with efforts to enact the legislation before the end of this congressional year.
The NCPA further reported that on Friday, March 22, a bipartisan group of 21 senators and 51 house representatives signed a letter to their respective leadership, asking for immediate action on PBM reform measures.
Advocacy groups are actively pursuing passage of the legislation having arranged a conference drawing pharmacists from across the U.S. to the national headquarters of the NCPA in Alexandria, Virginia, for a two-day meeting to begin on Wednesday, April 17.
“We’ve come a long way with continued advocacy year after year,” Mahmood said, contemplating his participation in the upcoming meeting. Senators and representatives will be reporting to the conference and encouraging continued advocacy strategies to promote passage of the bipartisan PBM legislation.
One bill would bring transparency to Medicaid drug pricing with annual savings of $1 billion. Another would remove PBMs from negotiating CMS services, and the third would provide for greater transparency, oversight and enforcement through the Federal Trade Commission (FTC).
Independent pharmacies throughout the area have expressed their concern about the issue and joined in the hope that the current efforts toward passing legislation will be successful.
Meanwhile, local and area pharmacists remain in the balance, squeezed by the PBM system and locked out of the price negotiation process. During an interview, Mahmood noted that there is not one independent community pharmacy left open in Columbia County.
“It’s not fair,” he said.
WOODBURY — Nonnewaug High School claimed twin titles in the Berkshire League soccer tournament finals.
The school's girls and boys teams were named league champions after finishing the regular season with the best win/loss records. Winning the tournaments earned each team a plaque and added to the program's success in 2025.
Both of Nonnewaug's varsity teams faced off against their counterparts from Housatonic Valley Regional High School in the tournament finals in Woodbury Tuesday, Oct. 28.
The boys game was played first. Housatonic took a quick 2-0 lead with goals from Gustavo Portillo and Jackson McAvoy. Nonnewaug responded in the second half with three consecutive goals: first from Cash Medonis then two from Vincenzo Rose. The Nonnewaug boys won 3-2.

The girls game followed. Nonnewaug and Housatonic traded goals early on and the score was tied 2-2 at halftime. Nonnewaug scored twice more in the second half to win 4-2. Housatonic's goals were scored by Ava Segalla. Rosie Makarewicz scored twice for Nonnewaug and Hailey Goldman and Aubrey Doran scored once.
Connecticut Interscholastic Athletic Conference soccer tournaments begin Oct. 31. Both Housatonic teams qualified for the Class S tournament and both Nonnewaug teams qualified for the Class M tournament.
TORRINGTON — Joan Jardine, 90, of Mill Lane, passed away at home on Oct. 23, 2025. She was the loving wife of David Jardine.
Joan was born Aug. 9, 1935, in Throop, Pennsylvania, daughter of the late Joseph and Vera (Ezepchick) Zigmont.
Joan graduated from Harding High School.
She was a working artist for much of her adult life, starting her career studying plein air impressionist oil painting at the Cape Cod School of Art. Her work evolved to include a more representational style, and eventually a large body of abstract pieces. Her award-winning work has been shown in galleries and juried art shows throughout southern New England.
She is survived by her daughter Leslie and her husband George, brothers Joseph, Victor, and their families, nephews Gregory, Christopher, and their families, daughter-in- law Huong, and the extended Jardine family. She was predeceased by her son Douglas, and brother Michael.
A memorial service will be held at All Saints of America Orthodox Church, 313 Twin Lakes Road, Salisbury, Connecticut on Thursday, Oct. 30, at 10 a.m. Memorial contributions may be made to the All Saints of America Orthodox Church, PO Box 45, Salisbury, CT 06068.
The Kenny Funeral Home has care of arrangements.
The ofrenda at Race Brook Lodge.
On Saturday, Nov. 1, the Race Brook Lodge in Sheffield will celebrate the Mexican Day of the Dead: El Día de los Muertos.
Mexican Day of the Dead takes place the first weekend of November and honors los difuntos (the deceased) with ofrendas (offerings) on an altar featuring photos of loved ones who have passed on. Elements of earth, wind, fire and water are represented with food, papel picada (colorful decorative paper), candles and tequila left for the beloved deceased. The departed are believed to travel from the spirit world and briefly join the living for a night of remembrance and revelry.
Music and events programmer Alex Harvey has been producing Día de los Muertos at Race Brook for the past three years, and with the closing of the venue looming, the festival takes on a deep and personal meaning.
“The anchoring gesture of Race Brook, long before I arrived on the scene, has always been to cultivate a space that thins the veil between the worlds. Something otherworldly is hiding in the mountain’s towering shadow: the whispering spring-fed stream, the dense lineage that founder Dave Rothstein brings, the woodsmoke that rises every night of the year from the firepits. This space communes with the spirits,” said Harvey.
“And so we cradle a special ache in our hearts as the leaves turn and the beautiful dance of Race Brook’s project of cultural pollination draws to a close. Fitting, then, to return for one last activation — Día de Los Muertos — a celebration of the end of things. A remembrance of those who’ve made the transition we are all destined for, but also a time when we honor many types of loss. And while we will all mourn those who aren’t there in the flesh, we will also, with humility, come as mourners for the space itself,” Harvey continued.
The event will be a night to remember, to celebrate and to release with ritual, music, and communal remembrance. Participants are invited to bring photos, talismans and offerings for the ofrenda (offering), as well as songs, poems or toasts to share in tribute to loved ones who have passed.
Mexican American musicians Maria Puente Flores, Mateo Cano, Víctor Lizabeth, Oviedo Horta Jr. and Andrea from Pulso de Barro, an ensemble rooted in the Veracruz tradition of son jarocho, will be performing.
Translating to “Pulse of the Clay,” their name reflects a deep connection to the earth and to the living heartbeat of culture itself. Through a synthesis of Mexican, Cuban, Venezuelan and Puerto Rican traditions, Pulso de Barro merges poetry, rhythm and communal song as pathways to coexistence with nature. Their performances feature the jarana and leona (stringed instruments), quijada, cajón, maracas, and marimba (percussion), the tarima (percussive dance platform) and a call-and-response of folk and original versadas.
The evening begins at 6 p.m. in the Barn Space with a Fandango de los Muertos featuring Pulso de Barro, a Race Brook favorite. At 8 p.m., the Open Mic for the Dead invites guests to speak directly into the spirit world — through word, music or memory. The night culminates at 10:30 p.m. with a Fandango for the Dead, a participatory music and dance celebration. Bring your instruments, your voices and your dancing shoes.
Race Brook Lodge is a unique rustic getaway destination for relaxation, hiking, live music, workshops, weddings and more. Sadly, it will be closing for good later in 2026, ending a storied chapter of Berkshire music, art, culture and well-being.
Come experience an evening that honors lost loved ones and the end of a Berkshire institution. The cycle of life endures. Surely, resurrection is in the cards for Race Brook Lodge.
For Tickets and info, visit: rblodge.com