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.
The legal case, if approved by the court, would nullify a 2024 zoning regulation change that allows hotels in the RR1 zone via special permit application.
LAKEVILLE — At nearly 11 p.m. on Monday night, Oct. 20, Salisbury’s Planning and Zoning Commission voted 4-1 to approve, with conditions, Aradev LLC’s controversial application to redevelop the Wake Robin Inn.
The decision came more than 4 hours after the meeting began at 6:30 p.m., and more than a year since Aradev submitted its first application to expand the longstanding country inn. The approved plans call for a new 2,000-square-foot cabin, an event space, a sit-down restaurant and fast-casual counter, a spa, library, lounge, gym and seasonal pool.
Aradev withdrew its first application in December 2024 after P&Z indicated it would likely deny it based on concerns about sewer approval, noise levels and the general size and intensity of the proposed development. During a pre-application meeting held with Aradev in January 2025, the Commission informed the developer that those three topics were the cruxes of both P&Z’s and the public’s objection to the first proposal.
The nine-page, 40-condition draft resolution that was ultimately approved on Monday night states that in the revised application, those “three major areas of concern have been addressed.” The document, which is available for public viewing on P&Z’s “Meeting Documents” web page, lists a number of changes that have eased doubts: a reduction in the number of auxiliary cabins, a tightening of the central campus that brings external elements like the spa and pool closer to the core of the development, a thorough sound analysis and noise pollution mitigation plan, approval from the town’s Water Pollution Control Authority, and moving the “event barn,” once planned to be a free-standing structure, into the main inn building expansion.
In the Commission’s deliberations following the closure of the public hearing for the revised application in September, several commissioners expressed their satisfaction with Aradev’s responsiveness to the commission’s and community’s concerns. During the first deliberation session on Oct. 7, Chair Michael Klemens said he found the new plans to be “much better designed this go around,” though he did qualify that the proposed development was “still large.”
At the same meeting, commissioner Allen Cockerline voiced his approval of the renewed application’s technical details, such as its sound survey, a robust stormwater management plan, and relocating the event facility inside the main building, which he described as a “very, very positive move.”
Vice Chair Cathy Shyer, though, felt differently. “The bottom line is, this is a big development,” she said during the Oct. 7 discussion. “It’s as big as the last one.”
During the seven public hearing sessions that took place in August and September, cries that the revised application had not mitigated in any meaningful way its most invasive components — namely, the “inappropriate” size and scale of the development in a rural residential (zoned RR1) neighborhood — were a common refrain from neighbors of the inn.
Over the course of those seven meetings, and an additional six during the hearing process for Aradev’s first application last year, P&Z heard hours of testimony from the community, the vast majority of it in opposition to the project.
Shyer echoed those sentiments at the Oct. 20 meeting: “Some things just don’t belong in some places.”
She expressed her frustration at the Commission for its debate over conditioning the approval to remove three of the four cottages in the site plans, which she felt was a red herring towards the broader issue. “This project is so big and so intense that taking three keys away is not making any difference.”
The meeting eventually took a 45-minute recess to allow Land Use Director Abby Conroy to draft a new resolution that included the stipulation to remove the three cottages, leaving only one still included in the plan. Upon resuming the meeting at 10:30 p.m., Klemens asked for a motion to approve the resolution, which was followed by a lengthy silence before Cockerline eventually offered it up. The vote passed 4-1, with Shyer voting no.
The moment marked the end of an application process that has seen heightened emotions, community organizing that includes two petitions against the project with hundreds of signatures each, and litigation against P&Z for a regulation change that allowed the proposal to see review in the first place.
The legal case, if approved by the court, would nullify a 2024 zoning regulation change that allows hotels in the RR1 zone via special permit application. Klemens said that, because of this, “the applicant is proceeding totally at its own risk.”
P&Z’s attorney Charles Andres stated that he believed it was unlikely Aradev would even be able to begin construction in the next several months as the case sees court review: “It’s highly unrealistic that they will proceed while that is still pending.”
SALISBURY — Amanda Cannon, age 100, passed away Oct. 15, 2025, at Noble Horizons. She was the wife of the late Jeremiah Cannon.
Amanda was born Aug. 20, 1925, in Brooklyn, New York the daughter of the late Karl and Ella Husslein.
She was widowed at the age of 31 and worked as a bookkeeper for the Standard Oil Company and other oil companies in New York City until she retired at age 72.
Amanda moved to Noble Horizons in 2013 to live near her daughter Diane and son-in-law (the late) Raymond Zelazny.
She enjoyed her time in the Northwest Corner and was an avid nature lover, albeit considered herself a native New Yorker as she was born and resided in NYC for 88 years.
She was a faithful parishioner of St. Mary’s Church in Lakeville and attended Mass regularly until the age of 99.
Amanda was the grandmother of (the late) Jesse Morse and is survived by her daughter, Diane Zelazny, her grandsons, Adam Morse, Raymond Morse and his wife Daron and their daughter and her great granddaughter Cecelia Morse.
A Mass of Christian Burial will take place on Thursday, Oct. 23, 11 a.m. at St Mary’s Church in Lakeville, Connecticut.
Memorial donations may be made to St. Mary’s Church.
The Kenny Funeral Home has care of arrangements.
LAKEVILLE — Barbara Meyers DelPrete, 84, passed away Tuesday, Sept. 30, 2025, at her home. She was the beloved wife of George R. DelPrete for 62 years.
Mrs. DelPrete was born in Burlington, Iowa, on May 31, 1941, daughter of the late George and Judy Meyers. She lived in California for a time and had been a Lakeville resident for the past 55 years.
Survivors, in addition to her husband, George, include son, George R. DelPrete II, daughter, Jena DelPrete Allee, and son Stephen P. DelPrete. Grandchildren; Trey, Cassidy, and Meredith DelPrete, Jack, Will and Finn Allee, and Ali and Nicholas DelPrete.
A Funeral Mass was held at St. Mary’s Church, Lakeville, on Saturday, Oct. 4. May she Rest in Peace.
Ryan Funeral Home, 255 Main St., Lakeville, is in care of arrangements.
To offer an online condolence, please visit ryanfhct.com
SHARON — Shirley Anne Wilbur Perotti, daughter of George and Mabel (Johnson) Wilbur, the first girl born into the Wilbur family in 65 years, passed away on Oct. 5, 2025, at Noble Horizons.
Shirley was born on Aug. 19, 1948 at Sharon Hospital.
She was raised on her parents’ poultry farm (Odge’s Eggs, Inc.).
After graduating from Housatonic Valley Regional High School, she worked at Litchfield County National Bank and Colonial Bank.
She married the love of her life, John, on Aug. 16, 1969, and they lived on Sharon Mountain for more than 50 years.
Shirley enjoyed creating the annual family Christmas card, which was a coveted keepsake.She also enjoyed having lunch once a month with her best friends, Betty Kowalski, Kathy Ducillo, and Paula Weir.
In addition to John, she is survived by her three children and their families; Sarah Medeiros, her husband, Geoff, and their sons, Nick and Andrew, of Longmeadow, Massachusetts, Shelby Diorio, her husband, Mike, and their daughters, Addie, Lainey and Lyla, of East Canaan, Connecticut,Jeffrey Perotti, his wife, Melissa, and their daughters, Annie, Lucy and Winnie, of East Canaan. Shirley also leaves her two brothers, Edward Wilbur and his wife Joan, and David Wilbur; two nieces, three nephews, and several cousins.
At Shirley’s request, services will be private.
Donations in her memory may be made to the Sharon Woman’s Club Scholarship Fund, PO Box 283, Sharon, CT 06069.
The Kenny Funeral Home has care of arrangements.