{"id":18870,"date":"2025-12-23T18:44:52","date_gmt":"2025-12-24T00:44:52","guid":{"rendered":"https:\/\/www.rgvbusinessjournal.com\/news\/15\/07\/2026\/una-farmacia-de-mcallen-con-una-larga-trayectoria-una-de-las-muchas-afectadas-por-un-error-a-nivel-estatal-que-ahuyento-a-los-clientes\/"},"modified":"2026-07-15T16:04:13","modified_gmt":"2026-07-15T21:04:13","slug":"una-farmacia-de-mcallen-con-una-larga-trayectoria-una-de-las-muchas-afectadas-por-un-error-a-nivel-estatal-que-ahuyento-a-los-clientes","status":"publish","type":"post","link":"https:\/\/www.rgvbusinessjournal.com\/es\/news\/23\/12\/2025\/una-farmacia-de-mcallen-con-una-larga-trayectoria-una-de-las-muchas-afectadas-por-un-error-a-nivel-estatal-que-ahuyento-a-los-clientes\/","title":{"rendered":"Una farmacia de McAllen con una larga trayectoria, una de las muchas afectadas por un error a nivel estatal que ahuyent\u00f3 a los clientes"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">A Danny Vela, propietario de Lee\u2019s Pharmacy, le preocupa haber perdido a decenas de clientes este mes despu\u00e9s de que un fallo inform\u00e1tico de una gran empresa provocara el env\u00edo de cartas en las que se instaba a los pacientes a cambiar de farmacia o, de lo contrario, a pagar las tarifas fuera de la red a partir de 2026.\u00a0<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Express Scripts Inc., una empresa de gesti\u00f3n de prestaciones farmac\u00e9uticas propiedad del gigante de los seguros m\u00e9dicos Cigna, envi\u00f3 cartas el 1 de diciembre en las que advert\u00eda a los pacientes asegurados por el Sistema de la Universidad de Texas de que Lee\u2019s Pharmacy dejar\u00eda de formar parte de la red a partir del 1 de enero, seg\u00fan una carta a la que ha tenido acceso el <a href=\"https:\/\/www.rgvbusinessjournal.com\/es\/\"><em>Rio Grande Valley Business Journal<\/em><\/a>. Las gestoras de prestaciones farmac\u00e9uticas, como Express Scripts, son intermediarios externos que negocian los precios entre las compa\u00f1\u00edas de seguros y los fabricantes de productos farmac\u00e9uticos.\u00a0<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">La farmacia Lee\u2019s, fundada en 1952, cuenta con dos establecimientos en McAllen. Ambos se vieron afectados.\u00a0<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">En uno de los centros, Express Scripts envi\u00f3 la notificaci\u00f3n a casi la mitad de los clientes de la empresa, mientras que en el otro se envi\u00f3 por correo a aproximadamente el 25 % de sus pacientes.\u00a0<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u00abCuando la gente empez\u00f3 a recibir esas cartas, se produjo una oleada de personas que trasladaban sus recetas a alguna de las otras farmacias [que figuraban] en la carta inicial enviada a los pacientes\u00bb, explic\u00f3 Vela. \u00abFue algo significativo\u00bb.\u00a0<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Pero esa carta fue un error.\u00a0<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">La farmacia Lee\u2019s forma parte de la red. En septiembre firm\u00f3 un contrato con Express Scripts que se extiende hasta el a\u00f1o que viene.\u00a0<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Desde entonces, Express Scripts ha corregido su error con los pacientes despu\u00e9s de que varias farmacias independientes se pusieran en contacto con la empresa para protestar, pero solo una vez pasada la fecha l\u00edmite para la inscripci\u00f3n en los servicios sanitarios.\u00a0<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Los clientes de las farmacias independientes de todo el estado recibieron cartas similares, seg\u00fan afirm\u00f3 Vela, miembro de la Asociaci\u00f3n de Farmacias de Texas.\u00a0<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u00abSus pacientes recib\u00edan cartas similares en las que se les indicaba que ten\u00edan que cambiar de farmacia porque aquella en concreto ya no formaba parte de su red\u00bb, explic\u00f3 Vela.\u00a0<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">El plazo de inscripci\u00f3n anual para la Parte D de Medicare \u2014que ofrece cobertura de medicamentos con receta a las personas mayores\u2014 se extiende del 15 de octubre al 7 de diciembre para los planes que entrar\u00e1n en vigor el a\u00f1o que viene.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u00abDebido a un problema t\u00e9cnico, algunos beneficiarios de la Parte D de Medicare recibieron notificaciones err\u00f3neas sobre la situaci\u00f3n de su farmacia dentro de la red para 2026. Estamos enviando cartas de rectificaci\u00f3n a todos los beneficiarios afectados y realizando un seguimiento mediante llamadas telef\u00f3nicas para garantizar que cualquier confusi\u00f3n se resuelva a la mayor brevedad posible\u00bb, afirm\u00f3 Express Scripts en un comunicado escrito. \u00abTambi\u00e9n nos hemos puesto en contacto con las farmacias afectadas. Pedimos disculpas por cualquier confusi\u00f3n que esto haya podido causar a los beneficiarios y a nuestras farmacias colaboradoras\u00bb.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Hay casi 300 farmacias repartidas por todo el Valle del R\u00edo Grande. Aproximadamente 100 de ellas pertenecen a las cadenas CVS, Walgreens, Walmart y H-E-B.\u00a0<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">La relaci\u00f3n entre las farmacias independientes y las empresas de gesti\u00f3n de prestaciones farmac\u00e9uticas suele ser ya tensa, ya que los minoristas tienen poco poder y, a menudo, se les reembolsa una cantidad inferior al coste de adquisici\u00f3n de los medicamentos, se\u00f1al\u00f3 Vela.\u00a0<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Las empresas de gesti\u00f3n de prestaciones farmac\u00e9uticas tambi\u00e9n est\u00e1n animando a los pacientes a solicitar sus recetas por correo en lugar de acudir a las farmacias, afirm\u00f3.\u00a0<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Las farmacias independientes ya hab\u00edan presionado para que se aprobara una nueva <a href=\"https:\/\/legiscan.com\/TX\/text\/SB1236\/id\/3237449\/Texas-2025-SB1236-Enrolled.html\">ley en Texas que entr\u00f3 en vigor el 1 de septiembre<\/a>. Esta ley limita el poder de las gestoras de prestaciones farmac\u00e9uticas, entre otras medidas, mediante restricciones a los ajustes en los pagos una vez reembolsadas las reclamaciones.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u00abNormalmente, los contratos con estas PBM son del tipo \u201clo tomas o lo dejas\u201d\u00bb, afirm\u00f3 Vela. \u00abTenemos que superar muchos obst\u00e1culos. Los PBM nos pagan por debajo de nuestro coste en las recetas, sobre todo en los productos de marca, as\u00ed que o bien tienes que tener el medicamento en stock y esperar que, en general, el cliente llegue a cubrir los gastos, o bien cuentas con otras l\u00edneas de negocio que compensen el resto\u00bb.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>La farmacia Lee&#x27;s afirma que los avisos de cobertura err\u00f3neos enviados durante un periodo cr\u00edtico de inscripci\u00f3n obligaron a algunos pacientes a cambiarse a otras farmacias.<\/p>\n","protected":false},"author":9,"featured_media":18876,"comment_status":"closed","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"post_views_count":0,"footnotes":""},"categories":[2456,2335,7,825],"tags":[2446,3373,476,967,969,2539,69,2474,3376,3378,968,970],"class_list":["post-18870","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-asistencia-sanitaria-es","category-estados-unidos-es","category-healthcare","category-u-s","tag-atencion-sanitaria-es","tag-farmacias-independientes-es","tag-health-care","tag-independent-pharmacies","tag-insurance","tag-insurance-es-es","tag-mcallen","tag-mcallen-es-es","tag-medicamentos-con-receta-es","tag-negocios-en-texas-es","tag-prescription-drugs","tag-texas-business"],"acf":{"is_features_post":[],"is_sponser":[],"hide_author":[],"hide_author_biography":[]},"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v28.3 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