rph1

I have put 4 girls through sja. Yes sja have got off track. I blame Jan for a lot of it but I guess we are about to see.

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What does that do to insurance coverage though? My meds cost $3k to $6k per month (rinvoq).

What you don’t understand is how your drug got that expensive. The drug company has to give the pbm (Caremark, optum, express scripts) 70-80% of your drug cost as a rebate/kick back. Put that on your calculator and ask what do you get in return for that large amount of money. Don’t forget the premium you pay to the pbm. Wait dont forget the spread pricing they get paid for. Wait dont forget that they get paid to deny your claim and make it a prior authorization. Now you know the rest of the story.

You said Simien

Bowers sold me a flooded car and would not stand behind it. He is a plaid suit wearing used car salesman.

Kobe who?

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I just got mad because my partial prescription (5 pills) cost $20 when all 30 costs $15.

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Fixed cost? Bottles, labels, pharmacist, computer software, technicians, cashiers? Hmmmm

Pierre Part

Bump

I own a pharmacy that sells a lot of specialty (expensive) medicine. I have a lot of contracts with manufacturers. Let me explain the market. The reason our medicine is expensive is due to pharmacy benefits managers or PBMs. If your drug cost $1000 the PBMs gets about a 70% rebate or kickback from the manufacturer. The
PBM decides if your medicine is covered and for how much. The manufacturers have to pay them to get their drugs covered.

I agree. Great time.

You have never been to New Orleans