Quote:
Originally Posted by Mistermobile
Anyone know why a federal judge blocked the new drug rule? I read the Washington Post article mentioned above and there was no reason that I could see for the decision.
But I did see this:
" Drug companies have argued that list prices do not reflect what most patients pay for prescription medicines because they do not account for the discounts negotiated by insurers. [SCAM]." from the Washington Post
This is a scam the drug companies, healthcare insurers, and pharmacies collude in to legally fleece the "patients." Drug companies already advertise the prices of their drugs. But, as the above quote says, the healthcare insurers (say AETNA) receive a discount when AETNA buys the drug from the drug company. That means the healthcare insurer pays less for that drug then the drug company's list and advertised price.
Right now, the federal judge has blocked you from knowing the discounted price to AETNA.
AETNA may and probably doesn't pass the cost savings received by it from the drug company to you. That's why your co-pay can and does go up. Your pharmacy (say RITE AID) is taking a third bite of the apple by charging you the drug price which is Aetna's discounted cost plus its profit, and Rite Aid's cost plus it profit. OUCH!
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DRUG PRICES
Each middleman reseller, say UPMC, cuts its own deal with the drug producer. So depending what health insurer you decide to go with, the price to the you varies.
What I didn't say is there are super drug stores, say Sam's Pharmacy, that also acts as a middleman, at least as drugs are concerned. Big volume. So I can buy drugs from UPMC or Sam's Pharmacy.
A Real Life Experience
Today I refilled a prescription at Sam's Pharmacy and was told my co-pay was $28 because that co-pay was set by my healthcare insurer, UPMC. "No" I said. I want the drug based on the Sam's Pharmacy formulary co-pay which is $10.00, and since I am also a member of Sam's Pharmacy, I saved $18.00.