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The New Coffee Room

  1. TNCR
  2. General Discussion
  3. Drug Prices

Drug Prices

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  • George KG Offline
    George KG Offline
    George K
    wrote on last edited by
    #1

    Mrs. George, being the arthropath she is, has back problems. She lives with chronic back pain and spasm. She has a spinal cord stimulator that has reduced her need for pain meds by 75%.

    But...

    Last month, her doc prescribed a muscle relaxant for her back spasm. It worked really well, and at the pharmacy that she has been using, the cost was about $40 for a month's supply.

    He renewed the prescription last week and called it into another pharmacy, Walgreens. The cost was more than triple that with insurance. I went to GoodRx to see if there was a better price available, and the difference was negligible.

    BUt...

    I looked at other pharmacies at GoodRx for the same drug, dose, and number of pills.

    Screenshot 2023-11-02 at 8.33.04 PM.png

    We ended going to the same pharmacy as last month (not a chain) and it cost about $38.

    Can someone explain this disparity?

    "Now look here, you Baltic gas passer... " - Mik, 6/14/08

    The saying, "Lite is just one damn thing after another," is a gross understatement. The damn things overlap.

    1 Reply Last reply
    • MikM Offline
      MikM Offline
      Mik
      wrote on last edited by
      #2

      Do you have a part D plan?

      "The intelligent man who is proud of his intelligence is like the condemned man who is proud of his large cell." Simone Weil

      George KG 1 Reply Last reply
      • MikM Mik

        Do you have a part D plan?

        George KG Offline
        George KG Offline
        George K
        wrote on last edited by George K
        #3

        @Mik said in Drug Prices:

        Do you have a part D plan?

        Yup. With Part D it was $128 or so.

        The only thing I can think is that metaxalone was not on the formulary (and I'm too lazy to look it up).

        "Now look here, you Baltic gas passer... " - Mik, 6/14/08

        The saying, "Lite is just one damn thing after another," is a gross understatement. The damn things overlap.

        jon-nycJ 1 Reply Last reply
        • 89th8 Offline
          89th8 Offline
          89th
          wrote on last edited by
          #4

          The entire medical, insurance, and prescription industries and their pricing structures makes my head hurt. Maybe there is a discount prescription for that? I love how each vendor in that list has a different initial retail price. Maybe the prices are so different because prescription prices are so obscure that there isn't really a market-based pricing strategy (e.g., I need to be 2 bucks lower than the guy down the street)? Like what is the manufacturer charging wholesale to one vendor vs another?

          1 Reply Last reply
          • taiwan_girlT Offline
            taiwan_girlT Offline
            taiwan_girl
            wrote on last edited by
            #5

            Does the "one time offer" mean that if you try and get a second dose, it will be much more expensive? Kind of get you hooked with a cheap first price and then increase?

            1 Reply Last reply
            • George KG George K

              @Mik said in Drug Prices:

              Do you have a part D plan?

              Yup. With Part D it was $128 or so.

              The only thing I can think is that metaxalone was not on the formulary (and I'm too lazy to look it up).

              jon-nycJ Offline
              jon-nycJ Offline
              jon-nyc
              wrote on last edited by
              #6

              @George-K said in Drug Prices:

              @Mik said in Drug Prices:

              Do you have a part D plan?

              Yup. With Part D it was $128 or so.

              The only thing I can think is that metaxalone was not on the formulary (and I'm too lazy to look it up).

              Don’t you choose your part D plan based on comparing formularies to the prescriptions you have? It’s that time of year.

              Thank you for your attention to this matter.

              George KG 1 Reply Last reply
              • jon-nycJ jon-nyc

                @George-K said in Drug Prices:

                @Mik said in Drug Prices:

                Do you have a part D plan?

                Yup. With Part D it was $128 or so.

                The only thing I can think is that metaxalone was not on the formulary (and I'm too lazy to look it up).

                Don’t you choose your part D plan based on comparing formularies to the prescriptions you have? It’s that time of year.

                George KG Offline
                George KG Offline
                George K
                wrote on last edited by
                #7

                @jon-nyc said in Drug Prices:

                Don’t you choose your part D plan based on comparing formularies to the prescriptions you have? It’s that time of year.

                This drug (metaxalone) is not on the formulary.

                https://rxmedicareplans.com/pdf/CY/Value_Plus_Formulary.pdf

                "Now look here, you Baltic gas passer... " - Mik, 6/14/08

                The saying, "Lite is just one damn thing after another," is a gross understatement. The damn things overlap.

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