Drug Prices
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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.
We ended going to the same pharmacy as last month (not a chain) and it cost about $38.
Can someone explain this disparity?
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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?
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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?
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@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).
@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.
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@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.
@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.