Re: My insurance is horrid for the provider!

bj <bjones44@xxxxxxxxxxxxxxxx> wrote:
: "Julie Bove" <juliebove@xxxxxxxxxxx> wrote in message
: news:hlial1$gtb$1@xxxxxxxxxxxxxxxxxxxxxxxxxxxxx
: >
: > "bj" <bjones44@xxxxxxxxxxxxxxxx> wrote in message
: > news:dcGdnUFj1e3_O-HWnZ2dnUVZ_r-dnZ2d@xxxxxxxxxxxxxxx
: >> "Julie Bove" <juliebove@xxxxxxxxxxx> wrote in message
: >> news:hli52c$ri1$1@xxxxxxxxxxxxxxxxxxxxxxxxxxxxx
: >>>
: >>> But the pills? Pharmacy charged $221.35 for 90 days of Glimepiride and
: >>> they paid only $16.93. For 90 days of Simvistatin, they charged $440.39
: >>> and were paid $22.95. Both are generic.
: >>>
: >>> How can the pharmacies stay in business if they are paid so poorly? Is
: >>> all insurance this bad?
: >>
: >> Those "total charges" at that $ level are a crock for (most) generics.
: >> It looks like they were quoting the price for the brand name that the
: >> generic is subbing for?
: >>
: >> Check the prices at drugstore.com for some idea of real-world costs,
: >> although m.o. & local suppliers do vary some.
: >>
: >> e.g. 100 20mg tablets of simvastatin for $82. 100-20mg of Zocor -- $473.
: >> 100 2mg of glimeperide $21; I have no idea where $221 would come from, I
: >> don't know what it's generic for.
: >
: > Really? Hmmm... I wonder if a person with no insurance would have to pay
: > those prices?

: If that's what the store charges, and they choose to buy at that store, then
: probably yes. Unless there's a non-insurance discount program or something.

: But they could also shop around for a better option. Mail order works just
: fine for many meds, not so well for some. Pharmacies can & do charge
: different prices for the same meds. For things that are 90-day supplies on
: an ongoing basis it's worth taking the trouble to make cheaper arrangements
: if you can.

: Even with insurance, I've gotten my generics at the local chain store
: cheap-generic price not using insurance. I also get one of my brand name
: meds (brand name medically necessary) at retail because it doesn't cost that
: much & it's convenient to do it that way. I always run out of
: drug-insurance-benefits anyway -- used to run over the annual cap, now I hit
: the donut hole.
: bj
:

I am on Medicare D and last year(2009) I found a way to avoid the donut
hole for the first time. I bought my generics at CVS which charges $ for
a 90 day supply of generics and $24 for 90 days for some more expensive
ones like generic Foosamax. I use them not only because there is one in
my neighborhood, but I checked on the internet and found they carried more
of my generics than the other chains or Walmart or Kmart. I use my mail
order plan tht my insurance requires for repeating drugs only for 3 drogs,
2 non-generics and 1 generic which still has not come down in price
enough to ber added to any of the cheap drug plans.

I have notices tht, when starting my husband on new drugs which I get for
the first prescription at a local drug store, tht the local store(a chain)
charges a highter price(of which I pay 25%) than the mail order Express
Scrips under a NYC gov. retiree nedicare D plan.

Wendy
.

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