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Posted on 1/12/17 at 11:35 am to goldennugget
I'd include A.D.D. in that as well. Growing up I knew no one with it. Now everybody's kid has it
Posted on 1/12/17 at 11:39 am to PowerTool
quote:
This thread wasn't about autism and whatever else your families have gone through.
So what WAS the thread about? You just pointing out the fact that you never needed an epipen? Cool, good for you, that doesn't mean that others haven't needed it. There's plenty of lifesaving medicine that most people never use or think about in their daily lives, but that doesn't make them less necessary.
You can't judge the importance of life saving medicine based solely on your personal experience.
Posted on 1/12/17 at 11:39 am to PowerTool
Cigna operates it's own in-house PBM taking out the middle men such as CVS/Caremark/Medco/Express etc. What they are simply doing is what PBM's have championed for the last 18+ years which is to simply incentivize generic uptake. The 3 tier formulary for all plans also have exclusions based upon factors (cost, therapeutic class for example). What this means is the patient can purchase items at pharm but they will be 100% OOP at retail cost, not AWP.
In terms of EpiPen, since there is a low cost alternative, plans, carriers and PBMs will drive consumer behavior by cost - ultimately, you may see a psuedo-4th tier which might be high cost generics with a coinsurance structure. Ex: Generic AWP $100.00 - Coinsurance at POSale = 50% patient pay. Helps both sides share the cost which isn't the manufacturer but the patient and the PLAN (employer).
Posted on 1/12/17 at 11:41 am to Sao
Thanks, that makes sense.
Posted on 1/12/17 at 11:46 am to tigerskin
quote:
People died. We just didn't have social media.
People can pretend that anaphylaxis is static over time and rates of it don't decrease or increase. The data doesn't reflect that.
Posted on 1/12/17 at 11:53 am to PowerTool
I haven't looked but I think I may have heard the manufacturer of the EpiPen may be getting approval for their own generic equiv of EP based upon their own science. Repackage... The issue of $700.00 rescue med stories will soon be a thing of the past. This story caught legs like many other "scary" stories in the media (brought on by scared to death housewives/patients by the way).
Posted on 1/12/17 at 11:55 am to Sao
That's just marketing.
They don't need to make an equivalent. Just reprice their generic.
They're playing a PR game. That's fine. But let's not pretend they're going to make a different formulation of the drug and sell it.
They don't need to make an equivalent. Just reprice their generic.
They're playing a PR game. That's fine. But let's not pretend they're going to make a different formulation of the drug and sell it.
Posted on 1/12/17 at 11:57 am to Sao
Which is pretty much what I thought when I saw the hysteria trending.
As 808 said, it's good marketing. Create a heightened demand.
As 808 said, it's good marketing. Create a heightened demand.
Posted on 1/12/17 at 12:01 pm to the808bass
Can't market a brand name as a generic or vice-versa. They will have to repackage and rebrand the name EpiPen to qualify for a generic equiv of EP. NDC and GPI codes will need to be created for a new gen equiv.
Posted on 1/12/17 at 12:02 pm to cokebottleag
quote:
Back then people just called them "weird kids".
Then how come there are still 'weird kids' today?
Posted on 1/12/17 at 12:04 pm to Sao
That's all window dressing, though.
They're not developing anything.
They're not developing anything.
Posted on 1/12/17 at 12:12 pm to PaperTiger
quote:
I'd include A.D.D. in that as well. Growing up I knew no one with it. Now everybody's kid has it
ADHD is way over diagnosed with children, but it has always existed. I have it. I was just the kid that was weird. Now, I am the adult that is weird. BTW, my father and grandmother both have it, both undiagnosed.
Posted on 1/12/17 at 12:15 pm to the808bass
quote:
People can pretend that anaphylaxis is static over time and rates of it don't decrease or increase. The data doesn't reflect that.
I personally think that the way we grow and take food to market is the reason. You used to get stuff from nearby farms, and now you are getting stuff from all over the world. In addition, there is so much "fake" food, stuff that is so far from being natural, that it probably has changed our allergen response.
also, the reality is that anaphylaxis isn't always deadly, in fact most of the time its just an inconvenience. It just sucks to be covered in purple welts and have trouble breathing. When I got epi pen'd, I was purple from forehead to my groin. I have pics but you know, I doubt you want to see me in my underwear.
Posted on 1/12/17 at 12:18 pm to Hawkeye95
quote:
also, the reality is that anaphylaxis isn't always deadly, in fact most of the time its just an inconvenience
And the reality is that when charts are audited, a huge percentage of people with a diagnosis of anaphylaxis on their chart and an Epi Pen administered don't actually have the symptoms of anaphylaxis.
This post was edited on 1/12/17 at 12:19 pm
Posted on 1/12/17 at 12:24 pm to the808bass
quote:
And the reality is that when charts are audited, a huge percentage of people with a diagnosis of anaphylaxis on their chart and an Epi Pen administered don't actually have the symptoms of anaphylaxis.
well I have no idea about that.
true story, i had a pretty severe reaction to wood chips in a cabin in the mountains in a snowstorm after taking LSD. That was fun! I just took a shite ton of allergy pills and showered. And freaked the frick out. this was two weeks after my epi pen adventure. I am highly allergic to oak trees.
Posted on 1/12/17 at 12:25 pm to Hawkeye95
You might be allergic to LSD.
Posted on 1/12/17 at 12:26 pm to the808bass
I'm not sure why you're arguing this thread. Rescue meds help people. Millions. Why you (appear) to believe it's all a farce isn't clear.
Have you ever seen a child need epinephrine? I know I have simply due to a cookie thought to be nut free. It's not what you seem to think it is... this boy was choking to death on his own windpipe basically. No air = not a good thing.
Posted on 1/12/17 at 12:28 pm to Sao
I'm not one to defend 808, but you might be reading more into his comments.
Posted on 1/12/17 at 12:28 pm to Sao
I'm not arguing anything of the sort. I'm stating facts. If you don't like facts, go over to the Obama birth certificate thread.
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