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Started By
Message
Any insurance peeps/pharmacists here? Question about cost of RX
Posted on 2/4/14 at 10:22 pm
Posted on 2/4/14 at 10:22 pm
Who pays for things when you're told "there is no charge"???
Daughter had an rx for doryx for acne. Was SHOCKED when I got to the pharmacy and it was $800 +. I was so stunned that I forgot I was holding a discount card for the drug given to me by the doctor in my hand. I knew it would be expensive but not $800 expensive.
After the pharmacist entered the discount code or whatever, they told me I owed NOTHING. The way I understood the card, I would owe $75 as we had insurance; we have an individual High Ded plan and everything goes to the ded. As it's only February, we're not close to meeting it either.
I asked them to check and double check and then got the pharmacist who owns the business to check a 3rd time ... I made it clear that I couldn't afford to end up being responsible for $800 in a month or 2 if there happened to be any mistakes made on their part. They assured me there aren't any mistakes.
SO my ultimate question is who is paying for this? I feel like a darn Medicaid patient paying nothing (I'm not against Medicaid for those who are in a bind). And if it was a life saving drug for my child I wouldn't think twice but I'm just curious!
Daughter had an rx for doryx for acne. Was SHOCKED when I got to the pharmacy and it was $800 +. I was so stunned that I forgot I was holding a discount card for the drug given to me by the doctor in my hand. I knew it would be expensive but not $800 expensive.
After the pharmacist entered the discount code or whatever, they told me I owed NOTHING. The way I understood the card, I would owe $75 as we had insurance; we have an individual High Ded plan and everything goes to the ded. As it's only February, we're not close to meeting it either.
I asked them to check and double check and then got the pharmacist who owns the business to check a 3rd time ... I made it clear that I couldn't afford to end up being responsible for $800 in a month or 2 if there happened to be any mistakes made on their part. They assured me there aren't any mistakes.
SO my ultimate question is who is paying for this? I feel like a darn Medicaid patient paying nothing (I'm not against Medicaid for those who are in a bind). And if it was a life saving drug for my child I wouldn't think twice but I'm just curious!
2
Posted on 2/4/14 at 10:43 pm to tiger91
Usually the manufacturer pays as incentive to buy their drug. Most cards for example offer paying as low as say $25 per month with a maximum savings amount of $60 per month or $720 over the life of the card. Or some other similar numbers , read the back of the discount card it should all be there. We use these cards a lot, people are happy about the savings but get mad when all of a sudden the savings is gone because they maxed out the discount.
Posted on 2/4/14 at 10:47 pm to lsufan35
The old bait and switch, eh? I don't work retail so I can't help, but this was my first assumption.
Posted on 2/4/14 at 10:58 pm to tiger91
I know my wife was on an expensive scrip and it put the max out of pocket at $30/mo but the benefit on the card couldn't exceed $1000 in any 6mo period.
Posted on 2/5/14 at 6:52 am to Golfer
They have the Dermatologist pushing it. It has another name...Doxycycline. It's been generic about 20 years. No reason to ever write it. The hope of the drug company is to give it to you cheap initially and then hope you buy it when the discount expires. I've never seen anyone write it except derm guys.
Posted on 2/5/14 at 6:54 am to SmackoverHawg
Minocycline works better than the Doryx on acne anyway, and it's generic too.
Posted on 2/5/14 at 9:33 am to SmackoverHawg
If I understand the card right, and I discussed it with the pharmacist, the card is "good" for 3 times .. initial filling and 2 refills. Dr. said that we'd do it for 3 months at the most anyway.
The pharmacist did in fact prior to running the discount code say that regular doxycycline would be just as fine. I just went ahead and got them to order it since it was zero charge to me ... does that make me bad?
There were 2 other scripts that she wrote for (one for a cream for fever blisters and one a topical gel for the acne) that the pharmacist is calling her to suggest/get another med ... said she didn't mind doing it and I was most grateful.
That's the reason I love my small town people and businesses ...
Thanks guys.
The pharmacist did in fact prior to running the discount code say that regular doxycycline would be just as fine. I just went ahead and got them to order it since it was zero charge to me ... does that make me bad?
There were 2 other scripts that she wrote for (one for a cream for fever blisters and one a topical gel for the acne) that the pharmacist is calling her to suggest/get another med ... said she didn't mind doing it and I was most grateful.
That's the reason I love my small town people and businesses ...
Thanks guys.
Posted on 2/5/14 at 3:19 pm to tiger91
Regular doxycycline is dissolved and absorbed in the stomach. Doryx contains specially enteric-coated pellets of doxycycline that pass through the stomach and dissolve only after reaching the small intestine. This helps to reduce gastrointestinal irritation.
Posted on 2/5/14 at 4:23 pm to tiger91
quote:
(one for a cream for fever blisters
Wife takes Acyclovir for fever blister prevention- I'm pretty sure it's less than $50/month, and you can get it in a 90 day supply for cheaper. It definitely works. She only gets then 1-2 times per year now.
I had a script for my son to be filled for a stool softener, and the doctor prescribed the powder form. The pharmacist gave me enough to get through the holiday weekend at no charge and told us to request the liquid form- instead of $80 for a month supply, it was $4. I was very thankful for that pharmacist.
I don't think most doctors know just how much different medicines cost- they prescribe the ones that the drug reps push or the ones they have always prescribed.
Posted on 2/5/14 at 5:09 pm to LSUGUMBO
I love the pharmacists at our local Thrifty Way ... like, I need to bring them some cupcakes or something ... they've made more calls to the doctor to get other topicals changed. They're great to deal with.
Posted on 2/5/14 at 6:21 pm to LSUGUMBO
quote:
don't think most doctors know just how much different medicines cost- they prescribe the ones that the drug reps push or the ones they have always prescribed.
Most doctors aren't aware of drug costs. We're not taught that. Luckily, my wife is a pharmacist and helps me pick more economical meds for my patients.
Posted on 2/5/14 at 8:57 pm to SmackoverHawg
And I bet your patients love you for it! I don't think that the MDs office gave the pharmacy a hard time ... I just hated the pharmacy having to go above and beyond just filling the script.
Posted on 2/6/14 at 8:30 am to SmackoverHawg
My sister is a doc, and my wife is a pharmacist. My sister is constantly calling my wife to ask about various drugs, economical versions, and contraindications.
I know many people say pharmacists are just pill pushers, but the pharmacology they are taught is invaluable to an individual's health.
Also, in regards to the original post, my wife and her pharmacists will call the doctors if there is a cheaper, generic version to see if the alternative would be acceptable. I think she spends more time talking to doctor's offices than patients.
I know many people say pharmacists are just pill pushers, but the pharmacology they are taught is invaluable to an individual's health.
Also, in regards to the original post, my wife and her pharmacists will call the doctors if there is a cheaper, generic version to see if the alternative would be acceptable. I think she spends more time talking to doctor's offices than patients.
Posted on 2/6/14 at 10:23 am to Boss
Boss, that's what the pharmacists did for me ... twice over the original rx. The first was WAY ridiculous for a topical cream/gel ... the next one they swapped to was STILL the same price. Yesterday they called me and said oh they were fine with using the rx that was $25 ...
I know that docs are busy and have a lot going on but I'm grateful that they were nice to the pharmacists who called. I asked the pharm if she thought the doc would mind and she said "I don't care ... we'll get it done". I apologized a million times for being a pain in the arse!
I know that docs are busy and have a lot going on but I'm grateful that they were nice to the pharmacists who called. I asked the pharm if she thought the doc would mind and she said "I don't care ... we'll get it done". I apologized a million times for being a pain in the arse!
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