Showing posts with label pharmacies. Show all posts
Showing posts with label pharmacies. Show all posts

Monday, August 30, 2010

Our Not-So-Cheap Generic Drugs

I received the following e-mail from a patient (paraphrased):
"Dear Dr. Fisher,

Thank you for trying to switch me from lisinopril to generic losartan (Cozaar) to help me with the irritating cough that has been nagging me since I was placed on lisinopril. I did not pick up my prescription, though. At nearly $200 for a three-month supply, I've decided to live with the cough, since the same amount of lisinopril costs me about $12.

-Ms. Patient
Interesting how the generic drug market for some drugs only marginally discounts prices.

Since the companies that make generics did not have to absorb research and development costs, how do they justify the exorbitant prices?

Simple: the middle men still have to get theirs.

-Wes

Thursday, June 04, 2009

Walgreens: Baking the Cake and Eating It Too

Why sustainable, affordable health care will not be feasible: when the CEO of Walgreens says stuff like this:
With more than 25,000 pharmacists at Walgreens stores alone, the chief executive of the nation's largest pharmacy chain sees his company's efforts go beyond just filling prescriptions as part of a solution he calls medication therapy management.

By helping patients stick to taking their medications and making better and more cost-effective choices, Wasson believes the country's pharmacists could help save billions of dollars in medical-care costs. That money could be used to provide benefits to more people.
But how to do this?
To make medication therapy management work, Wasson said, pharmacies would need to be paid more (my emphasis). Drugstores have long complained about the fees they are paid to dispense drugs, typically from $2 to $4 per dispensed prescription; Walgreens says costs are more than $10 per prescription.

Payments to pharmacies also would need to include the time to provide patient consultations, plus wellness advice and other tips.
"Wellness advice?" Everyone knows that Walgreens gets plenty of money from their convenience store model (pick up other goodies when you get your prescription).

Any health reform proposal asking to increase costs now in hopes of saving money later should be summarily shot down in these days of irrational health care reform spending exhubernance. (I have to wonder if the sudden added cost of prescriptions might be from their "buggy" e-prescribing system, but I digress.) The real question: where's the money going to come from for his "medication therapy management?"

Oh, I forgot, probably the Chinese.

-Wes