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Also looking at other sites it seems like there's a massive variation in cost between where you get the script filled so idk maybe I'm just lucky. Like it's $15 at wal-mart, $27 at Costco, $40 at Target etc.
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Mar 31, 2024 22:37
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Shame Boy posted:Also nobody's buying loving name-brand wellbutrin you're buying the generic that's like four bucks even without insurance the generic Wellbutrin is hosed up, gave me chest pains. at the time i was on the state medicaid aid, the doc prescribed the gsk brand name and I paid nothing at all. I would probably have to pay a ton for the gsk stuff now if i needed it. (i think the state did stop covering the brand sometime during the pandemic)
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Mar 31, 2024 22:48
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Shame Boy posted:Also nobody's buying loving name-brand wellbutrin you're buying the generic that's like four bucks even without insurance when I gave it a try my doctor (here in Canada) told me that Concerta is one of the like five meds he notices a difference for between generic and brand-name with his patients so he specified the brand and gave me a manufacturer’s coupon to cover the difference. even for mental health meds it does sometimes matter I guess.
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Mar 31, 2024 23:33
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you can have a fair bit of difference in delivery profile and bioavailability and still get a generic approved. I’ve had to get specific rxes a few times
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Mar 31, 2024 23:35
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Shame Boy posted:Some people go to Target because they like it though. Corpsegrinder loves hunting for clearance deals https://www.youtube.com/watch?v=pvOfQ9svmPU
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Apr 1, 2024 04:17
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BonHair posted:In terms of they actually made hair grow where clearly it didn't, it's a success story. But like, maybe go for something slightly more or less realistic? Where do they transplant the hair from?
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Apr 1, 2024 09:42
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I had a bad reaction to a generic but because it was a benzo I assumed I was noceboing myself and being silly. after a couple weeks I googled it and found pages of people on Reddit complaining about the exact generic brand, within the past few months, and in one case someone had withdrawal seizures despite a stable dose. I took name brand for two years, then switched to Teva which has always been fine. the brand pills look cooler in this case. little cut out V in the valiums, k in the klonopin
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Apr 1, 2024 09:59
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Dog Case posted:Corpsegrinder loves hunting for clearance deals That's incredibly endearing
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Apr 1, 2024 11:40
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i fixated on the world of warcraft tattoo was the consumerism relaly that endearing?
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Apr 1, 2024 11:49
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I think influencer culture has really broken some people, if this is how they handle this happening in their life https://www.youtube.com/watch?v=FmdAYAttFAE
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Apr 1, 2024 13:15
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good thing he can still pay for a videographer
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Apr 1, 2024 13:55
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he's pulling off of that
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Apr 1, 2024 14:05
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DJJIB-DJDCT posted:I think influencer culture has really broken some people, if this is how they handle this happening in their life Very sad that happened but the choice to make this video and proudly post it means he loses all my sympathy.
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Apr 1, 2024 14:14
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I wouldn’t move back either if I was rich and had already severed all my local connections
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Apr 1, 2024 16:30
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Imagine seeing this guy on the subway as he looks at his reflection in the door, realizes it would make for a good shot for the video, then quietly pulls out his phone and makes a pensive face for 10 seconds
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Apr 1, 2024 19:27
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Biplane posted:Very sad that happened but the choice to make this video and proudly post it means he loses all my sympathy. How dare you disrespect his personal journey, of which his wife's untimely, tragic death is but one chapter.
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Apr 1, 2024 19:31
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honey, can you do the cancer dance again, the lighting wasn’t great on that last take
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Apr 1, 2024 19:46
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Ruffian Price posted:Imagine seeing this guy on the subway as he looks at his reflection in the door, realizes it would make for a good shot for the video, then quietly pulls out his phone and makes a pensive face for 10 seconds 
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Apr 1, 2024 20:14
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feeding my wife polonium for social media clout
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Apr 1, 2024 20:28
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Münchausen by posting
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Apr 1, 2024 20:32
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poo poo, I was adjusting my balls. Oh well, better post it anyway
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Apr 1, 2024 21:05
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Teriyaki Hairpiece posted:Münchausen by posting
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Apr 2, 2024 01:54
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Teriyaki Hairpiece posted:Münchausen by posting
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Apr 2, 2024 02:31
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Shame Boy posted:Also looking at other sites it seems like there's a massive variation in cost between where you get the script filled so idk maybe I'm just lucky. Like it's $15 at wal-mart, $27 at Costco, $40 at Target etc. Sort of off topic but can anyone explain discount programs like GoodRX? It’s totally hit or miss but sometimes it brings down the cost of medications by like 50% but it’s not insurance so I’m not sure what the gently caress anyone is getting out of this arrangement
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Apr 2, 2024 04:23
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Bouillon Rube posted:Sort of off topic but can anyone explain discount programs like GoodRX? It’s totally hit or miss but sometimes it brings down the cost of medications by like 50% but it’s not insurance so I’m not sure what the gently caress anyone is getting out of this arrangement i just assumed it was cutting out as much of the price inflation and middle men as possible and doing a more reasonable fee for the dispensing and selling. also drug info is big, even anonymized datasets are worth it if you want to assume they are being compliant
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Apr 2, 2024 05:40
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There's undoubtedly some poo poo going on with "charity" and "tax writeoffs" with a lot of that, too.
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Apr 2, 2024 05:56
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Bouillon Rube posted:Sort of off topic but can anyone explain discount programs like GoodRX? It’s totally hit or miss but sometimes it brings down the cost of medications by like 50% but it’s not insurance so I’m not sure what the gently caress anyone is getting out of this arrangement I legitimately have no clue what is up with non-insurance drug discount programs. I had an issue with my insurance and needed to pay out-of-pocket for a few days’ supply of a particular medication, which would have cost me $30 per day. The pharmacist was very apologetic about this and repeatedly insisted that I needed to call my insurance provider, but when I uttered the apparently magical words “is there something you can do?”, they immediately scanned a coupon code and cut the price by 80%. I know that drug prices are largely based on rates that suppliers negotiate with insurance companies, hence the stupidly high prices that an individual could not reasonably cover, but these weird secondary pricing schemes for people who know how to beg properly are utterly mystifying.
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Apr 2, 2024 06:36
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Teriyaki Hairpiece posted:Münchausen by posting Lmao
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Apr 2, 2024 07:11
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the discount programs are a pressure release valve so that doctors keep prescribing the medication, which means that in the insured cases the mfr still gets the expected price
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Apr 2, 2024 15:39
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Subjunctive posted:the discount programs are a pressure release valve so that doctors keep prescribing the medication, which means that in the insured cases the mfr still gets the expected price I assumed it was something like this yeah, plus whenever the media or congress or whoever complains they can go "but we have programs to help people who can't afford it, look!!!" which I've definitely seen pharma companies do multiple times before, like a fuckin' coupon is some kinda charity.
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Apr 2, 2024 17:00
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My understanding is that Goodrx is plugged into the pricing systems that big groups can use to negotiate lower prices. The lower prices were always there, but you as an individual had no way to access them.
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Apr 2, 2024 17:35
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There are multiple types of discount programs. The discount cards are (I think) bulk buy programs where they will negotiate with pharmacy chains to get a fixed discount for members. The manufacturer discounts (which are basically coupons) I think are part of the general expected earnings grift that has infected every part of the economy, where they know they need to set an MSRP at a much higher point than the market for the drug can actually support to move the number of units they need to move, because Number. So they then do these discount programs so they can basically do a little low key financial deception where they can claim expected forward revenue on the product at Big Number based on the msrp and total units moved and then put the discount program under their marketing budget. It's basically the same grift as half empty apartment buildings with rents so high they can't attract tenants refusing to lower rents and instead offering five thousand dollar rebates and a peloton for move-ins, because the value of the building is based on the rent revenue but five thousand dollars and a peloton is just a marketing cost bro it's not a signal that the value of the building has declined.
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Apr 2, 2024 17:37
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Participating in an insulin group buy
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Apr 2, 2024 19:34
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Ruffian Price posted:Participating in an insulin group buy This is absolutely something a good government healthcare programme should be doing. My friend has a PhD in health economics and works as essentially a government lobbyist, and literally this is one of the things she's lobbying for. The current Danish system is that "consumers" buy insulin basically straight from Novo Nordisk, which the state then refunds. This lets Novo Nordisk set the price and also not worry about buying power. If instead the state/regions went and bought as much as needed, they would get a way better negotiating position, much better control of supply and ultimately save a bunch of money. And also the money could then be spent on life saving cancer medication or treating obesity or something. But guess who likes the current system and also somehow have a lot of money for lobbyist?
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Apr 2, 2024 20:12
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insulin should be free.
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Apr 2, 2024 20:13
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I mean, yeah. Nationalize all pharma companies and so forth. Comedy option: it is free if your body doesn't suck.
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Apr 2, 2024 20:20
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I took a few continuing education courses on pharmaceutical billing chains back when I worked Medicaid compliance. Not supply chains, billing chains. The webs that these companies have set up between the manufacturers, retail, doctor's offices, government agencies, and insurance companies are insane. Each step has big corporate actors acting as middle men, and each step has big third party contracts to act as billers and auditors, so there are endless junctions in what should be an easy process, and at every juncture that middle man takes his cut. As the most simple possible example, a Medicaid agency might pay a Pharmacy Benefits Management (PBM) company, a manufacturer, a wholesaler, and the pharmacy itself for the same bottle of boner pills. Medicaid will also pay for the PBM-Medicaid auditor, the PBM-Manufacturer will split an auditor/biller between them, the manufacturer will pay for an auditor/ biller between it and Medicaid, and between it and the wholesaler, the wholesaler will pay for the auditor/biller between it and everyone else, the Pharmacy will have its costs paid by Medicaid, which requires another compliance audit. All this happens before you get your boner pills, and all require separate individualized contracts if using private insurance. And that's even before the doctors start running pills mills or the identity thieves steal your meemaw's Medicaid number so they and their black market doctor can bill boner pills under her name. BigHead has issued a correction as of 20:46 on Apr 2, 2024 |
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Apr 2, 2024 20:43
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BonHair posted:This is absolutely something a good government healthcare programme should be doing. congress explicitly prohibits CMS from doing this, although there was a minor relaxation recently. IMO any medicine on the WHO essential medicines list should be manufactured and provided by the government.
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Apr 2, 2024 21:07
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BonHair posted:I mean, yeah. Nationalize all pharma companies and so forth. telling the patient's islets of langerhans that they have a tremendous skill issue
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Apr 2, 2024 21:14
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Shame Boy posted:Some people go to Target because they like it though. I wouldn't even know where to go for stuff if not Target or Walmart. The other stores closed or are just as bad or worse.
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Apr 2, 2024 21:16
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