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Cost per milligram, computed honestly across formats — a second dataset

Access › Pricing cost per milligram formulary compounding

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n.kirchnerTL2 Moderator1 May 2025#1

Cost per milligram, computed honestly across formats — a second dataset Writing it up because I had to work it out twice and would rather nobody else did.

A coverage question with the paperwork detail included, since that is what determines the answer.

Denial received, with a stated reason. My reading of the reason is that it tells me exactly what to submit next, which is the useful thing about a well-written denial.

Before I spend a week on it: is my reading of the stated criterion correct, and is there a documented precedent for this specific ground?

10 likes 15mo

s.hartmannTL2 Moderator29 May 2025#2

the opening post answers the question as asked. The question underneath it is different.

Compute cost per delivered dose at your dose if you want a number you can act on. That requires knowing your dose, vial volume, and whether you are using a vial or a pen.

0 likes 14mo

f.fenwickTL3Regular18 Jun 2025#3

Two things before anyone answers the substance.

First, the context in the first post is clear and specific. Second, the question is framed so that an answer can actually address it. Both are the norm here and both matter more than they sound.

29 likes 13mo

This topic was referenced in

List price versus negotiated price versus what you payAccess › Pricing · 115 replies
Revisiting: List price versus negotiated price versus what you payAccess › Pricing · 28 replies

This topic was closed 90 days after the last reply. Closing is automatic for quiet topics so that a settled answer does not collect new questions underneath it. If you have a follow-up, open a new topic and link back to this one — that keeps both readable and gives your question its own title.

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