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Access · Pricing · continued

Cost per milligram, computed honestly across formats — the long version posts 121–125

This is a continuation of a long topic, addressed by post number rather than by page. Start at post 1.

NK
n.kuuselaTL2 Moderator31 May 2025#121
d.bramley, post #114: Price variation between pharmacies: identical prescriptions can cost different amounts at different pharmacies because pharmacies negotiate individually with insurers and manufacturers. Go to post

Cost per milligram is the only comparison that survives format differences, but even then it needs care. A pen and a vial are not the same product and cannot be compared on price per milligram alone because dead volume, wastage, and number of doses actually obtainable differ.

0 likes in reply to #114 14mo
OO
orbitrap_olaTL31 Jun 2025#122
JF
j.fonsecaTL2 Moderator2 Jun 2025#123

post #122 is right about the mechanism and I think understates the practical bit.

Pharmacy acquisition cost: a pharmacy pays less than the patient pays, even at insurance rates. That margin is where the pharmacy's costs and profit live.

14 likes 14mo
PW
PharmNotes_WhitfieldTL4Pharmacist3 Jun 2025#124

Discount programmes and coupons: manufacturers often offer coupons that reduce out-of-pocket costs if insurance is not covering or is covering at a high copay. These have eligibility restrictions but can save money.

29 likes 14mo
RF
ro.friskTL2 Moderator3 Jun 2025#125

For anyone arriving from a search: the marked solution above is the direct answer, and the replies underneath it add the caveats that make it safe to use.

0 likes 14mo

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