Topic summary

Pen wastage and its effect on real cost

Access › Pricing cost per milligram compounding formulary data table

This is a generated summary. It shows the 5 most-liked posts from a topic of 34, in their original order, with the accepted answer included where one exists. It is a reading aid and it will miss nuance — the full topic is the record.

g.pemberton_ukTL3Regional · UK16 Jun 2024#2

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

Biosimilars and future generics: as patents expire, biosimilar and generic versions might become available and prices might fall. That has already happened for some proteins; incretin agonist pricing might follow.

31 likes 2.1y

NHuddlestonTL1Member7 Jul 2024#6

m.guerrero, post #5: 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. Go to post

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.

23 likes in reply to #5 2.1y

s.balogunTL2 Moderator20 Jul 2024 · edited#9

n.hartmann, post #7: Coming back to post #5, because the follow-up matters more than the original answer. International pricing: the same compound costs very different amounts in different countries because healthcare systems and regulatory frameworks differ. Generally, US prices are higher than other developed nations. Go to post

Worth separating two things that post #5 runs together.

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.

32 likes in reply to #7 2y

ms_hollowayTL4Mass spectrometrist5 Aug 2024 · edited#13

w.verhoeven, post #1: Pen wastage and its effect on real cost 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,… Go to post

Price variation between pharmacies: identical prescriptions can cost different amounts at different pharmacies because pharmacies negotiate individually with insurers and manufacturers.

28 likes in reply to #1 2y

l.parkinsonTL2Member12 Sep 2024#24

s.demir, post #23: 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. Go to post

Subscription services and subscriptions: some online clinics bundle compounds into subscription models with different pricing. Understanding the terms before committing matters.

31 likes in reply to #23 23mo

Read the full topic (34 posts)

Suggested topics

Topic	Participants	Replies	Views	Activity
List price versus negotiated price versus what you pay Access › Pricing formulary data table compounding Under review On the subject in the title: List price versus negotiated price versus what you pay Working notes rather than a conclusion. Documenting an access outcome, dated, because everything in this category expires.…	+99	115	11k	3mo
About the Pricing category Access › Pricing cost per milligram formulary compounding Pinned Wiki List prices, negotiated prices, and cost per milligram compared honestly across formats. This post is a community wiki: any member at trust level 3 or above can edit it, and every edit is recorded with its…	+1	5	18k	15mo
Cost per milligram, computed honestly across formats — a second dataset Access › Pricing cost per milligram formulary compounding Closed 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…		2	27k	13mo
Second pass at: Manufacturer assistance programmes and their eligibility rules Access › Pricing cost per milligram data table compounding formulary Second pass at: Manufacturer assistance programmes and their eligibility rules — setting out what I have, and where I think it stops being reliable. Documenting an access outcome, dated, because everything in…	+13	17	1.8k	16mo
Comparing prices across jurisdictions without misleading yourself Access › Pricing compounding data table cost per milligram Solved Wiki Comparing prices across jurisdictions without misleading yourself — setting out what I have, and where I think it stops being reliable. A coverage question with the paperwork detail included, since that is…	+78	83	33k	1mo

Related topics — sharing the tags cost per milligram, compounding, formulary

Topic	Participants	Replies	Views	Activity
Interpreting a composition change that is within the error bars Outcomes › Body composition bioimpedance data table lean mass loss On the subject in the title: Interpreting a composition change that is within the error bars Working notes rather than a conclusion. Longitudinal report with the method stated, because a number without a…	+18	22	5.8k	12mo
What a regulator's shortage notice actually authorises — what changed since Sourcing › Regulatory research use only EMA FDA compounding Solved The question in the title: What a regulator's shortage notice actually authorises — what changed since I will give what I have already checked below so nobody repeats it. A logistics question, since the…	+22	26	53k	7mo
Pharmacy supply in the UK and the questions you will be asked Regional › UK & Ireland personal import cost per milligram MHRA NHS On the subject in the title: Pharmacy supply in the UK and the questions you will be asked Working notes rather than a conclusion. A coverage question with the paperwork detail included, since that is what…	+95	105	1.3k	4mo
Hoarding and why it makes a shortage worse Access › Shortages formulary shortage compounding FDA Posting this under the heading it deserves: Hoarding and why it makes a shortage worse Everything below is what sits behind that. Documenting an access outcome, dated, because everything in this category…		2	12k	22mo
What I would record differently if I started again — the long version Outcomes › Progress reports effect size data table DXA Solved Closed What I would record differently if I started again — the long version I have a specific reason for asking rather than idle curiosity, and the context is below. Maintenance rather than loss, which is the part…	+22	26	57k	5mo