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What are some reliable discount websites that we can lead patients to get discounts on expensive meds? Do they have it in the mft websites mostly?
Why do pharmacies accept discount cards in the first place? I don't understand how a company can interject and say "you, dear consumer, may pay a much lower price for this medication. Mr. Pharmacist, please pay us for this service."
So your job loses a ton of money from these scripts while you profit and your company is ok with this?
How would their employer know?
on the tangent of regular discount cards, if you take them you might as well sign up to get a commission from each one. I use this website and make $1 off each claim I process on most eligible claims (non-otc) items. The price is the same as the card we already used mostly anyway so I'm getting $1 every time we fill a phentermine, vitamin d, etc plus we see lots of uninsured people from urgent care that it's easy to use for.
http://www.yourrxhelp.biz/help1023/en/index.html
Discount cards hurt profits more than insurance. Manufacturer discount cards help profits.Do using these cards or manufacturer cards affect profit margins? or is it similar to a patient with insurance anyway?
I think the whole idea of discount cards is stupid. Basically the people distributing the discount card charge the pharmacy a processing fee while at the same time lowering the price of the drug and the profit margin. They say the card is worth using because the customer is more likely to continue filling the Rx, but if this is so true when why wouldn't the pharmacy just lower the price to begin with and skip the card and the processing fee? Makes no sense.
But hey, CVS doesn't care so why should I?
Yes!!! GoodRx are the worst! The price is never the same! I once had a guy demand we call GoodRx and get it straightened out and I said we do not call on discount cards, because it is not insurance. For a little bit, our store banned all GoodRx discount cards because supposedly we had gotten a charge back but Walgreens said we couldn't not accept them when a patient presents them.Does anyone else have people always coming in the the stupid GoodRx coupon on their phone? Its annoying and half the time the price is not the same and the people cannot fathom that the GoodRx website isn't accurate.
You can usually get Zofran covered if you get the patient's diagnosis from the MD and call the Medicare plan. It's not a real PA, just a part B vs D determination.Yes!!! GoodRx are the worst! The price is never the same! I once had a guy demand we call GoodRx and get it straightened out and I said we do not call on discount cards, because it is not insurance. For a little bit, our store banned all GoodRx discount cards because supposedly we had gotten a charge back but Walgreens said we couldn't not accept them when a patient presents them.
I only apply discount cards when I feel a person genuinely needs a decrease in price. Elderly patient where part D doesn't cover: usually Zofran, Benzonatate, Robaxin, etc.
A really simple discount card for WAGS systsem is Plan ID: RXCUT, ID: CARD, Group: CARD and it is pretty good.
Bingo!
If you lower your cash prices you might be tinkering with how much you get paid for the same drug from other payers. Pbm A is paying you $9 for that drug for another patient, PBM B (cash discount card) gets the other patients cost to $7. Lowering your cash price to 7 or or lower now means pbm A is going to only pay you $7 (or lower) when that other patient fills the same med. it's all a game of sucking money from the other guy.
That's why you set up a store loyalty or discount plan. The computer system I have allows me to create an unlimited number of pricing schedules and discounts. The store discount gets billed through a dummy BIN number so it doesn't affect usual and customary amounts that get transmitted to the PBMs. Customers have to sign up for the discount plan on an annual basis and I charge $1 per year to use the plan. It works no different than a normal discount card except I don't have to pay anyone a fee to use it.
That's why you set up a store loyalty or discount plan. The computer system I have allows me to create an unlimited number of pricing schedules and discounts. The store discount gets billed through a dummy BIN number so it doesn't affect usual and customary amounts that get transmitted to the PBMs. Customers have to sign up for the discount plan on an annual basis and I charge $1 per year to use the plan. It works no different than a normal discount card except I don't have to pay anyone a fee to use it.
I don't think they were sued. I think it was made illegal in one state so they completely changed it.CVS had something like this. They ended up sued for it and stopped the program
Resolving insurance rejections is going above and beyond?You actually do this? Props to you for going above and beyond.
I haven't seen that.Theres no need to call though. Usually there's a rx denial code that you can select from your third party options to resolve this and get zofran covered under part B or D. The rejection will tell you how to resolve it.
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Actually, this is possible to do this for Med B covered drugs, but Med D is administered by a lot of different companies and it doesn't work that was for any I've encountered. It may be different in your region.Interesting. It may depend on the system used by your retail chain.
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CVS had something like this. They ended up sued for it and stopped the program
That's why you set up a store loyalty or discount plan. The computer system I have allows me to create an unlimited number of pricing schedules and discounts. The store discount gets billed through a dummy BIN number so it doesn't affect usual and customary amounts that get transmitted to the PBMs. Customers have to sign up for the discount plan on an annual basis and I charge $1 per year to use the plan. It works no different than a normal discount card except I don't have to pay anyone a fee to use it.
What are some reliable discount websites that we can lead patients to get discounts on expensive meds? Do they have it in the mft websites mostly?
I have PioneerRx. Absolutely the best computer system I've ever used.
Discount cards are fraudulent, and destroy our profession.