are there more to this story than what's in the mail? Medicaid ppl are getting one version of methylphenidate, and we have to save that version for them. whereas the general public gets the other crappy version of methylphenidate that poor ppl don't even want. if they're paying zero, why are they so demanding? and is it legal to save the crappy version for the general public, and the better brand for Medicaid folks "only?" what's the real story behind this discriminatory behavior?
-
CycleTrack and SDN are teaming up to make medical school admissions more transparent and accessible! Read the announcement to learn how we’re supporting the future of CycleTrack’s free application-tracking tools .
Methylphenidate for the poor, vs non-poor
Started by sosoo
Get help with your application
Use all the free resources available to you from SDN: articles, guides, expert advising, forums discussions, and school research.
Uh huh...you certainly don't sound like a pharmacist. Tell me, what "grade" does this "crappy" version receive vs the non-crappy version?
Can we just make a separate forum for conspiracy theorists? Please?
Can we just make a separate forum for conspiracy theorists? Please?
It’s relatively common for Medicaid (or other insurance plans) to cover specific NDCs. In my state, brand Adderall XR is preferred over the generics by Medicaid.
You realize that the public can get the same...never mind.
Because the government has a contract on that drug. There is a rebate kickback involved at CMS . Nothing to do with good or crap .
i haven't checked. but if its crap from india, it's an F. and yes the FDA at one point shutdown manufacturing facilities in india because they feel the same way. clearly if its not fit for poor ppl to consume, it shouldn't be dumped to the general public.
Please tell me you are trying to be funny and are not actually...this.
The FDA also shut down manufacturing facilities in the USA.
Do you think we all get your mail? WTF are you stroking out about?
Am I supposed to take this comment literally? Or maybe it means something I don’t understand?
Alright I will follow you down this rabbit hole. How does "the company" insure only poor people get one version and everyone else gets the other? And what exactly do you think their motive is?
http://thecgp.org/images/TAA.pdf
No, I assure you that it's genuine American or Israeli crap. No kidding, the Buy American Act actually forbids the sourcing from India without the CMS Administrator's direct approval. This comes up in "sheep" (BAA) training as it's impossible to always buy American for pharmaceuticals.
48 CFR 52.225-4 - Buy American - Free Trade Agreement - Israeli Trade Act Certificate.
By the way, I'm not calling out the Israeli out of a particular issue with them, it's just a completely one-time, weird and absolutely essential when it comes to pharmaceuticals exception in the BAA. Put another way, if Teva goes under, we're really screwed in government as it wouldn't be possible to source many of our generics as Americans just don't make them anymore.
how its done is mentioned in the company email. im bringing this out to see if anyone has more details.
Once again, I think this thread shows that Sosoo has absolutely no pharmacy experience. Which hey, we all started there at one time or another. So I'll try and explain this to her:
1) the state does not care one whit what NDC methyphenidate poor people use. What they care is about the rebates, cough cough, kickbacks they get for requiring one NDC over another. I assure you, the quality of the NDC is irrelevant, only which mfg will give the most money back to the state.
2) part of the reason why the NDC is irrelevant, besides the fact that the state does not care at all, is that there is this thing called "bioequivalence" You will learn about this once you start pharmacy school or get a job as an intern/tech. What this means, different generic versions must have the same active drug, and that active drug must be released at the same rate, as the brand name drug they are being compared to. There aren't "crappy" versions of Adderal XR, because generics for it have been shown to be exactly the same, in all the ways that matter.
3) Nobody is saving brand name Adderall XL for poor people. Literally ANYONE (with a legitimate prescription, and money) can buy it. Pretty much nobody but poor people do, because everyone else would have to pay a higher co-pay for the brand name, or pay the entire cost outright, and there is no reason to do it, when the generic version is essentially the same.
4) If you don't believe the above, think about the states dental plan for poor people. At least in IL, the state doesn't pay for fillings/caps/crowns etc.....they pay for tooth pulling and dentures. Following your logic, this would mean that the state thinks fillings/caps/crowns are bad, and only tooth pulling and dentures are good. But maybe you are right, and this is all part the conspiracy to hide the dangers of mercury from the public. Except poor people. Because the state cares about poor people, but not about people who are working and paying taxes.
1) the state does not care one whit what NDC methyphenidate poor people use. What they care is about the rebates, cough cough, kickbacks they get for requiring one NDC over another. I assure you, the quality of the NDC is irrelevant, only which mfg will give the most money back to the state.
2) part of the reason why the NDC is irrelevant, besides the fact that the state does not care at all, is that there is this thing called "bioequivalence" You will learn about this once you start pharmacy school or get a job as an intern/tech. What this means, different generic versions must have the same active drug, and that active drug must be released at the same rate, as the brand name drug they are being compared to. There aren't "crappy" versions of Adderal XR, because generics for it have been shown to be exactly the same, in all the ways that matter.
3) Nobody is saving brand name Adderall XL for poor people. Literally ANYONE (with a legitimate prescription, and money) can buy it. Pretty much nobody but poor people do, because everyone else would have to pay a higher co-pay for the brand name, or pay the entire cost outright, and there is no reason to do it, when the generic version is essentially the same.
4) If you don't believe the above, think about the states dental plan for poor people. At least in IL, the state doesn't pay for fillings/caps/crowns etc.....they pay for tooth pulling and dentures. Following your logic, this would mean that the state thinks fillings/caps/crowns are bad, and only tooth pulling and dentures are good. But maybe you are right, and this is all part the conspiracy to hide the dangers of mercury from the public. Except poor people. Because the state cares about poor people, but not about people who are working and paying taxes.
I've always wondered what would happen if Lord999 directly addressed a Sosoo ****post.
It's the classic "unstoppable Force vs immovable object" scenario.
Except L999 is objective knowledge and Sosoo is ceaseless... Stuff.
Please post it.
Do you have any evidence that there's something wrong with the NDC you're deeming "not fit" for public consumption, or are you simply being a racist again?
It's the classic "unstoppable Force vs immovable object" scenario.
Except L999 is objective knowledge and Sosoo is ceaseless... Stuff.
Please post it.
You have a history of being racist against Indian people.
Do you have any evidence that there's something wrong with the NDC you're deeming "not fit" for public consumption, or are you simply being a racist again?
Last edited:
Is it a literal F or a conceptual F?
you know this isn't true b/c you already know methylphenidate (mallinckrodt) is Bx rated and hence shows non-bio equivalence. hence the crappy version exists.
Okay, let's back up here. Are you talking about methylphenidate (Ritalin) or are you talking about the OROS extended release version of generic Concerta? Because if it's the latter, then there might be some semblance of an argument of what you're saying, even if you haven't actually told us what the hell this internal memo said.
This is what I've grasped. You got a memo that said that you cannot use the Mallinckrodt version for the state paid program, because they will not pay for it, as it's not bioequivalent. But you've been using it for the other patients, because their insurance will pay for it. Am I correct?
By "crappy", what do you mean?
Are you saying it contains mystery ingredients, or that it has more or less active ingredient?
What, exactly , are you actually saying?
Please note, Bx rating does not mean "crappy" just not interchangeable if written for Brand.
Maybe sosoo thinks the Bx is "sweetened" with mystery ingredients with another conspiracy theory aimed at lowering the efficacy of the almighty efficacious, grade A+,100%, cure-inducing 1% HbA1C lowering Diabetes meds (hint: plenty of sass)
Maybe sosoo thinks the Bx is "sweetened" with mystery ingredients with another conspiracy theory aimed at lowering the efficacy of the almighty efficacious, grade A+,100%, cure-inducing 1% HbA1C lowering Diabetes meds (hint: plenty of sass)
when customers say they don't want any crappy product from india, what do u suppose they mean? if u been around long enough im sure you've come across customers who say that, word for word. like cvs store generic. small amount of active ingredient, large amount of fillers. just a piece of garbage and waste of money.
Can we please have a discussion between PatoPharm and sosoo?
Sosoo create a thread about a career as a PA with your well thought out opinion please.
Sosoo create a thread about a career as a PA with your well thought out opinion please.
All tablets are mostly excipients or fillers. It makes the tablet dose more accurate. If excipients make up the majority of a tablet's weight, a small difference in total weight between tablets will not result in a meaningfully different dose for patients. Additionally, it would be really hard for people to find and use a 10 mg tablet if the tablet actually weighed 10 mg.
by fillers, i mean large amount of fillers that make the product not worth buying. and in New York, investigation/lawsuits are already available on google in reference to cvs generic. i think if u read up on it you'll understand the frustration of buying a crappy product.
I can't find what you are talking about. Can you link it? I found the article that I linked below, but I don't think that it's what you are thinking of. The article talks about insurance companies only covering brand name meds and patients being forced to pay a higher copay as a result. It mentions Adderal XR as an example of the issue.
Take the Generic, Patients Are Told. Until They Are Not.
Wow. I can literally not understand your broken English.
Are you trying to say you believe that one NDC is counterfeit or doesn't have the stated milligrams of methylphenidate?
You're referring to a lawsuit based on OTC supplements that are not regulated by the FDA.
At this point, can you just please change your name to Wimp Lo?
what i was trying to say was clear as day. so i won't waste my time re-explaining it. it seems u have nothing better to do but pick arguments. get a life.
this is referring to herbal products. but anyone buying cvs generics (eye drops, vitamins, cough meds, etc), it's all the same. lots of fillers, not so much active ingredients.
Wal-mart, Target and others under fire for selling bogus supplements
and how do u suppose i sell expired meds without getting in to trouble? can u remind everyone how i actually go about doing it?
Herbal products are not regulated the same way generic prescription drugs are:
Generic Drugs: Questions & Answers
"Generic medicines use the same active ingredients as brand-name medicines and work the same way, so they have the same risks and benefits as the brand-name medicines. The FDA Generic Drugs Program conducts a rigorous review to make certain generic medicines meet these standards, in addition to conducting 3,500 inspections of manufacturing plants a year and monitoring drug safety after the generic medicine has been approved and brought to market."
FDA 101: Dietary Supplements
"Federal law does not require dietary supplements to be proven safe to FDA's satisfaction before they are marketed."
You don't...
Clear. As. Day.
God damn, all bow down to sosoo, king/queen? Of taking everything out of context & half truth "logic".
Sosoo, you fill that void I miss from watching Sean Spicer press conferences, thank you
Sosoo, you fill that void I miss from watching Sean Spicer press conferences, thank you
Last edited:
So you’re coming in front of a group of pharmacists and claiming that the herbal supplement industry is representative of the pharmaceutical drug manufacturing process? You should learn your audience better...
Are you really comparing herbals that we all know don't do crap anyway to prescriptions?
You better respond to one of the posts above.
I honestly am concerned for your future patients.
It's not clear at all.
It does seem like you're just a racist making claims about Indian products with nothing to back up your opinion.
So we are comparing OTC supplements to C2s. Seems legit.
I suppose they mean that they heard something on the news or read something on the internet and have formed an uneducated opinion about "that crap from India". Am I supposed to be persuaded by what customers say now? If that is the case I would have to believe that only Mylan brand fentanyl sticks to the skin and that only Mallinckrodt oxycodone products work.
I suppose they mean that they heard something on the news or read something on the internet and have formed an uneducated opinion about "that crap from India". Am I supposed to be persuaded by what customers say now? If that is the case I would have to believe that only Mylan brand fentanyl sticks to the skin and that only Mallinckrodt oxycodone products work.
Last edited:
All I know is, never buy Teva. Boycott Israel!
If you are truly a practicing pharmacist, you should not be. You literally have no idea what you're talking about.
Only products with CVS brand would be OTC products.
if u read what u quoted, there was no mention of prescription drugs in that quote..
Exactly. then why did u say i did?
in all the threads all u do is pick fights and arguments. you're a waste of my time so i wont respond anymore.
The discussion moved to OTCs because you were claiming that there were lawsuits based on "crappy" generics.
I then called out your BS and forced you to admit your evidence only applies to herbals.
Then you changed the topic to OTC.
You realize the posts stay there, right?
You can't gaslight a thread when you leave your posts there.
