Online Eye Drop Pharmacy

[percyeye]

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Looking for Pharmacist partner to talk about starting an online Pharmacy for chronically needed eye drops like Glaucoma and Dry Eye. Looking to make it so Docs can send in e-scripts to make it legit, but keep prices as low as possible, even setting up a subscription service that sends them drops on a schedule.

Please PM if interested in discussing more

 

[CetiAlphaFive]

I'm interested in why you think this is a good idea.

Are you utilizing a "marketing" service geared towards a specific insurance population

 

[wagrxm2000]

They have this already, it's called a pharmacy.

 

[percyeye]

Already been using more and more mail in scripts for drops. When I send a patient to the Pharmacy for drops they get upset when I say I have no idea what they will cost, usually ranges anywhere from $60-$450 dollars for the same eye drop but as you know depends on insurance etc. And sometimes the cash price is cheaper than what they are paying with insurance. I'd want more transparency, price is listed on site, no guessing at what price will be (especially with Medicare, they do a terrible job of covering eye drops for some reason). I have been living more rural, there are two pharmacies in the area and they set prices. If I had a website that I could send an e-script to that was legit and I could ask the patient in my chair if this price is okay and would be delivered to their house in a day or two I would be using that service.

 

[wagrxm2000]

Wait a second, I think they already have something like this.







It's called a pharmacy.

I'll help you out this time. Stop writing for Durezol when prednisolone works just fine. It's like $20 something with goodrx.

 

[zelman]

Already been using more and more mail in scripts for drops. When I send a patient to the Pharmacy for drops they get upset when I say I have no idea what they will cost, usually ranges anywhere from $60-$450 dollars for the same eye drop but as you know depends on insurance etc. And sometimes the cash price is cheaper than what they are paying with insurance. I'd want more transparency, price is listed on site, no guessing at what price will be (especially with Medicare, they do a terrible job of covering eye drops for some reason). I have been living more rural, there are two pharmacies in the area and they set prices. If I had a website that I could send an e-script to that was legit and I could ask the patient in my chair if this price is okay and would be delivered to their house in a day or two I would be using that service.

So, are you looking to accept insurance or not? If you are, you won’t have upfront price transparency.

 

[percyeye]

So, are you looking to accept insurance or not? If you are, you won’t have upfront price transparency.

No insurance.

 

[RxPreceptor]

Note: why not just stick to inexpensive drugs for each class? Latanoprost, diclofenac, prednisolone, ofloxacin, erythromycin, bacitracin, azelastine, etc. Can get down to a reasonable price with savings tools/discount cards...I literally had some MD ask to price diclofenac last night...12$/5mL bottle with savings program.

 

[CetiAlphaFive]

Already been using more and more mail in scripts for drops. When I send a patient to the Pharmacy for drops they get upset when I say I have no idea what they will cost, usually ranges anywhere from $60-$450 dollars for the same eye drop but as you know depends on insurance etc. And sometimes the cash price is cheaper than what they are paying with insurance. I'd want more transparency, price is listed on site, no guessing at what price will be (especially with Medicare, they do a terrible job of covering eye drops for some reason). I have been living more rural, there are two pharmacies in the area and they set prices. If I had a website that I could send an e-script to that was legit and I could ask the patient in my chair if this price is okay and would be delivered to their house in a day or two I would be using that service.

I just realized you're an optometrist.

You'd be better off learning how insurance works than trying to open a business.

 

[txpharmguy]

Also a lot of drops (Bausch and Lombe access program) such as Alrex, Besivance, Lotemax Vyzulta, Zirgan, Zylet you have to send to Walgreens because of the deal with Valeant. As others have said, don't prescribe high dollar eye drops for MPD patients, because more than half the time they require a prior authorization. Secondly, if they are covered, you can't use manufacturer coupon for those patient's

 

[percyeye]

I think you guys are missing the point talking about insurances, coupons, and prior authorizations. I'm begging for a place I can openly see the price online, that I can show the patient in a matter of seconds that would be a legit place and safe.

Right now when I send a script it is a nightmare lottery if they will cover any of it, or if I will get 4 phone calls about price/prior authorizations.

 

[wagrxm2000]

I think you guys are missing the point talking about insurances, coupons, and prior authorizations. I'm begging for a place I can openly see the price online, that I can show the patient in a matter of seconds that would be a legit place and safe.

Right now when I send a script it is a nightmare lottery if they will cover any of it, or if I will get 4 phone calls about price/prior authorizations.

It's called goodrx

No one here is missing the point. You can get the cash price at any pharmacy.

Also like I and many others have said, stop writing for brand.

Your business plan is pointless. You aren't listening to anything we are telling you since you don't like what you are hearing.

If you write for brand products, you have to use insurance or prices will be ridiculous.

You are also harming your customers if you don't take insurance since pretty much every generic will be cheaper with insurance, obviously deductibles may come into play which leads you back to discount cards.

 

[CetiAlphaFive]

I think you guys are missing the point talking about insurances, coupons, and prior authorizations. I'm begging for a place I can openly see the price online, that I can show the patient in a matter of seconds that would be a legit place and safe.

Right now when I send a script it is a nightmare lottery if they will cover any of it, or if I will get 4 phone calls about price/prior authorizations.

Nope.
You are just totally uninformed of how pharmacy insurance billing works in general.

Here's how it works:

1. You see the patient and decide what eye Drop they need.
2. You send a prescription to the pharmacy, and they enter the prescription data into the computer, including correct pack size, day supply, etc. In my experience, you guys are incapable of inputting a correct quantity or day supply, so this would likely be the biggest hurdle for your idea. Let alone overrides, early refills, covered NDC, etc...
3. This information is sent to one of the insurance companies, which charges the pharmacy for the privilege of sending an electronic claim.
4. They respond with a rejection or paid claim

No-one is going to operate a pharmacy catering to an optometrist.
It's not financially viable.

 

[percyeye]

Nope.
You are just totally uninformed of how pharmacy insurance billing works in general.

Here's how it works:

1. You see the patient and decide what eye Drop they need.
2. You send a prescription to the pharmacy, and they enter the prescription data into the computer, including correct pack size, day supply, etc. In my experience, you guys are incapable of inputting a correct quantity or day supply, so this would likely be the biggest hurdle for your idea. Let alone overrides, early refills, covered NDC, etc...
3. This information is sent to one of the insurance companies, which charges the pharmacy for the privilege of sending an electronic claim.
4. They respond with a rejection or paid claim

No-one is going to operate a pharmacy catering to an optometrist.
It's not financially viable.

I think the Pharmacy industry hasn't been as disrupted by online as other professions but it is coming. Look at the Amazon pharmacy threads on here.

As someone who regularly prescribes medication and is asked by every single person how much it will cost, I'm tired of saying I have absolutely no idea. Someone said GoodRx, but that at best is an educated guess. I really rarely do "Brand" medication but sometimes some patients handle the Brand type better. I live in the Midwest but I already have patients that have me do "mail in" Rxs to Pharmacies in California and some other states. I don't see how it is crazy to have an online, transparent place where no prior auths, no coupons, no insurance. Believe it or not cash only places are making a comeback.

Maybe you guys can point me to a place like this online? If there is somewhere like this I will be using it today.

 

[wagrxm2000]

Goodrx price is never wrong from my experience.

You realize this is the world we live in right? You either get a prior authorization or switch to what is covered. Also you don't think all offices have their patients asking what the price will be?

I will say one thing though, you are smart enough not to engage in a conversation with me.

You come off as being lazy. Cash only will work for cheap drugs that is not the case here. How hard is it for you to have your secretary call each pharmacy and ask for the cash prices? Instead of simply doing this, you'd rather open a pharmacy that won't work?

 

[FinallyOnTrack]

Here’s just a thought - are there any independent pharmacies in your area? If so, ask them if they would give you a cash price of X, Y, Z eye drops under the assumption you’ll send them all of your patients that are looking for the best price..

I’m sure you have your “Go To” eye drops - so come up with a list of them and have someone call around to get the cash prices once a month.. don’t forget to ask for different pack sizes as well..

That way, you can tell Mr John Doe that his Timolol is $19.99 or $34.99 for a larger bottle..


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[CetiAlphaFive]

I think the Pharmacy industry hasn't been as disrupted by online as other professions but it is coming. Look at the Amazon pharmacy threads on here.

As someone who regularly prescribes medication and is asked by every single person how much it will cost, I'm tired of saying I have absolutely no idea. Someone said GoodRx, but that at best is an educated guess. I really rarely do "Brand" medication but sometimes some patients handle the Brand type better. I live in the Midwest but I already have patients that have me do "mail in" Rxs to Pharmacies in California and some other states. I don't see how it is crazy to have an online, transparent place where no prior auths, no coupons, no insurance. Believe it or not cash only places are making a comeback.

Maybe you guys can point me to a place like this online? If there is somewhere like this I will be using it today.

 

[percyeye]

Here’s just a thought - are there any independent pharmacies in your area? If so, ask them if they would give you a cash price of X, Y, Z eye drops under the assumption you’ll send them all of your patients that are looking for the best price..

I’m sure you have your “Go To” eye drops - so come up with a list of them and have someone call around to get the cash prices once a month.. don’t forget to ask for different pack sizes as well..

That way, you can tell Mr John Doe that his Timolol is $19.99 or $34.99 for a larger bottle..


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There used to be an independent pharmacy, they were bought out by a large chain in the state. Now the same chain owns both pharmacies in town. The closest independent pharmacy is 45 minutes away.

I've been getting more and more patient having me mail/send e-scripts to places across the country. Or drive to a Costco 2 hours away and pay cash. But for some reason an online cash pharmacy is ridiculous?

 

[owlegrad]

You can get the cash price of any eye drop on GoodRx website for cash prices.

You can also get the patient copay information from the insurance company. It would be nice if you could go online to get that info. Perhaps some insurances do that but I have never seen it if they do.

 

[CynicalIntern]

lol if you think our market hasn't been disrupted. 80% of prescriptions that have a profit margin of more than $20 have eight different pharmacies competing over them. Unfortunately for you, I'm yet to find an eye drop that's worth targeting. And thats WITH insurance - if you're proposing a completely self pay pharmacy for eye drops, it can go one of two ways:

1) The pharmacy sells eye drops for as close to acquisition as humanly possible $10 above cost to cover shipping. The pharmacy doesn't make any money, and you're supporting the pharmacy on volume.
2) The pharmacy marks up the prescriptions a TON. The patients don't use this pharmacy, because they'd rather use their insurance somewhere else.

The only time that a pharmacy is incentivized to fill brand name medications is when they become SO expensive that their 2-3% margin profit is notable. With eye drops that normally cost $200--300, the $6 profit you're making on them isn't worth the time it takes to deal with it. The "pharmacies" that you're directed to contract directly with the manufacturer to allow them to purchase these eye drops at a much lower price than their acquisition cost, and then they bill to the insurance for standard acquisition cost to make a profit that way. This only works for brand name drugs (or for companies manufacturing generic drugs) and only works with insurance.

The idea that medicare does a poor job covering eye drops is laughable. Medicare covers FDA covered medicine better than anyone, because legally they have to pay for drugs if they're written for an FDA-approved indication. Even if it doesn't meet their step criteria, a sternly worded letter saying "this is an approved indication" gets a denied PA overturned. If the patient "tolerates the brand name better" the the patient is going to "have to pay more money for the fancier drug."

I'd love to know what drugs that GoodRx does not have accurate pricing for. I'd be happy to check their pricing for you

 

[FinallyOnTrack]

There used to be an independent pharmacy, they were bought out by a large chain in the state. Now the same chain owns both pharmacies in town. The closest independent pharmacy is 45 minutes away.

I've been getting more and more patient having me mail/send e-scripts to places across the country. Or drive to a Costco 2 hours away and pay cash. But for some reason an online cash pharmacy is ridiculous?

As the others have mentioned, a pharmacy can not sustain based on just eye drops alone.

Your idea isn’t that far fetched, but having a way to see “cash” prices for medications would hurt this industry more than it would even come close to helping you.

I honestly think the “best” answer to your problem is to maintain a list of medications that you often prescribe and their respective prices that would get updated on a regular basis.

If you’re that adamant on getting a “mail order” pharmacy - perhaps look at reaching out to the nearest independent pharmacy - see if they would be willing to work with you and your patients. Just expect them (the patients) to pay at least $6.00 for shipping and handling.

Again, I would strongly advise against having “cash” prices on the internet - PBM’s and Insurance Companies are already dwindling what little margins we have now - doing this would only crush it even more.



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[John Detter]

Right now when I send a script it is a nightmare lottery if they will cover any of it, or if I will get 4 phone calls about price/prior authorizations.

Why don't you get your secretary to call the patient's insurance company to get formulary info? It might be a hit or miss if they let you know the copay, but at least you know what is Tier 1, Tier 2, etc. It would beat just blindly sending a script and hoping for the best. Heck, some insurance companies publish this information online.

Alternatively, could you develop a protocol for your office staff? For example, if you have 3 drugs from the same class and you don't care which the patient gets, let your staff give a verbal script to change it to a predetermined acceptable alternative when the pharmacy calls. Of course, the legality of this may vary depending on your state laws.

Also I'd like to say that pharmacies don't intentionally make prices a guessing game. Insurance aside, the price is determined by many things upstream that are beyond the control of any individual pharmacy and what you are proposing will not fix the problem.

 

[ExpressMaiL]

I will consult you on how to open your own pharmacy.

You need not have a pharmacist license to open a pharmacy in California.

My consulting fees for an independent are $50k. Sterile compounding is $100k and I guarantee you will get your license or I'll refund your money.

 

[txpharmguy]

Rereading OP. Price for dry eye meds per goodrx is > $500 for a month supply for Xiidra and Restasis (single dose or multidose vial). Prior authorization requests on those approach 100%

 

[percyeye]

As the others have mentioned, a pharmacy can not sustain based on just eye drops alone.

Your idea isn’t that far fetched, but having a way to see “cash” prices for medications would hurt this industry more than it would even come close to helping you.

I honestly think the “best” answer to your problem is to maintain a list of medications that you often prescribe and their respective prices that would get updated on a regular basis.

If you’re that adamant on getting a “mail order” pharmacy - perhaps look at reaching out to the nearest independent pharmacy - see if they would be willing to work with you and your patients. Just expect them (the patients) to pay at least $6.00 for shipping and handling.

Again, I would strongly advise against having “cash” prices on the internet - PBM’s and Insurance Companies are already dwindling what little margins we have now - doing this would only crush it even more.



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Thanks for the information and I appreciate you trying to explain some of this to me. But do you mean showing cash prices would hurt the industry of Pharmacy? I'm sorry but if showing patients/consumers cash prices on their medications ruins the business well then it currently isn't a very good business model.

And yes I could make up a list and have my staff constantly trying to update prices for me, but that takes time and money by paying them to do this. I would prefer just to have an easy online reference I can check at any moment.

 

[percyeye]

Why don't you get your secretary to call the patient's insurance company to get formulary info? It might be a hit or miss if they let you know the copay, but at least you know what is Tier 1, Tier 2, etc. It would beat just blindly sending a script and hoping for the best. Heck, some insurance companies publish this information online.

Alternatively, could you develop a protocol for your office staff? For example, if you have 3 drugs from the same class and you don't care which the patient gets, let your staff give a verbal script to change it to a predetermined acceptable alternative when the pharmacy calls. Of course, the legality of this may vary depending on your state laws.

Also I'd like to say that pharmacies don't intentionally make prices a guessing game. Insurance aside, the price is determined by many things upstream that are beyond the control of any individual pharmacy and what you are proposing will not fix the problem.

Because my secretary would have to call about a dozen or more different insurances that we take, an finding out about all the Tiers which probably change, and copays would take too much time and resources. And for the record I don't blame the Pharmacy for any of this, it is the insurances that complicate everything.

I'm just surprised there is nothing out there that is transparent showing the lowest price possible. No copay, no tiers, no prior auths, no guessing.

 

[wagrxm2000]

Once again, it's called goodrx

 

[percyeye]

Rereading OP. Price for dry eye meds per goodrx is > $500 for a month supply for Xiidra and Restasis (single dose or multidose vial). Prior authorization requests on those approach 100%

This is correct, unfortunately those drops work well for the patients but they are rarely covered. I tell them this, give them some stupid coupon that doesn't work. And then they call back upset that the $500 drop only went down to $300 per month for dry eye drops. It makes me wonder how much it costs to buy these drops wholesale from the manufacturer, or is that not allowed in the Pharmacy industry?

 

[percyeye]

Once again, it's called goodrx

GoodRx is an estimated guess. I've used it to try and make a guess for a patient and it wasn't even close to the actual price.

And I can't send in the script to GoodRx to guarantee me that price.

 

[owlegrad]

GoodRx is an estimated guess. I've used it to try and make a guess for a patient and it wasn't even close to the actual price.

And I can't send in the script to GoodRx to guarantee me that price.

Every GoodRX I ever ran was the exact price listed on their website. If you aren't getting "even close" to the actual price something is off.

 

[zelman]

Can providers dispense in your state? You might not need a pharmacy at all.

 

[wagrxm2000]

GoodRx is an estimated guess. I've used it to try and make a guess for a patient and it wasn't even close to the actual price.

And I can't send in the script to GoodRx to guarantee me that price.

I'm not sure what you are doing wrong but I've had so many phones handed to me and it's always been right.

Prednisone 5 ml $25.98
Latanoprost 2.5 ml $18.11
Diclofenac 5 ml $31.76
Ofloxacin 5 ml $21.00
Etc

All at Walgreens. Obviously not the best price everytime. Also go to Walgreens and ask for a valeant card, a ton of prices for people that don't have Medicare Medicaid insurance.

 

[CynicalIntern]

This is correct, unfortunately those drops work well for the patients but they are rarely covered. I tell them this, give them some stupid coupon that doesn't work. And then they call back upset that the $500 drop only went down to $300 per month for dry eye drops. It makes me wonder how much it costs to buy these drops wholesale from the manufacturer, or is that not allowed in the Pharmacy industry?

My price from the wholesaler is just shy of $500. If you were to directly contract with Allergan, you could probably get it down to $450. $420 if Allergan was feeling extraordinarily generous. And that deal would be contingent on you guaranteeing that you would move 3,000 units a quarter, otherwise they won't entertain your offer.

 

[John Detter]

It makes me wonder how much it costs to buy these drops wholesale from the manufacturer, or is that not allowed in the Pharmacy industry?

This tells me you haven't done your research into how pharmaceutical products are acquired. Pharmacies typically purchase medications from a wholesaler (examples Cardinal Health, McKesson, Amerisourcebergen) so you're at the mercy of these companies. Some of the bigger chains have their own wholesaler in-house. While you could possibly get it from a company directly and ask for a deal, but they'll probably laugh at you unless you're a fortune 500 company with huge bargaining power.

Because my secretary would have to call about a dozen or more different insurances that we take, an finding out about all the Tiers which probably change, and copays would take too much time and resources. And for the record I don't blame the Pharmacy for any of this, it is the insurances that complicate everything.

I'm pretty sure even if you hired a full time person to just deal with these issues, it would still be more cost efficient and time efficient than starting a pharmacy.

 

[CetiAlphaFive]

Essentially, this thread could be easily paraphrased as:
"I don't like to do research or actually learn about things.
I don't want to think critically about why an idea would or wouldn't work.
I want this to be easy for me at someone else's expense."

What you have, percyeye, is a group of pharmacists in the pharmacy forum taking an incredibly rare unanimous position to tell you that this idea is a non-starter.
An industry is not a business model. That's not what that word means.

We all have pie in the sky wishes.

 

[lane one]

This is correct, unfortunately those drops work well for the patients but they are rarely covered. I tell them this, give them some stupid coupon that doesn't work. And then they call back upset that the $500 drop only went down to $300 per month for dry eye drops. It makes me wonder how much it costs to buy these drops wholesale from the manufacturer, or is that not allowed in the Pharmacy industry?

Yes they buy wholesale, but it's not like shopping at costco for paper towels. It sounds like you really have no idea how drug pricing works. Suggested reading: A huge pharma middleman just lost its biggest customer — and it shows how drug pricing really works

 

[percyeye]

Can providers dispense in your state? You might not need a pharmacy at all.

I looked into this as well. Apparently we can not. Pharmacy legislation must be strong here. Good for them I say.

 

[quickpic007]

Looking for Pharmacist partner to talk about starting an online Pharmacy for chronically needed eye drops like Glaucoma and Dry Eye. Looking to make it so Docs can send in e-scripts to make it legit, but keep prices as low as possible, even setting up a subscription service that sends them drops on a schedule.

Please PM if interested in discussing more

I personally love the idea. I would say stick to a narrow formulary, 6 month or 1 year shipping only. Cash only no insurance. I would definitely recommend hustling vitamins and otc products and well.

PM me!

 

[percyeye]

Update:

Just today, prescribed Generic patanol and FML drops for two patients. Got a phone call from both pharmacies because neither one or both were not covered on formulary. The FML on Goodrx was saying $31 here, but the Pharmacist was saying that the best they could do was $125.

I'm begging a someone out there in the internet world to give me a place I can just know what the price will be. No formulary, no copay, no deductibles, no calling to ask prices. Just transparent prices at the cheapest point possible .

And stop saying Goodrx.

 

[Dr. Pill]

Update:

Just today, prescribed Generic patanol and FML drops for two patients. Got a phone call from both pharmacies because neither one or both were not covered on formulary. The FML on Goodrx was saying $31 here, but the Pharmacist was saying that the best they could do was $125.

I'm begging a someone out there in the internet world to give me a place I can just know what the price will be. No formulary, no copay, no deductibles, no calling to ask prices. Just transparent prices at the cheapest point possible .

And stop saying Goodrx.

The most reasonable solution to your problem has already been mentioned. You need to “contract” with a pharmacy, go to the PIC and say, Ill send all my patients to you if you can print me a list of XYZ drugs and provide them for the cash prices of ABC. He can tack on whatever extra is necessary to adjust for minor fluctuations. If one of the prices skyrockets overnight then obviously the prices can be subject to change. At least it gives you a place to start.

 

[percyeye]

The most reasonable solution to your problem has already been mentioned. You need to “contract” with a pharmacy, go to the PIC and say, Ill send all my patients to you if you can print me a list of XYZ drugs and provide them for the cash prices of ABC. He can tack on whatever extra is necessary to adjust for minor fluctuations. If one of the prices skyrockets overnight then obviously the prices can be subject to change. At least it gives you a place to start.

That would be nice, but I am more rural and the person I saw today was from a town about 30-40 minutes away. Almost half my schedule of 25-30 people I see come from different towns. I could do that with possibly the Pharmacy in my town (I have two but they are both owned by the same chain), so if they don't play ball I'd have to contact anywhere from 15-20 different pharmacies.

 

[wagrxm2000]

The pharmacy is lying to you then I assume it's Walmart. Fml is $31.15 and there is no way it's wrong at Walmart. Tell them to go to Walgreens, it looks like it's $35 there.

Sorry that your Walmart does a bad job. They probably refused to bill goodrx since they don't reimburse us anything.

You do sign generic substitution is fine right?
What might also be happening is are you simply giving them a goodrx card or are you using the one it gives you when you click on the specific pharmacy? Those cards aren't going to give the best price.

Either the pharmacy isn't billing it or someone is using the site wrong.

 

[owlegrad]

Update:

Just today, prescribed Generic patanol and FML drops for two patients. Got a phone call from both pharmacies because neither one or both were not covered on formulary. The FML on Goodrx was saying $31 here, but the Pharmacist was saying that the best they could do was $125.

I'm begging a someone out there in the internet world to give me a place I can just know what the price will be. No formulary, no copay, no deductibles, no calling to ask prices. Just transparent prices at the cheapest point possible .

And stop saying Goodrx.

Here you go: https://www.healthwarehouse.com/flu...MI4rK9se7G2gIVy0sNCh19YgJiEAkYASABEgJWevD_BwE

You’re welcome!

 

[Ace41690]

Nobody anywhere knows anything about what the price of any drug is. The entire industry is built on everybody not knowing how much a drug costs. If there was actual pricing transparency every company involved in the sale of pharmaceuticals would collapse.

Also is this serious?? The cheapest price is with insurance, and since there are an infinite number of insurance plans, there are an infinite number of different prices. Patient's aren't going to pay any pharmacy's "cash price" because it will always be more than with insurance.

 

[owlegrad]

Also the price for FML Forte is about $125 so I wonder if that’s what’s actually written on the prescription. I still don’t believe that the good RX price isn’t being honored. I’m sure I procesed hundreds of good RX prescriptions in my time at CVS and the price was always exact.

 

[percyeye]

The pharmacy is lying to you then I assume it's Walmart. Fml is $31.15 and there is no way it's wrong at Walmart. Tell them to go to Walgreens, it looks like it's $35 there.

Sorry that your Walmart does a bad job. They probably refused to bill goodrx since they don't reimburse us anything.

You do sign generic substitution is fine right?
What might also be happening is are you simply giving them a goodrx card or are you using the one it gives you when you click on the specific pharmacy? Those cards aren't going to give the best price.

Either the pharmacy isn't billing it or someone is using the site wrong.

Not Wal-Mart. Actually a grocery store chain have the couple Pharmacies in town. And the script I sent to was actually a local private owned pharmacy in a different town.

I can't tell them to go to Wal-Greens, the closest one is probably 45 minutes to 1 hour away from where they live.

 

[wagrxm2000]

Not Wal-Mart. Actually a grocery store chain have the couple Pharmacies in town. And the script I sent to was actually a local private owned pharmacy in a different town.

I can't tell them to go to Wal-Greens, the closest one is probably 45 minutes to 1 hour away from where they live.

So that independent is on goodrx? That might be the issue, each card is specific to that pharmacy.

So Walmart was $31 and Walgreens was $35.

 

[percyeye]

So that independent is on goodrx? That might be the issue, each card is specific to that pharmacy.

So Walmart was $31 and Walgreens was $35.

Well I recently sent that same Rx to a different Pharmacy in the area, but like you said on GoodRx WalMart in the area was $31, but because of the patient formulary it was around $60. And that was after having the Pharmacist enter in 2 other drops one by one taking a few minutes to make sure the other prices for certain drops weren't cheaper. Is there a software for Pharmacists where they put in anti-inflammatory drops as a category and enter in the insurance and it just lists all of the costs of every anti-inflammatory drop instead of me saying now try this drop, now try this drop, okay no try this drop. Seems very inefficient.

 

[percyeye]

Nobody anywhere knows anything about what the price of any drug is. The entire industry is built on everybody not knowing how much a drug costs. If there was actual pricing transparency every company involved in the sale of pharmaceuticals would collapse.

Also is this serious?? The cheapest price is with insurance, and since there are an infinite number of insurance plans, there are an infinite number of different prices. Patient's aren't going to pay any pharmacy's "cash price" because it will always be more than with insurance.

Like I said before. If transparent prices makes that industry collapse, maybe that industry should collapse.

 

[CynicalIntern]

Like I said before. If transparent prices makes that industry collapse, maybe that industry should collapse.

Do you charge the patient the same price if they're "self-pay" as you do if they're insured?