Underpayment from insurers for Harvoni

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Ok I was a retail pharmacist years ago.

Send the patient to a pharmacy that has a contracted 340b pharmacy that handles specialty drugs. For example in Boston our hospital just contracted with a local (yes independent) pharmacy that handles these drugs and they can procure it for a lot less.

You should consider partnering with a hospital that had 340b while it is still there before big Pharma shuts it down .
 
I personally think that this is a greater threat to the pharmacy career than saturation. Can't even break even let alone turn a profit on a $14,000 drug combined with the fact that they want you to split the bottle? It's a complete joke. Margins are shrinking. It's no wonder the entire industry is consolidating. It's bad for the patient, the pharmacist, and the pharmacy chains.
 
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