Health

erronis

(17,306 posts)

9. I'm guessing pharma is just gaming the Medicare payments.

Reply to JustABozoOnThisBus (Original post)

Sun Jan 14, 2024, 07:54 PM

Jan 2024

When we go to the pharmacy with a Medicare card and get charged just a few dollars, the pharmacy (big business) charges Medicare for the full amount. PROFIT.

If a savvy consumer comes in with a coupon and gets a discount, this isn't reflected back to Medicare and the pharmacy still gets the full amount. PROFIT

CMS - Dept. of Health and Human Services / Center for Medicaid - Medicare is woefully understaffed and even more outgunned by the big guns of Pharma and the insurance companies. They can't possibly police every new tactic that these money-grubbing and patient-harming companies are doing to the population.

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love_katz

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Highlight:

Paxlovid not covered by my insurance: a workaround [View all] JustABozoOnThisBus Jan 2024 OP

It is covered by Medicare through 2024 as DURHAM D Jan 2024 #1

Mine was $1200 at Safeway lapfog_1 Jan 2024 #2

Did you go back to Safeway to see if they can recalculate the cost? JustABozoOnThisBus Jan 2024 #14

Manufacturers coupons in general are great for name-brand drugs AZSkiffyGeek Jan 2024 #3

This is true... Trueblue Texan Jan 2024 #4

Insurance companies, Rx companies, it's all a shell game to the tune of GREEDY PROFITS. GD them all. SINGLE PAYER CurtEastPoint Jan 2024 #5

I got it free proactively when traveling to AFrica, where it's not widely available in hospitals. Liberty Belle Jan 2024 #6

One thing I have to say Wally's is really good about Warpy Jan 2024 #7

I think Medicare should have covered it. LiberalFighter Jan 2024 #8

I'm guessing pharma is just gaming the Medicare payments. erronis Jan 2024 #9

Medicare should have paid for it... surfered Jan 2024 #10

I don't have "Advantage", just the old parts A, B, D. JustABozoOnThisBus Jan 2024 #15

I am very glad that you got your script filled LetMyPeopleVote Jan 2024 #11

Not covered? quakerboy Jan 2024 #12

Yeah... it is all part of a self dealing game... Josiesdad Jan 2024 #13