Irmat pharmacy

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That 600 is the retail price that the pharmacy charges. Why don't you ask them why they are marking up drugs? Pharmacies can charge whatever they want, yet no one ever questions them. DUH
 








anonymous said:
That 600 is the retail price that the pharmacy charges. Why don't you ask them why they are marking up drugs? Pharmacies can charge whatever they want, yet no one ever questions them. DUH
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I'll tell you why... Galderma sells their bullshit to pharmacies for $550 per tube. I know this is difficult to understand with your cozy $35 Irmat arrangement.

The truth is galderma rips off medical plans in secret. Prescriptions keep flowing since the Drs don't have to hear patients bitch about the Galderma's prices.

If plans knew it was $35 per tube through Irmat.... why the f**k would they pay $570?
 












Hey Einstein. Plans have safeguards in place so pharma companies can't rip them off. It's called maximum allowable amount - the amount the plan is willing to reimburse- otherwise they will not put a drug on its formulary. Make sure you have your facts straight.
 








anonymous said:
Hey Einstein. Plans have safeguards in place so pharma companies can't rip them off. It's called maximum allowable amount - the amount the plan is willing to reimburse- otherwise they will not put a drug on its formulary. Make sure you have your facts straight.
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Einstein here- let me educate you a little: Let's pretend this is a tube of antibiotic.... I won't name names... just an antibiotic that's been generic for decades. And some geniuses made a gel with it.

WAC (wholesale acquisition cost... what pharmacy buys at): $500
Rebate (Kickback to insurance company): $30 (let's say PBM skims off $5 since these rebates are secret and nobody will notice)
Pharmacy U&C (cash price): $600 (Irmat charges bullshit like this too...)
MAC (maximum allowable cost) price the pharmacy is contracted to sell at after claim adjudication: $520

PBM bills the plan sponsor for $520-$25 = $495. Much better than $600... right?

...until the plan sponsor finds about Irmat's $35 cash for everything program. Ah yes... the Galderma "promise"

Plan sponsor: why are we paying a PBM to buy this shit for $495? Why is the pill form only $10? Why is this on formulary? Why is the $100 generic NOT being dispensed? Why is Irmat billing us at $495 when they could bill out for $35 cash? What exactly IS Irmat? Is Irmat ran by the mob? I hope not because i'm calling our PBM to yank pull their contract.
 








anonymous said:
Einstein here- let me educate you a little: Let's pretend this is a tube of antibiotic.... I won't name names... just an antibiotic that's been generic for decades. And some geniuses made a gel with it.

WAC (wholesale acquisition cost... what pharmacy buys at): $500
Rebate (Kickback to insurance company): $30 (let's say PBM skims off $5 since these rebates are secret and nobody will notice)
Pharmacy U&C (cash price): $600 (Irmat charges bullshit like this too...)
MAC (maximum allowable cost) price the pharmacy is contracted to sell at after claim adjudication: $520

PBM bills the plan sponsor for $520-$25 = $495. Much better than $600... right?

...until the plan sponsor finds about Irmat's $35 cash for everything program. Ah yes... the Galderma "promise"

Plan sponsor: why are we paying a PBM to buy this shit for $495? Why is the pill form only $10? Why is this on formulary? Why is the $100 generic NOT being dispensed? Why is Irmat billing us at $495 when they could bill out for $35 cash? What exactly IS Irmat? Is Irmat ran by the mob? I hope not because i'm calling our PBM to yank pull their contract.
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profits before patients ? gotta make that number or garden gnome from overseas goes off . he is still at town halls like a raving mad man talking like we discovered the cure for cancer and are some biotech
 




anonymous said:
profits before patients ? gotta make that number or garden gnome from overseas goes off . he is still at town halls like a raving mad man talking like we discovered the cure for cancer and are some biotech
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garden gnome doesn't need to know about Irmat. Irmat's still pumping the rxs out without Optum. But revenue... 25% of the Irmat sales are going bye bye.
 




Sounds like we got some angry independent pharmacists on this board. You are being pushed aside by specialty pharmacies that are willing to offer better customer service and competitive pricing. Docs and patients don't trust you anymore. We all know how you lie and tell patients the generic is always cheaper when in reality, you make more of a profit pushing the junk on your shelves that's been around for over a decade for an inflated retail price.
 




anonymous said:
Sounds like we got some angry independent pharmacists on this board. You are being pushed aside by specialty pharmacies that are willing to offer better customer service and competitive pricing. Docs and patients don't trust you anymore. We all know how you lie and tell patients the generic is always cheaper when in reality, you make more of a profit pushing the junk on your shelves that's been around for over a decade for an inflated retail price.
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And this little Optum problem... will work itself out?

And Optum's clients are happy paying for $350 galderma-garbage when it's $35 through a shady program that no other pharmacies have access to?

... and no antitrust or anti-kickback acts are being... violated with your "competitive pricing" schemes?

I hope you checked with your anti-trust lawyers. Philidor found its grave in a 2 months.
 








anonymous said:
And this little Optum problem... will work itself out?

And Optum's clients are happy paying for $350 galderma-garbage when it's $35 through a shady program that no other pharmacies have access to?

... and no antitrust or anti-kickback acts are being... violated with your "competitive pricing" schemes?

I hope you checked with your anti-trust lawyers. Philidor found its grave in a 2 months.
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Optum is not paying that. They are paying what they agreed to pay per a legally binding contract. No kickbacks. No anti-trust. Just to remind you, Walgreens went through the same thing with CVS/Caremark and it was thrown out of court. Our attorneys go over everything with a fine tooth comb to keep us in line. You have no idea how conservative this company is and always has been. It's total overkill. Every year they put up slides at our meetings showing how other companies were fined big bucks and how many lawsuits occurred. Every year we are told this will not be tolerated. We can't do anything that even remotely could be interpreted as unethical or illegal. It has been that way for decades and has only gotten more, not less, strict.
 




Hey pharma moron. This has zero to I with how conservative your company is. When you get in bed with a mom and pop pharmacy, because that's exactly what Victor is. There is no telling what they will do in order to process rx's. Every pharmacy does it this way. Whoever has decided it's a good idea to partner up with these pharmacies should be fired. They don't know the 1st thing about how they operate!
 




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