here are the brilliant formulary changes my state's medicaid program has made:
-the only PPIs they will cover are Aciphex (the last of the Rx ones that's only brand name) and OTC Prilosec
-they will ONLY pay for BRAND NAME Duragesic patches and MS Contin.
and people want to give our government more control over our healthcare? maybe if they weren't being lobbied by drug companies to make all these backdoor deals.
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just the facts
this is basically my blog where i can get out all my frustrations about the crazy people i run into at work. i'm 24 years old and a newly licensed pharmacy intern after 6 years of being a tech. i have a b.s. in chemistry and plan on pursuing a pharmd/phd course in pharmacy school.
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6 comments:
What state do you live in? Do all states get to pick and choose which drugs are going to be on their Medicaid reimbursement list? Hopefully, with nationalized programs, the 'choosiness' is across the board, like the VA?
They get rebates from big pharmacy that actually makes it cheaper to dispense the brand names.
cheaper for who, though? not for the pharmacies that order in a bottle of brand name MS Contin, dispense a total of 30 pills out of it then wait for the other 70 pills to expire after medicaid switches their formulary back to generic morphine.
Well, lady; most formulary changes last for at least a year. And if someone is on MS or Duragesic they are most likely using it long term so it should not be a huge deal.
The rebates make it more cost effective for the Medicaid system and therefore makes our tax money work more effectively.
Overall it probably is not that huge of a deal except you have to keep extra stuff in your safe.
except this formulary change managed to only last a few months. and watching all that money go to waste might not be such a big deal for a big chain, but for a small independent where we have to watch what we're paying for EVERYTHING, it is a big deal.
i still say paying less than a dollar for someone's generic med is cheaper than getting a rebate on a $400 one. unless said rebate is for $399, but i somehow doubt that.
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