MESSAGE
| DATE | 2005-02-14 |
| FROM | Ruben Safir Secretary NYLXS
|
| SUBJECT | Re: [hangout] Unheeded Warnings
|
On Mon, Feb 14, 2005 at 06:28:14AM +0000, Dave_att wrote:
> It appears that I now know more than I wanted to know.(then who else would know better than you.)
>
> My plan was trying to get me to go the Mail order route but I refused even though they said it would lower my cost.
>
> You really got this down, its really sad for those people who dont have a plan and keep begging their Pharmacists to refill their perscriptions. I have seen this happen and the pharmacist refuses to refill the meds.
>
> (what am i doing up at this hour anyhow)
>
Not only that, but with a cooperative MD, I can usually save the patient about 40% in the costs
by switching the patient to more cost effective alternatives, which is something the Pharmacy
companies REALLY don't want to see, because that usually means switching the patient to drugs
which are not only generic versions, but specific medications in the class of drugs which are
theaputically just as good but a fraction of the price. Sometimes the difference is pennies on
the dollar.
Like nobody should take Lipitor unless they've tried Lovastatin first. Lipitor is about $180 an RX
and Mevacor/Lovastatin about $40. They are both SAFE and AFFECTIVE at lowering Cholesterol in almost
exactly the same way.
Nobody should ever be put on Amaryl without showing that Oranase, Glyburibe and a dozen other drugs
haven't worked.
Amaryl is about $100 an Rx and Glyburide about $8.00.
Ruben
>
>
>
> -------------- Original message from Ruben Safir Secretary NYLXS : --------------
>
>
> > On Mon, Feb 14, 2005 at 05:43:24AM +0000, Dave_att wrote:
> > >
> > > Look here! you dont know my pharmacist, hes a real nice person.
> > >
> > > So heres my story.
> > >
> > > Recently, I qestioned him about a perscription price, which I thought was very
> > high. I am covered by a plan. He told me that Medco was charging me forty % of
> > the cost. That is bull cause the plan should not charge more than 20% of cost.
> > > I called the provider and they said that there were generic brands of the same
> > medecine Plus the plan went up this year.
> > >
> > > So I am wondering how do those people, who dont have a plan, get the medicine
> > they need.
> > > Never mind the generic brands.
> > >
> > >
> >
> > Blame your plan....
> >
> > And blame the Pharmacuetic Companies. The Phamracy gets about 0.65 cents
> > from filling the prescription and processing the Rx cost 0.25$ per connection
> > to Medco. Medco then cuts a back door deal claiming that they are "buying"
> > the drug in bulk, which is BS because their not buying ANY DRUGS, and getting
> > a rebate from the manufactorer for about %40 of the cost which they POCKET.
> >
> > And then the Drug company passed the cost along in the next price increase.
> >
> >
> > Thats why I don't give a shit anymore if ANYONE is making money on RXs' I
> > just want to get my money and to consel patients. So I found a store that
> > is doing about 20 Rxs a day and which they are paying be just shot of
> > 100K a year or 40 hours a week. And if I don't get like a 10% pay raise in
> > about 6 months, I'm walking to the next job. They all complain that they
> > can't find Pharmacists and they can't afford Pharmacist, meanwhile they
> > sign contracts which are below their costs and push the Pharmacists to
> > fill over 350 Rxs a day when the **know** that anything over about 140 in
> > an 8 hour shift triples the medication error rate.
> >
> > And it gets worse. Then Medco, which was owned my Merk until recently,
> > forced the patient to go mail order, where they NEVER get the needed the
> > clinical work the patient needs, which has been shown repeatedly in a dozen
> > studies at this point. Proper pharmacuetical monitoring and care saves
> > nearly 30% of the costs per patient year because reduction of adverse reactions
> > and imporved patient outcomes.
> >
> > So the ***most*** cost affective means of ***reducing*** health costs is
> > having patients spend MORE time with the pharmacist. Its not a damn
> > bagel shop when that Birth control tablet causes a stroke in a 29 year
> > old women because nobody was watching and nobody was warned.
> >
> > And that happens every day.
> >
> > BTW - You need a better Pharmacist. Fortunately for you, you know one...
> >
> >
> > and you can call me at 212-251-0052
> >
> >
> > Ruben
> > >
> > > >
> > > > If you think the Computer business is nasty, you should see what is
> > > > happening in the Drug and Healthcare business.
> > > >
> > > > You have these organizations called PBMs stealing from the major
> > > > cooperations, drug companies and the patients, and lying through their
> > > > teeth, playing three card monty with your health-care, while patients
> > > > wind up dieing because of poor medical care.
> > > >
> > > > Its brilliant!
> > > >
> > > > Maybe Microsoft seem docile. And the best part is the dumb fucking
> > > > pharmacists are too timid and stupid to do anything about it.
> > > >
> > > >
> > > > Ruben
> > > >
> > > >
> > > > ____________________________
> > > > NYLXS: New Yorker Free Software Users Scene
> > > > Fair Use -
> > > > because it's either fair use or useless....
> > > > NYLXS is a trademark of NYLXS, Inc
> > --
> > __________________________
> > Brooklyn Linux Solutions
> >
> > So many immigrant groups have swept through our town
> > that Brooklyn, like Atlantis, reaches mythological
> > proportions in the mind of the world - RI Safir 1998
> >
> > DRM is THEFT - We are the STAKEHOLDERS - RI Safir 2002
> > http://fairuse.nylxs.com
> >
> > http://www.mrbrklyn.com - Consulting
> > http://www.inns.net <-- Happy Clients
> > http://www.nylxs.com - Leadership Development in Free Software
> > http://www2.mrbrklyn.com/resources - Unpublished Archive or stories and articles
> > from around the net
> > http://www2.mrbrklyn.com/downtown.html - See the New Downtown Brooklyn....
> >
--
__________________________
Brooklyn Linux Solutions
So many immigrant groups have swept through our town
that Brooklyn, like Atlantis, reaches mythological
proportions in the mind of the world - RI Safir 1998
DRM is THEFT - We are the STAKEHOLDERS - RI Safir 2002
http://fairuse.nylxs.com
http://www.mrbrklyn.com - Consulting
http://www.inns.net <-- Happy Clients
http://www.nylxs.com - Leadership Development in Free Software
http://www2.mrbrklyn.com/resources - Unpublished Archive or stories and articles from around the net
http://www2.mrbrklyn.com/downtown.html - See the New Downtown Brooklyn....
____________________________
NYLXS: New Yorker Free Software Users Scene
Fair Use -
because it's either fair use or useless....
NYLXS is a trademark of NYLXS, Inc
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