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Self-Employed looking for (a good) Prescription Drug Card/Plan!!
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<Hawki63@sbcglobal.net
medicine forum Guru Wannabe


Joined: 23 Sep 2005
Posts: 222

PostPosted: Sat Jun 17, 2006 8:32 pm    Post subject: Re: Self-Employed looking for (a good) Prescription Drug Card/Plan!! Reply with quote

"Pumbaa" <pinkertonjames@hotmail.com> wrote in message
news:2DTkg.13330$ED2.10957@bignews2.bellsouth.net...
Quote:
"Bob G." <rg327_remove_@adelphia.net> wrote in message
news:ibt792t6hsga31308mdo4bhur03bbbu195@4ax.com...

about the ONLY Health Industry that does not have to accept MAJOR
discounts I believe are the Drug Manufacturers... and they can pass
thru price increases every day if they desire...

Just my thoughts..

Bob G.

It would seem that if we had a free capitalist society, that the cash
patient would get the lowest price. Cash in the hand is worth a lot more
than having to wait several months to get paid, if you get paid, by the
insurance company.

actually this works but ONLY if said providers..ie docs and hospitals are
approached PRIOR to said procedure...

we have a Turkish friend who did this with UCLA for his sibs cataract and
open heart surgeries...in all cases he met with the billing gurus PRIOR to
the surgeries..asked how much for cash..and how much if I pay you TODAY in
cash?? in all instances he received a discount (so to speak) amounting to
over a third off....funny how money talks!! btw..surgeons,,anesthesia etc
all accepted same deals...



Pharmacists recently got a law passed in Mississippi to
Quote:
force the insurance companies to pay the retail pharmacies faster for
charges under Medicare. The State's Attorney General says he will enforce
it. A pharmacy should not have to provide interest free loans to a big
insurance company while waiting until they decide they will pay for the
medication.

Doesn't the VA gets MAJOR discounts from the Drug Manufacturers. Did you
read about the group of Amish up North? They do not believe in insurance
and they take care of their own. They have negotiated with the local
hospitals and they receive a discount similar to insurance companies
whenever they use the hospitals. The group then pays the hospital in
cash.

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me
medicine forum beginner


Joined: 09 Sep 2005
Posts: 22

PostPosted: Sat Jun 17, 2006 9:02 pm    Post subject: Re: Self-Employed looking for (a good) Prescription Drug Card/Plan!! Reply with quote

On Sat, 17 Jun 2006 18:07:26 +0000, Hawki63 wrote:

Quote:
don't know what you are paying for gas....we are paying $3.30 per gallon

at Costco.com.....generic Pravachol 20mg.. 69.90. for 30 ..approx $2.15
per pill or get 40mg and split them $132 for 30...thus still $2 per pill

at Walgreens.com Pravachol 20 is 83.99 per 30 close to $3 per pill or
40mg for $119....$2 per pill...

Ok, sorry. ~0.58 gallons of gas splitting the generics...

Quote:
not to mention the others he is on...all adds up




As far as purchasing meds overseas, I have absolutely no problem with
people doing that, as long as they realize the potential risks
associated with the practice (increased risk of counterfeits,
lost/seized/slow-to-arrive prescriptions, little or no pharmaceutical
care, etc), and call that pharmacy with any questions or concerns, rather
than the local mom-and-pop shop or chain. It's only fair.

apparently you missed the special on Dateline...just as likely to get
counterfeit meds here in the USA....

No, I don't watch Dateline, and wouldn't take anything from such a show as
gospel anyway without having alot more details than they tend to provide.
Besides, like I said, I don't care where you, or anyone, get their meds
from, and counterfeits are just one issue. I just don't think its right
that the people who order meds from elsewhere want to call a local shop to
have any questions or concerns addressed, etc. Most community pharmacists
are busy enough with actual customers.

Quote:
don't need questions answered...am an NP..so can write
scripts..ie know a bit about meds

Good for you.

You save money purchasing elsewhere, are willing to assume any additional
risks, and don't need any assistance from a local pharmacy. More power
to you.

Quote:

I don't see where buying them from a different country has any impact
on whether or not you can split the tablets, though. It is done fairly
frequently stateside. Some insurance plans and our state's medicaid
require it in certain situations, and certainly it's not unheard of
among cash customers here.


his doc will NOT write for any dose other than what he actually takes
per day...

No, I suppose not. Does CA state law prohibit the pharmacist from
substituting #15 pravastatin 40mg tabs if the Rx is written for Pravachol
20mg QD #30?

Quote:
when he had drug coverage..once the doc wrote for 40 mg tabs..take half a
tab per day..insurance co only gave him 15 pills!!

Yes, that is standard practice. There are some plans that do charge lower
copays for tablet splitting in specific cases if the pt chooses to do so,
but those plans are not the norm.

Quote:
my concern was that the part D is pretty much a scam...

Have you determined this to be the case through any research on your part,
or are you convinced of it through hearsay or what the talking heads may
have said?


again...as an NP I get a load of journals..have a bunch of working
friends..and until recently..worked myself...I know the facts...

What facts do you know that show MPD to be a scam, or even "pretty-much a
scam"?
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<Hawki63@sbcglobal.net
medicine forum Guru Wannabe


Joined: 23 Sep 2005
Posts: 222

PostPosted: Sat Jun 17, 2006 9:24 pm    Post subject: Re: Self-Employed looking for (a good) Prescription Drug Card/Plan!! Reply with quote

"me" <me@home.org> wrote in message
news:pan.2006.06.17.21.02.10.524077@home.org...
Quote:
On Sat, 17 Jun 2006 18:07:26 +0000, Hawki63 wrote:

don't know what you are paying for gas....we are paying $3.30 per gallon

at Costco.com.....generic Pravachol 20mg.. 69.90. for 30 ..approx
$2.15
per pill or get 40mg and split them $132 for 30...thus still $2 per
pill

at Walgreens.com Pravachol 20 is 83.99 per 30 close to $3 per pill
or
40mg for $119....$2 per pill...

Ok, sorry. ~0.58 gallons of gas splitting the generics...

not to mention the others he is on...all adds up




As far as purchasing meds overseas, I have absolutely no problem with
people doing that, as long as they realize the potential risks
associated with the practice (increased risk of counterfeits,
lost/seized/slow-to-arrive prescriptions, little or no pharmaceutical
care, etc), and call that pharmacy with any questions or concerns,
rather
than the local mom-and-pop shop or chain. It's only fair.

apparently you missed the special on Dateline...just as likely to get
counterfeit meds here in the USA....

No, I don't watch Dateline, and wouldn't take anything from such a show as
gospel anyway without having alot more details than they tend to provide.


actually it was a fascinating expose...prior to seeing it (you can get the
transcript at ABC.com) I would have agreed with you...that "we" Americans
buying our meds at brick and mortar places were "safe" from
counterfeits...apparently we are not...

BTW....mucho details provided on the hour long show...scarey...actually


Quote:
Besides, like I said, I don't care where you, or anyone, get their meds
from, and counterfeits are just one issue. I just don't think its right
that the people who order meds from elsewhere want to call a local shop to
have any questions or concerns addressed, etc. Most community pharmacists
are busy enough with actual customers.

don't need questions answered...am an NP..so can write
scripts..ie know a bit about meds

Good for you.

You save money purchasing elsewhere, are willing to assume any additional
risks, and don't need any assistance from a local pharmacy. More power
to you.


I don't see where buying them from a different country has any impact
on whether or not you can split the tablets, though. It is done fairly
frequently stateside. Some insurance plans and our state's medicaid
require it in certain situations, and certainly it's not unheard of
among cash customers here.


his doc will NOT write for any dose other than what he actually takes
per day...

No, I suppose not. Does CA state law prohibit the pharmacist from
substituting #15 pravastatin 40mg tabs if the Rx is written for Pravachol
20mg QD #30?

not sure.....have not tried it...but since the 15 would still cost one month
copay..why bother??


Quote:

when he had drug coverage..once the doc wrote for 40 mg tabs..take half a
tab per day..insurance co only gave him 15 pills!!

Yes, that is standard practice. There are some plans that do charge lower
copays for tablet splitting in specific cases if the pt chooses to do so,
but those plans are not the norm.

ahhh...didn't think ours did that...copays are for a month supply..not
number of tabs...so unless med is a PRN type...one gets enuf medication for
30 days..regardless of half or whole pills



Quote:

my concern was that the part D is pretty much a scam...

Have you determined this to be the case through any research on your
part,
or are you convinced of it through hearsay or what the talking heads may
have said?


again...as an NP I get a load of journals..have a bunch of working
friends..and until recently..worked myself...I know the facts...

What facts do you know that show MPD to be a scam, or even "pretty-much a
scam"?


my facts came from reading the brochures that deluged our home prior to part
D starting....still cheaper to buy his meds in England...no monthly
premiums..no donut hole....believe me I did the math...

NOW...agreed that if he was a transplant patient on
immunosuppressants..etc..than part D would be cost effective...
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mrbrklyn
medicine forum beginner


Joined: 12 May 2006
Posts: 20

PostPosted: Mon Jun 19, 2006 9:14 pm    Post subject: Re: Self-Employed looking for (a good) Prescription Drug Card/Plan!! Reply with quote

On Sat, 17 Jun 2006 21:24:16 +0000, Hawki63 scribble the following note:

Quote:

don't need questions answered...am an NP..so can write
scripts..ie know a bit about meds



Probably not. NP's a clueless and don't have nearly the background to
prescribe. I'm in favor of removing th e rpescribing rights of Nurses.
More than half the medicine orders from Nurses have some kind of error.

Ruben
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mrbrklyn
medicine forum beginner


Joined: 12 May 2006
Posts: 20

PostPosted: Mon Jun 19, 2006 9:18 pm    Post subject: Re: Self-Employed looking for (a good) Prescription Drug Card/Plan!! Reply with quote

On Sat, 17 Jun 2006 21:24:16 +0000, Hawki63 scribble the following note:

Quote:
my facts came from reading the brochures that deluged our home prior to part
D starting....still cheaper to buy his meds in England...no monthly
premiums..no donut hole....believe me I did the math...


No you didn't do the math because the price of Meds after the Medicare
Part D have escaled, both at home and internationally. For Pharmacy
companies, Medicare Part B is only an excuse to raise prices until the
point where without it, you'll be bankrupt. In this regard, they are also
squeezing foriegn countries. In addition, such nations have limited
formularies.

Ruben
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<Hawki63@sbcglobal.net
medicine forum Guru Wannabe


Joined: 23 Sep 2005
Posts: 222

PostPosted: Tue Jun 20, 2006 1:26 am    Post subject: Re: Self-Employed looking for (a good) Prescription Drug Card/Plan!! Reply with quote

"mrbrklyn" <ruben@mrbrklyn.com> wrote in message
news:pan.2006.06.19.21.14.48.572725@mrbrklyn.com...
Quote:
On Sat, 17 Jun 2006 21:24:16 +0000, Hawki63 scribble the following note:


don't need questions answered...am an NP..so can write
scripts..ie know a bit about meds



Probably not. NP's a clueless and don't have nearly the background to
prescribe. I'm in favor of removing th e rpescribing rights of Nurses.
More than half the medicine orders from Nurses have some kind of error.


sorry about that

you should only know how many doctor written orders are found and corrected
before very serious errors are made ....esp in teaching facilities where
VERY inexperienced folks with "doctor" after their names are doing the
patient prescribing

we NP's are far from clueless...don't know what you consider "necessary
background"...sound more like you are among the jealous pharmacists out
there

"removing the prescription rights"....dream on..


Quote:

Ruben
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<Hawki63@sbcglobal.net
medicine forum Guru Wannabe


Joined: 23 Sep 2005
Posts: 222

PostPosted: Tue Jun 20, 2006 1:28 am    Post subject: Re: Self-Employed looking for (a good) Prescription Drug Card/Plan!! Reply with quote

"mrbrklyn" <ruben@mrbrklyn.com> wrote in message
news:pan.2006.06.19.21.18.17.58327@mrbrklyn.com...
Quote:
On Sat, 17 Jun 2006 21:24:16 +0000, Hawki63 scribble the following note:

my facts came from reading the brochures that deluged our home prior to
part
D starting....still cheaper to buy his meds in England...no monthly
premiums..no donut hole....believe me I did the math...


No you didn't do the math because the price of Meds after the Medicare
Part D have escaled, both at home and internationally. For Pharmacy
companies, Medicare Part B is only an excuse to raise prices until the
point where without it, you'll be bankrupt. In this regard, they are also
squeezing foriegn countries. In addition, such nations have limited
formularies.

your statement above makes NO sense....do you mean part D or part B??

an excuse to raises prices??

my statement stands...part D is a scam....
Quote:

Ruben
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mrbrklyn
medicine forum beginner


Joined: 12 May 2006
Posts: 20

PostPosted: Wed Jun 21, 2006 12:51 pm    Post subject: Re: Self-Employed looking for (a good) Prescription Drug Card/Plan!! Reply with quote

On Tue, 20 Jun 2006 01:28:00 +0000, Hawki63 scribble the following note:

Quote:

your statement above makes NO sense....do you mean part D or part B??

an excuse to raises prices??

my statement stands...part D is a scam...


Your basic lack of understanding of drug therapy and medical economics
doesn't make your "statement stand".

Ruben
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mrbrklyn
medicine forum beginner


Joined: 12 May 2006
Posts: 20

PostPosted: Wed Jun 21, 2006 12:52 pm    Post subject: Re: Self-Employed looking for (a good) Prescription Drug Card/Plan!! Reply with quote

On Tue, 20 Jun 2006 01:26:12 +0000, Hawki63 scribble the following note:

Quote:
we NP's are far from clueless..


Not that far...
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<Hawki63@sbcglobal.net
medicine forum Guru Wannabe


Joined: 23 Sep 2005
Posts: 222

PostPosted: Wed Jun 21, 2006 4:02 pm    Post subject: Re: Self-Employed looking for (a good) Prescription Drug Card/Plan!! Reply with quote

"mrbrklyn" <ruben@mrbrklyn.com> wrote in message
news:pan.2006.06.21.12.51.30.620389@mrbrklyn.com...
Quote:
On Tue, 20 Jun 2006 01:28:00 +0000, Hawki63 scribble the following note:


your statement above makes NO sense....do you mean part D or part B??

an excuse to raises prices??

my statement stands...part D is a scam...


Your basic lack of understanding of drug therapy and medical economics
doesn't make your "statement stand".


I understand medical enconomics far better than you think

as for "drug therapy:...care to elaborate???

or are you one of those pharmacists (who undoubtedly have a much better
scientific knowledge of pharmacology than an NP does)...still think that
prescribing a med is akin to picking an item of clothing..or perhaps a car

pharmacists..or at least many of them..(you?) fail to acknowledge that
picking the appropriate med comes AFTER a thorough exam and history taking
of the patient..

have never gotten a straight answer from a pharmacist as to HOW they think
THEY are qualified to examine etc a patient...you can't ..I can

other pharmacists think the system should work by ME doing the exam and
assessment..including appropriate diagnostics..then YOU choosing the
appropriate drug...that might work in a collaborative setting...but
remember..it is MY malpractice that must cover EVERYTHING involved in a
patient interaction...if YOU choose the med....I am responsible for YOU...

personally I refuse to be responsbile for someone else..

it IS your responsibilitiy to fill my scripts...if I make an error..in
dosage,,etc..it IS your responsbility call me and discuss the error...

them's the breaks...we have vastly different..but collaborative roles in the
healthcare system...

you do not see the patients in the exam rooms...I do..


Quote:

Ruben
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