this post was submitted on 17 Sep 2024
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A Boring Dystopia

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[–] ArmoredThirteen@lemmy.ml 53 points 1 month ago (3 children)

I'm on a generic of truvada as a preventative. 30 days can be $1500-2000 for name brand no insurance. I get mine for $5 and somehow my insurance, the pharmacy, and the manufacturer are all still making enough money off that $5 to not complain. How the fuck are they getting away with the $2k pricetag

[–] SoleInvictus@lemmy.blahaj.zone 18 points 1 month ago (1 children)

I take Xolair, which is billed at about $5k for four syringes. Insurance pays $4875 and the Xolair copay program, run by the manufacturer, pays $125. Why are they so willing to pick up the copay? Before four syringes of Xolair cost about $60 in total to produce.

[–] scutiger@lemmy.world 7 points 1 month ago* (last edited 1 month ago)

Because the insurance company already paid them way more than it's really worth. And if the insurance company has agreed to pay that much, it's because they're making more than enough profit off their "service" to everyone that they can afford to pay it.

If your medicine used to cost $60 and now costs $5000 thst's because the insurance company knows they can get that money from its customers.

[–] TAG@lemmy.world 12 points 1 month ago

If they sell you pay $5 for the drug and the next person in line pays $2k for the same drug, they are making $1k per patient. They are also writing off the $3k that they could be charging you as a charitable contribution, so they don't have to pay taxes on the income. They hope that if they keep you alive, some day you will make enough money to pay full retail price.

[–] Sam_Bass@lemmy.world 3 points 1 month ago

Subsidies for low income users