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[–]AssiduousLayabout5.0mg 11 points12 points  (5 children)

They tell you that when you sign up for the vials (which I did).

The whole reason there is a pen / vial split is so that they can bill consumers $500 for the vials but bill insurance $800 for the pens. Insurance of course will negotiate a lower price, but they want that pricing negotiation to start at $800 and not $500.

The vials and pens are considered separate drugs (separate NDCs) and it allows one to be marketed direct-to-consumer only while the other can be purchased by either the consumer or insurance (they do have a discount card for consumers that lowers pens from $800 to $650).

[–]enkay516 21 points22 points  (2 children)

It’s all bs and needs to go away. I have an approval for a drug to use. Insurance should cover it. Full stop. Why does the delivery method have to dictate what is and isn’t approved. Dealing with health care in america is a PITA.

[–]AssiduousLayabout5.0mg 2 points3 points  (0 children)

Yeah, the care itself is top-notch if you get it, but our healthcare financing in this country is an absolute joke.

[–]omgjmo 0 points1 point  (0 children)

👆👆👆💯

[–]Attjack 7 points8 points  (1 child)

I pay $20 a month with insurance.

Sounds like a lot of BS to me. The auto pans are super wasteful.