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Thread: Sticker shock!

  1. #1
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    Default Sticker shock!

    .
    So now that I am retired with health insurance provided by the UAW Retiree Medical Benefits Trust (aka VEBA), I can choose to have my prescriptions filled by an eligible local pharmacy or by mail-order through Express Scripts. VEBA tells me that Express Scripts is the less expensive option. I can order either a 30 day supply of meds or a 90 day supply.

    So... I was diagnosed with hypercholesterolemia at the age of 40 in 1994. Since then I have been taking statin medication. My doc assured me that my case was strictly a result of genetics and that there was no cause for guilt. "You are missing an enzyme," he told me. My aunt on my father's side had the same problem and suffered for it. She lived prior to statin meds and attempted to control her LDL cholesterol level with diet to no avail. She could eat twigs and bark and still suffer high cholesterol. She lived to the age of 74 and endured a couple of by-pass surgeries and could not eat like a normal human being without extreme guilt.

    So... about 3 years ago my doc prescribed Jardiance 10 mg, one tab/day. I have Type 2 Diabetes that is well controlled with Metformin + diet and exercise. The Jardiance was prescribed as a supplement to the Metformin to "reduce the risk of cardiovascular death." When I was an active Ford hourly employee was the most expensive of my maintenance meds at an out-of-pocket expense to me of about $16.00 US per 30 tablets.

    A week ago my doc called in an order to Express Scripts for a 90 day supply of Jardiance 10 mg. Express Scripts emailed me to say they had placed a hold on my order due to "a payment problem." I spoke to a representative this morning. It turns out that when I set up my account with Express Scripts for my meds to be paid on one of my credit card, I had not placed a high enough limit on the amount they could charge to my card.

    The out-of-pocket cost of a 90 day supply of Jardiance 10 mg tablets was $1609.24! The representative told me that that price included a discount! I told the representative to cancel the order. I have a phone call into my doc about my need to continue this med.

    MFG! My other meds will cost me $15 each for a 90 day supply.
    "I'll tell you why [religion's] not a scam. In my opinion, all right? Tide goes in, tide goes out. Never a miscommunication. You can't explain that."Bill O'Reilly

  2. #2
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    Default Re: Sticker shock!

    Sorry to hear about that price... absurd. I've read that 80% of the molecules that are used to create new drugs were actually discovered, and paid for, by the NIH. I hate to sound like Trump, but we're getting screwed by big Pharma, sucking on the teat of the taxpayers.

    Regarding statins: I've been taking simvastatin for a VERY long time, and my cholesterol numbers are superb... no side effects. Best of all, 90 days worth is only $15.
    "Reason and facts are sacrificed to opinion and myth. Demonstrable falsehoods are circulated and recycled as fact. Narrow minded opinion refuses to be subjected to thought and analysis. Too many now subject events to a prefabricated set of interpretations, usually provided by a biased media source. The myth is more comfortable than the often difficult search for truth."







  3. #3
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    Default Re: Sticker shock!

    Food or their meds. That's a real decision that many have to make nowadays. I know a couple of elderly folks in that fix. Thanks, Republicans.
    I was born on a wooden boat that I built myself.
    Skiing is the next best thing to having wings.

  4. #4
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    Default Re: Sticker shock!

    Jardiance 10 mg is $1.21(canadian) per dose in Windsor. . .
    Simpler is better, except when complicated looks really cool.

  5. #5
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    Default Re: Sticker shock!

    seventy five american cents buys you one canadian dollar today
    Simpler is better, except when complicated looks really cool.

  6. #6
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    Default Re: Sticker shock!

    ^
    That would be a cost of $81.00 US at today's exchange rate ($1.21 Can = $.90 US).

    My cost would be approximately $17.88 US per dose. Could I do that? Yes... if absolutely necessary. However it may not be for me. My cholesterol level, blood pressure and A1C are all WELL controlled.

    I am awaiting a call back from my doc.
    "I'll tell you why [religion's] not a scam. In my opinion, all right? Tide goes in, tide goes out. Never a miscommunication. You can't explain that."Bill O'Reilly

  7. #7
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    Default Re: Sticker shock!

    My doctor had me on one statin, the pharmacist recommended a much cheaper one and my doctor agreed with the change. It seems to be working fine.

  8. #8
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    Default Re: Sticker shock!

    .
    An update... my doc has yet to call me back but Express Scripts informs me that she has ordered Januvia 110 mg tablets. My out-of-pocket cost will be $45 for the 90 day supply. Much better!

    Januvia vs. Jardiance

    I wonder how much of the price of Jardiance in the U.S. goes toward their TV advertising? Jardiance ads constantly appear on the boob tube.
    .
    Last edited by Tom Montgomery; 06-09-2020 at 02:29 PM.
    "I'll tell you why [religion's] not a scam. In my opinion, all right? Tide goes in, tide goes out. Never a miscommunication. You can't explain that."Bill O'Reilly

  9. #9
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    Default Re: Sticker shock!

    Tom, if you watch much television, pay some attention to the small print on the drug ads - they have started posting "typical monthly dosing " prices - One drug (Ozempic ? ) was, I think, $3200 per month. And, of course, the voice-over suggests contacting them for "cost-support options"





    Rick

  10. #10
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    Default Re: Sticker shock!

    Cost in Aus. under our 'socialist' health schemeÖÖ..zilch, zero, nothing.

  11. #11
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    Default Re: Sticker shock!

    Not statins, but, today I went to the doc to see what could be done about some torn muscles in my left shoulder. So, visit to the doctor, 30 mins, double appt. MRI scan, ultrasound, cortisone injections x 2, massage and manipulation by a physical therapist, (hooboy, that made my eyes water) Anti inflammatory and painkiller drugs for two weeks until my next treatment.
    Cost NZ$5 for the drugs. Thats about US$3.50. No other charges. I don't have insurance, not needed here.

    Socialist medical system! I feel very sorry for those who live in countries which don't have that or a similar system.

    John Welsford
    An expert is but a beginner with experience.

  12. #12
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    Default Re: Sticker shock!

    Quote Originally Posted by john welsford View Post
    Not statins, but, today I went to the doc to see what could be done about some torn muscles in my left shoulder. So, visit to the doctor, 30 mins, double appt. MRI scan, ultrasound, cortisone injections x 2, massage and manipulation by a physical therapist, (hooboy, that made my eyes water) Anti inflammatory and painkiller drugs for two weeks until my next treatment.
    Cost NZ$5 for the drugs. Thats about US$3.50. No other charges. I don't have insurance, not needed here.

    Socialist medical system! I feel very sorry for those who live in countries which don't have that or a similar system.

    John Welsford
    Wonderful. But the fact is, somebody had to pay for it.

  13. #13
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    Default Re: Sticker shock!

    Quote Originally Posted by mdh View Post
    Wonderful. But the fact is, somebody had to pay for it.
    Yes, effectively the largest insurance company in the country, its owned by the public and the premiums are known as tax which shares the costs among a much larger pool than would otherwise be the case. And we dont pay a lot more than others, especially when the cost of insurance premiums are added to the taxes that you guys pay.
    The other point is that the system is not run for profit which drops the costs considerably.

    John Welsford
    An expert is but a beginner with experience.

  14. #14
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    Default Re: Sticker shock!

    Ideology will Trump common sense and evidence John……………………….
    There's a lot of talk about 'herd immunity' about re Covid. This is 'herd medical care'.

  15. #15
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    Default

    Quote Originally Posted by john welsford View Post
    Not statins, but, today I went to the doc to see what could be done about some torn muscles in my left shoulder. So, visit to the doctor, 30 mins, double appt. MRI scan, ultrasound, cortisone injections x 2, massage and manipulation by a physical therapist, (hooboy, that made my eyes water) Anti inflammatory and painkiller drugs for two weeks until my next treatment.
    Cost NZ$5 for the drugs. Thats about US$3.50. No other charges. I don't have insurance, not needed here.

    Socialist medical system! I feel very sorry for those who live in countries which don't have that or a similar system.

    John Welsford
    I've done my right shoulder 2 months ago. Steroid injections haven't helped. Going to do the surgery thing next week. Not particularly pleased. Just having a whinge. Not boasting about our medical system.

    Sent from my CPH1851 using Tapatalk

  16. #16
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    Default Re: Sticker shock!

    Quote Originally Posted by john welsford View Post
    Yes, effectively the largest insurance company in the country, its owned by the public and the premiums are known as tax which shares the costs among a much larger pool than would otherwise be the case. And we dont pay a lot more than others, especially when the cost of insurance premiums are added to the taxes that you guys pay.
    The other point is that the system is not run for profit which drops the costs considerably.

    John Welsford
    If you can brag that you get what you pay for then i guess i can too.

  17. #17
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    Default Re: Sticker shock!

    Quote Originally Posted by mdh View Post
    If you can brag that you get what you pay for then i guess i can too.
    I have no complaints at all about how our system works for my family and myself, I know it pretty well from several angles as three of my immediate family are medical professionals. Also I have a certificate in "maintenance of infection controls" which is a control in hospital environments and I've worked there doing that so have quite a lot of experience.
    I do note that the USA spends more than twice per capita on health than we do and gets worse outcomes overall. So, while ours is not perfect, I'm happy with it.

    John Welsford
    Last edited by john welsford; 06-10-2020 at 03:02 PM.
    An expert is but a beginner with experience.

  18. #18
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    Default Re: Sticker shock!

    Quote Originally Posted by mdh
    If you can brag that you get what you pay for then i guess i can too.
    You pay higher costs for worse outcomes: https://www.commonwealthfund.org/pub...rspective-2019 . Yet you feel like bragging.

    The fact of the matter is the U.S. healthcare system is not based upon best practices and best outcomes. It is based upon political ideology.
    "I'll tell you why [religion's] not a scam. In my opinion, all right? Tide goes in, tide goes out. Never a miscommunication. You can't explain that."Bill O'Reilly

  19. #19
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    The US health system is appalling. The poor are left to die on the streets. Uncivilised to say the least.

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  20. #20
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    Default Re: Sticker shock!

    .
    Here is an expression of the political ideology that gives us a U.S. healthcare system with higher costs and worse outcomes:

    Texas Land Commissioner George P. Bush announced his intention to vote for President Donald Trump in November, representing a rare public nod of support for the president from Bush’s legendary political family.

    “President Trump is the only thing standing between America and socialism,” Bush, the son of former Florida Gov. Jeb Bush and nephew of former President George W. Bush, said in a statement provided by his office while also announcing plans to give Trump a formal endorsement.

    https://www.texastribune.org/2020/06...-donald-trump/
    "I'll tell you why [religion's] not a scam. In my opinion, all right? Tide goes in, tide goes out. Never a miscommunication. You can't explain that."Bill O'Reilly

  21. #21
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    Default Re: Sticker shock!

    Quote Originally Posted by Phil Y View Post
    The US health system is appalling. The poor are left to die on the streets. Uncivilised to say the least.

    Sent from my CPH1851 using Tapatalk
    That’s just not true. The poor are one of the reasons our healthcare costs are so high. Everybody gets healthcare. Some pay and some don’t. Our doctors make more than yours though. Everybody in the profession does, for that matter. But they do good work.

  22. #22
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    Default Re: Sticker shock!

    .
    The poor in New Zealand have access to healthcare as well. Why does mdh imagine the poor in New Zealand do not have an adverse effect on healthcare costs while the poor in the U.S.A. do?
    "I'll tell you why [religion's] not a scam. In my opinion, all right? Tide goes in, tide goes out. Never a miscommunication. You can't explain that."Bill O'Reilly

  23. #23
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    Default Re: Sticker shock!

    The fear of " socialist" healthcare is costing you million/billions? of dollars and is killing a lot of normal hardworking but uninsured people.
    Perhaps you, the people of the US, should reinvestigate the available options of healthcare systems in the world and make a decision for an US system based on facts not on fear.
    It could be one of the building stones for a better USA.

  24. #24
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    Default Re: Sticker shock!

    Quote Originally Posted by dutchpp View Post
    The fear of " socialist" healthcare is costing you million/billions? of dollars and is killing a lot of normal hardworking but uninsured people.
    Perhaps you, the people of the US, should reinvestigate the available options of healthcare systems in the world and make a decision for an US system based on facts not on fear.
    It could be one of the building stones for a better USA.
    I think you are misinformed. Lack of insurance isn’t killing anybody here. Everybody gets healthcare, which means our healthcare is socialized, just not the way yours is. We still don’t have quite the waiting times but our doctors are better paid.

  25. #25
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    Default Re: Sticker shock!

    ^
    A stupid way to go about things.

    mdh ignores the fact that in the U.S.A. the QUALITY of the healthcare is not equal across the board. Not even close.
    "I'll tell you why [religion's] not a scam. In my opinion, all right? Tide goes in, tide goes out. Never a miscommunication. You can't explain that."Bill O'Reilly

  26. #26
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    I wonder if mdh actually believes any of what he posts.

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  27. #27
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    Default Re: Sticker shock!

    .
    mdh is a tool of his masters. He drinks their Koolaid and sallies forth into the interwebs to push their agenda.
    "I'll tell you why [religion's] not a scam. In my opinion, all right? Tide goes in, tide goes out. Never a miscommunication. You can't explain that."Bill O'Reilly

  28. #28
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    Default Re: Sticker shock!

    Quote Originally Posted by Tom Montgomery View Post
    mdh ignores the fact that in the U.S.A. the QUALITY of the healthcare is not equal across the board. Not even close.
    You probably have a warm place to sleep and a full stomach each day. And now you want cheap healthcare for yourself.

    Maybe if you complained about how bad the situation is for those lacking a warm place to sleep and lacking a full stomach most days, people would listen to your claim that you find the cost of your medication too be unfair.
    Life is complex.

  29. #29
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    Default Re: Sticker shock!

    Quote Originally Posted by mdh View Post
    I think you are misinformed. Lack of insurance isn’t killing anybody here. Everybody gets healthcare, which means our healthcare is socialized, just not the way yours is. We still don’t have quite the waiting times but our doctors are better paid.
    Perhaps I'm not as misinformed as you think mdh ( perhaps you are?). In the Netherlands we are wel aware of the details of the US healthcare system. I'm not here to participate in the left/rightwing battle but I really think a quick scan of other healthcare systems and a well considered choice for renewal of it would be of great benefit for all Americans, democrats, republicans and those without a voting voice.
    By the way the payment of the doctors is IMO a non issue.

  30. #30
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    Default Re: Sticker shock!

    Ignore mdh; he knows nothing, and displays it proudly.

    The cost of 'branded' meds in the USA is a travesty - as is our 'health care' system. AFA the OP - if your DM is well controlled without the jardiance, and you're doing 'everything else' correctly - no way I'd keep you on that med. If you 'must' use it - have your pharmacist direct you to a better part D plan, one that covers your meds better.

    AFA 'best health care in the world' - it ain't the USA. But there's a lot of money to be made with our 'system', and that's what's directing the show.

    I - and a lot of primary care docs' - are all for NHC. But when the average voter has the attention span, and interest, of a gnat - they're very susceptible to manipulation. 'Socialism'? We can't have that! Gosh! Sounds an awful lot like Comminism!'
    There's a lot of things they didn't tell me when I signed on with this outfit....

  31. #31
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    Default Re: Sticker shock!

    Some people say that American Jardiance is 1000% better than Canadian Jardiance. Look at the fun the people in tha ad are having.
    ITS CHAOS, BE KIND

  32. #32
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    Default Re: Sticker shock!

    I was curious, 10 mg Jardiance tablets cost you $2 per tablet over here.

  33. #33
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    Default Re: Sticker shock!

    Quote Originally Posted by Too Little Time
    You probably have a warm place to sleep and a full stomach each day. And now you want cheap healthcare for yourself.

    Maybe if you complained about how bad the situation is for those lacking a warm place to sleep and lacking a full stomach most days, people would listen to your claim that you find the cost of your medication too be unfair.
    Well aren't you sweet?

    How do the working poor, who you pose to be so concerned about, manage the cost? The answer, of course, is that they go without.

    But the issue of the effect of such price gouging across the spectrum of the American citizenry takes a back seat to your need to post a snotty reply.

    Good For You.
    "I'll tell you why [religion's] not a scam. In my opinion, all right? Tide goes in, tide goes out. Never a miscommunication. You can't explain that."Bill O'Reilly

  34. #34
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    Default Re: Sticker shock!

    Quote Originally Posted by dutchpp
    I was curious, 10 mg Jardiance tablets cost you $2 per tablet over here.
    Well let's see... a 90 day supply of 10 mg Jardiance tablets would have cost me $1609.24 US. That comes to $17.88 US per tablet. And that is a price discounted by the pharmacy.

    Not that I should be at all concerned about such outrageous profiteering since I have a warm place to sleep and a full stomach every day.
    "I'll tell you why [religion's] not a scam. In my opinion, all right? Tide goes in, tide goes out. Never a miscommunication. You can't explain that."Bill O'Reilly

  35. #35
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    Default Re: Sticker shock!

    Quote Originally Posted by mdh View Post
    I think you are misinformed. Lack of insurance isn’t killing anybody here. Everybody gets healthcare, which means our healthcare is socialized, just not the way yours is. We still don’t have quite the waiting times but our doctors are better paid.
    One of the doctors in the practice where our daughter is a nurse practitioner is from the USA. Here, she doesn't have to pay malpractice insurance, so a lot more of her pay ends up in her pocket. She's very happy with the socialised healthcare system here, I know her a bit and when she heard that I travel in the USA on a regular basis she was most insistent that I have full coverage insurance while there.
    Incidentally the staff carpark at our local hospital ( 1800 beds by the way, its not a small one) looks a lot like a Maserati dealership. They're doing fine.

    John Welsford
    An expert is but a beginner with experience.

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