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> The final, net prices paid for insulins are likely to be significantly lower than manufacturer prices in the U.S. because rebates and other discounts often d
by thayne 6y ago
> The final, net prices paid for insulins are likely to be significantly lower than manufacturer prices in the U.S. because rebates and other discounts often drive down the price paid by individuals in the U.S.
I suspect this gives a hint to one contributing factor. Suppliers probably list much higher prices so that they can negotiate lower prices with insurance companies without losing profit. But then the consumer needs to use an "in-network" supplier to get those reduced prices, which removes competition and drives prices up even further.
- pnutjam 6y agobingo, the kick backs work in a similar feedback loop. My insurance only covers long term rx from CVS. If I go somewhere else, they stop covering it after about 3 fills. CVS is more expensive then my warehouse club price.
- vonmoltke 6y agoThe only thing almost as obscene as medical sticker prices in the US is the amount that just disappears after insurance settles. I have actually had a bill with a 94% "insurance discount" applied.