Heads Up on Lansoprazole (Generic Prevacid)

Jun 14, 2018

  1. kgmom219
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    kgmom219 What's Next?

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    The Part D plans apparently hate this drug. $100-$150 total cost with the 50% copay. Plus I could only get coverage using the high cost plans.

    Went to GoodRX. You can get a 30 day supply at Health Warehouse for $12, Walgreens at $13, Costco at $15.

    Clients drug cost for 7/1 to 12/31 went from $615 to $118. (Plus the $12/month) . SCORE
     
    kgmom219, Jun 14, 2018
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  2. StephanieCJ
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    StephanieCJ Expert

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    Wow, looked it up and in our area, there are three plans that cover it for under $20/mo supply, but the premium on those plans is $54 or better.
     
  3. Chazm
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    Chazm Guru

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    Sometimes I don’t understand medicare.gov.

    It states that the full cost is $13 under blue medicare Premier rx. While other companies say it’s over $100 full cost at the pharmacy. Which is it?
     
    Chazm, Jun 14, 2018
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  4. somarco
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    somarco That Medicare Guy

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    "Retail" prices on Mcare.gov for drug plans are "fake prices". This seems to be more true on PDP's that do not have a deductible.
     
    somarco, Jun 14, 2018
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  5. kgmom219
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    kgmom219 What's Next?

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    They aren't "fake" its based on the AWP (Average Wholesale Price) plus the dispensing fee. The AWP is based on the zip code and whatever the PBM's say it is. :)

    When I did goodrx (75075), I was getting $150ish for the cash price, then $15 with the coupon.

    For my area, I couldn't find any lower tier Part D plans that had it on the formulary at all.
     
    kgmom219, Jun 15, 2018
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  6. Life Hawk
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    Life Hawk Guru

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    This reminds me of Lipitor when I ran a booth for Humana and SH... like watching oil prices.
     
  7. somarco
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    somarco That Medicare Guy

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    If you say so.

    But I see some pretty wild swings on the "retail" prices when I run reports on Mcare.gov. Ran one recently where the retail price from one carrier was about $200 higher than another carrier.

    Seems squirrely to me.
     
    somarco, Jun 15, 2018
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  8. policywunk
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    In my experience prices on medicare.gov are pretty accurate based on what people tell me they pay in the deductible or gap stage.I have even seen a big difference in the contracted price for the same drug within the same carriers different PDP plans.
     
  9. LostDollar
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    Yes.
     
  10. somarco
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    somarco That Medicare Guy

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    I am not talking the contract (copay) price.

    Here is an example.

    Duluxetine.

    Wellcare $94 (retail) $0 copay
    SilverScript $231 (retail) $107
     
    somarco, Jun 15, 2018
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