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Link Posted: 6/25/2017 12:22:03 PM EDT
[#1]
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Link Posted: 6/25/2017 12:23:14 PM EDT
[#2]
Maybe I'm a little jaded, but how does a drug invented a century ago still pull those prices, when we have a slew of modern miracles going for the "$4 Generic Special" at any going pharmacy?
Link Posted: 6/25/2017 12:26:12 PM EDT
[#3]
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Quoted:
That would cost me oh, about .87 cents.....It's good to have real insurance.
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That the taxpayers paid for.
Link Posted: 6/25/2017 12:54:24 PM EDT
[#4]
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Quoted:
Lol? What are you, a comedian? I've been on long-term opioids for my knees. I know a little about this stuff.

And did you see the chart posted above?

The highest price was Walgreens at $122.

$199 is thievery.
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Based on my own experience, I think the $119 was about right. The $199 price is just thievery.
lol
Lol? What are you, a comedian? I've been on long-term opioids for my knees. I know a little about this stuff.

And did you see the chart posted above?

The highest price was Walgreens at $122.

$199 is thievery.
Well, gosh!  Maybe you should have Sam's Club arrested...  
Link Posted: 6/25/2017 1:09:36 PM EDT
[#5]
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Quoted:
Switch to Methadone,  I take 180 10 mg..tabs..for $33.00

I am getting my Med. Marijuana card next week and dumping the pills.
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If your gonna cold turkey the methadone your in for a shock.
Link Posted: 6/25/2017 1:22:19 PM EDT
[#6]
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Quoted:


Some doctors require quarterly blood tests to check if the patient is actually taking the medication.

I don't know how much he is taking, but if it is 180 mg a day, that is more than a lot of doctors will write. Some pain specialists may still write that much, I don't know.

I've been taking IM tablets for several years. Never had any problems with the "black market," but I try to take 50 mg. max a day, even though it barely takes the edge off the pain.

I'd love to take NSAIDs, but not only are they ineffective, I'm specifically not allowed to take them. So it's opioids or nothing.

And I would love to have knee replacement, but in my case it is extremely risky, so most docs tell me to suck it up and try to get by on pain meds.
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I just had surgery on both knees. 4th on the left, first on the right. I feel your pain.
Link Posted: 6/25/2017 1:58:44 PM EDT
[#7]
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Quoted:
Maybe I'm a little jaded, but how does a drug invented a century ago still pull those prices, when we have a slew of modern miracles going for the "$4 Generic Special" at any going pharmacy?
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The drug is old. The sustained release technology is not. There's a lot of complex chemistry and pharmacology involved to get the drug to be released in a controlled fashion over 8-12 hours. 

In addition, with increasing regulation, the costs of compliance for the manufacturer will increase. Either they increase their prices or they decide it's not worth being in the market anymore. One less manufacturer, supply goes down and demand goes up. Doesn't matter if it's a 300 year old drug our not.
Link Posted: 6/25/2017 2:47:31 PM EDT
[#8]
I was under the impression that Oxycontin was proprietary and that there was no generic available in the US.  FIL had the same problem with price about 5 years ago. His cost went to over $100 a month back then when he ran into the "doughnut hole" in his part D coverage. He was told by the pharmacist that the price increase was due to drug abuse and an attempt to keep it out of the hands of abusers. 83 year old man with an inoperable tumor on his spine is now treated like a drug addict. Amazing that we have the technology for people to live with some pain relief but are made to suffer because some ass hats can't control themselves.

ETA, the FDA banned the original formula after the patent ran out. They want the price to remain high. WOD really working well isn't it?
Link Posted: 6/25/2017 3:48:01 PM EDT
[#9]
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Quoted:
I was under the impression that Oxycontin was proprietary and that there was no generic available in the US.  FIL had the same problem with price about 5 years ago. His cost went to over $100 a month back then when he ran into the "doughnut hole" in his part D coverage. He was told by the pharmacist that the price increase was due to drug abuse and an attempt to keep it out of the hands of abusers. 83 year old man with an inoperable tumor on his spine is now treated like a drug addict. Amazing that we have the technology for people to live with some pain relief but are made to suffer because some ass hats can't control themselves.

ETA, the FDA banned the original formula after the patent ran out. They want the price to remain high. WOD really working well isn't it?
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To clarify, the original OxyContin sustained release technology was ridiculously easy to defeat. The motivated addicts could cause all of the oxycodone to release immediately, rather than over 12 hours. If you were prescribed OxyContin 80 mg and got it to act like an immediate release Oxycodone, that was the equivalent of taking 16 regular percocets (5 mg of oxycocone) at once. As you would suspect, the addicts absolutely loved it. The newer formula is much harder to defeat (though not impossible). 

The changeover happened around 2010 or so. The pharmacies could still sell out their remaining stocks of the old OxyContin formulation. It was VERY interesting to watch. Pharmacists would have patients calling around asking if they still had the old formulation to refill their scripts. The new OxyContin "didn't work as well" as the old one. 

It quite nicely identified which chronic opioid users were misusing their OxyContin. 
Link Posted: 6/25/2017 5:37:51 PM EDT
[#10]
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Quoted:
I'm not a doctor, and I don't have a lot of room to talk when it comes to self destructive behavior for a lot of years, but maybe they're doing you a bit of a favor. 

That's a lot of pain meds, dude.

Btw, don't take anything I write too seriously. It's just the random musings of a moron. 
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Yeah, Musings of a moron.

Chronic pain sufferers do build tolerance, hence chronic= long term.

If that what it takes to be pain free or even just functional pain level then so be it. Why would you want people to suffer needlessly? Would you if you became injured or otherwise a chronic pain sufferer? No you wouldn't.

Think before posting horseshit like that above people.....
Link Posted: 6/25/2017 6:11:16 PM EDT
[#11]
Discussion ForumsJump to Quoted PostQuote History
Quoted:


Some doctors require quarterly blood tests to check if the patient is actually taking the medication.

I don't know how much he is taking, but if it is 180 mg a day, that is more than a lot of doctors will write. Some pain specialists may still write that much, I don't know.

I've been taking IM tablets for several years. Never had any problems with the "black market," but I try to take 50 mg. max a day, even though it barely takes the edge off the pain.

I'd love to take NSAIDs, but not only are they ineffective, I'm specifically not allowed to take them. So it's opioids or nothing.

And I would love to have knee replacement, but in my case it is extremely risky, so most docs tell me to suck it up and try to get by on pain meds.
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Of course there are legitimate uses for opiate pain medications with strict supervision.

You get above 60-80 mg of methadone per day and you have risk of long Q-T syndrome and sudden cardiac death.  I can see any legitimate and responsible physician prescribing that much methadone.
Link Posted: 6/25/2017 6:35:02 PM EDT
[#12]
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Quoted:
Yeah, Musings of a moron.

Chronic pain sufferers do build tolerance, hence chronic= long term.

If that what it takes to be pain free or even just functional pain level then so be it. Why would you want people to suffer needlessly? Would you if you became injured or otherwise a chronic pain sufferer? No you wouldn't.

Think before posting horseshit like that above people.....
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Quoted:
Quoted:
I'm not a doctor, and I don't have a lot of room to talk when it comes to self destructive behavior for a lot of years, but maybe they're doing you a bit of a favor. 

That's a lot of pain meds, dude.

Btw, don't take anything I write too seriously. It's just the random musings of a moron. 
Yeah, Musings of a moron.

Chronic pain sufferers do build tolerance, hence chronic= long term.

If that what it takes to be pain free or even just functional pain level then so be it. Why would you want people to suffer needlessly? Would you if you became injured or otherwise a chronic pain sufferer? No you wouldn't.

Think before posting horseshit like that above people.....
In moral crusader/ high horse land you never have to back up your words or face becoming a hypocrite.  It's a magical place where nothing ever goes catastrophically wrong.  So if banning xxx saves one kid but makes pop die a horrible death it's not my problem.  It's the equivalent of the fudds, who cares what happens to you because I got mine. 
Link Posted: 6/25/2017 10:31:35 PM EDT
[#13]
It's a conspiracy all right!  Wamart owns Sams Club
Link Posted: 6/25/2017 10:32:57 PM EDT
[#14]
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Quoted:
This explains so much about OP's threads
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This is GeeDee.  We don't need the stuff to be off our rocker.
Link Posted: 6/25/2017 11:07:12 PM EDT
[#15]
Quoted:
Went to refill my script for Morphine Sulfate ER
60mg. quantity 90 generic.

Was told New price is $199.00.
Old price was $119.00.

Sams Club Corperate on June 1, 2017
Removed ALL Plus discounts on ALL pain
medications.

Walmart did the same thing about a year ago.

View Quote


No they arent. Unless theyre the ONLY place for you to get them, anywhere. Then its gouging.

That said theyve been doing this for a while now. War on drugs, yaaaay
Link Posted: 6/25/2017 11:33:11 PM EDT
[#16]
What about Express Scripts and other mail order pharmacies?
Link Posted: 6/25/2017 11:54:11 PM EDT
[#17]
Damn, what a pile on by moral supremacist that claim to hate those types of people, sorry OP.

Why is it that the folks who claim to despise preaching, usually do the most of it?

The GoodRX code posted on page one , or whatever the app is called is your friend, take that code to one of the pharmacies listed and give it to them, they'll honor that price.

ETA: Not talking about the actual Docs, I mean all the other "experts".
Link Posted: 6/26/2017 12:06:15 PM EDT
[#18]
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What about Express Scripts and other mail order pharmacies?
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Don't know about other states, but in Oregon, mail order pharmacies won't sent narcotics through the mail. In fact, any narcotic prescription has to be handwritten on special paper, prescription signed by PA or physician, and hand delivered to the pharmacy. Then there is some type of check to see if the person has been doctor shopping and has multiple prescriptions from multiple providers in a short period of time.
Link Posted: 6/26/2017 12:13:49 PM EDT
[#19]
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My provider is Walgreens, numbskull. Try reading before babbling.
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If Sam's is charging $199, and Walgreen's charges $122, seems to me that is a self-correcting problem.

It does not surprise me in the least that you are from CA. It really is another reality.


I was born in CA and got the fuck out as soon as I could.
Link Posted: 6/26/2017 12:14:50 PM EDT
[#20]
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Quoted:

Don't know about other states, but in Oregon, mail order pharmacies won't sent narcotics through the mail. In fact, any narcotic prescription has to be handwritten on special paper, prescription signed by PA or physician, and hand delivered to the pharmacy. Then there is some type of check to see if the person has been doctor shopping and has multiple prescriptions from multiple providers in a short period of time.
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This must be a state-specific restriction. I can prescribe controlled substances and send them electronically directly to the pharmacy. This includes mail order pharmacies. It's much more convenient, the script goes directly to the pharmacy, and there's no paper for the patient to lose or alter. 

Having said that, I work urgent care and ER, so most of my opioid scripts are something like 4 oz of cough syrup, or #12 hydrocodone. Nothing chronic. 
Link Posted: 6/26/2017 12:15:55 PM EDT
[#21]
Quoted:
Went to refill my script for Morphine Sulfate ER
60mg. quantity 90 generic.

Was told New price is $199.00.
Old price was $119.00.

Sams Club Corperate on June 1, 2017
Removed ALL Plus discounts on ALL pain
medications.

Walmart did the same thing about a year ago.

View Quote
shouldn't you be over on DU with the other socialists?
Link Posted: 6/26/2017 12:18:17 PM EDT
[#22]
I'm glad I don't have chronic pain and hope to never been in need of opiates to manage it.

I have to imagine the pain is ridiculous to have to resort to taking dope for it......
Link Posted: 6/26/2017 12:19:48 PM EDT
[#23]
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Quoted:
They are only charging him $2.21 cents a pill.

About the same as a gas-station soda or half a Starbucks.

Seems pretty inexpensive for what it does.
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Quoted:
That would cost me oh, about .87 cents.....It's good to have real insurance.
They are only charging him $2.21 cents a pill.

About the same as a gas-station soda or half a Starbucks.

Seems pretty inexpensive for what it does.
I hope I never have to find out.

Quoted:

That the taxpayers paid for.
After premiums, yeah i guess they do.....Thank you.
Link Posted: 6/26/2017 12:21:24 PM EDT
[#24]
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Quoted:


Or maybe they know he needs the shit and are reaming him because they can?
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DUDE, you NAILED IT.



A multi billion dollar corporation that sells medical drugs in the billions of dollars suddenly realized that this one customer of theirs who paid $119 and NEEDS his medical prescription could be a big money maker.  So they changed their multi million dollar marketing campaign and targeted just this one customer and increased that price to $199.   The company threw away millions in sales just so they can lock this one customer who can go to any other place to fill his prescription for the pure profit of $80.


I mean really?





Are you upset that they cut down the tin foil thickness too?  You might want to put on a few extra wraps.
Link Posted: 6/26/2017 12:24:01 PM EDT
[#25]
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Quoted:
I'm glad I don't have chronic pain and hope to never been in need of opiates to manage it.

I have to imagine the pain is ridiculous to have to resort to taking dope for it......
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You should see what the better Insulins cost. And you can tell people "the fewer donuts you eat, the less insulin you need". And they'll still eat donuts and bitch about the price of insulin.
Link Posted: 6/26/2017 12:28:57 PM EDT
[#26]
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Quoted:
This explains so much about OP's threads
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Link Posted: 6/26/2017 12:42:57 PM EDT
[#27]
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Quoted:
The drug is old. The sustained release technology is not. There's a lot of complex chemistry and pharmacology involved to get the drug to be released in a controlled fashion over 8-12 hours. 


In addition, with increasing regulation, the costs of compliance for the manufacturer will increase. Either they increase their prices or they decide it's not worth being in the market anymore. One less manufacturer, supply goes down and demand goes up. Doesn't matter if it's a 300 year old drug our not.
View Quote
All that, and consider the volume we are talking about here - absolutely staggering, and increasing all the time.
Link Posted: 6/26/2017 12:57:54 PM EDT
[#28]
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Quoted:
All that, and consider the volume we are talking about here - absolutely staggering, and increasing all the time.
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Quoted:
Quoted:
The drug is old. The sustained release technology is not. There's a lot of complex chemistry and pharmacology involved to get the drug to be released in a controlled fashion over 8-12 hours. 


In addition, with increasing regulation, the costs of compliance for the manufacturer will increase. Either they increase their prices or they decide it's not worth being in the market anymore. One less manufacturer, supply goes down and demand goes up. Doesn't matter if it's a 300 year old drug our not.
All that, and consider the volume we are talking about here - absolutely staggering, and increasing all the time.
Don't you dare bring your economic reality into a price gouging thread.
Link Posted: 6/26/2017 1:04:30 PM EDT
[#29]
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Quoted:
In moral crusader/ high horse land you never have to back up your words or face becoming a hypocrite.  It's a magical place where nothing ever goes catastrophically wrong.  So if banning xxx saves one kid but makes pop die a horrible death it's not my problem.  It's the equivalent of the fudds, who cares what happens to you because I got mine. 
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Discussion ForumsJump to Quoted PostQuote History
Quoted:
Quoted:
Quoted:
I'm not a doctor, and I don't have a lot of room to talk when it comes to self destructive behavior for a lot of years, but maybe they're doing you a bit of a favor. 

That's a lot of pain meds, dude.

Btw, don't take anything I write too seriously. It's just the random musings of a moron. 
Yeah, Musings of a moron.

Chronic pain sufferers do build tolerance, hence chronic= long term.

If that what it takes to be pain free or even just functional pain level then so be it. Why would you want people to suffer needlessly? Would you if you became injured or otherwise a chronic pain sufferer? No you wouldn't.

Think before posting horseshit like that above people.....
In moral crusader/ high horse land you never have to back up your words or face becoming a hypocrite.  It's a magical place where nothing ever goes catastrophically wrong.  So if banning xxx saves one kid but makes pop die a horrible death it's not my problem.  It's the equivalent of the fudds, who cares what happens to you because I got mine. 
Moral crusader? North of 100,000 posts, and you've missed nearly all of them over the years?

Dude, if I could wave my magic wand, you could buy heroin over the counter at CVS. They'd keep it next to the cough medicine. They could put it in vending machines in front of a preschool for all I give a shit.

I'd love to see the drug war ended like yesterday. 
Link Posted: 6/26/2017 1:13:32 PM EDT
[#30]
Discussion ForumsJump to Quoted PostQuote History
Quoted:
Moral crusader? North of 100,000 posts, and you've missed nearly all of them over the years?

Dude, if I could wave my magic wand, you could buy heroin over the counter at CVS. They'd keep it next to the cough medicine. They could put it in vending machines in front of a preschool for all I give a shit.

I'd love to see the drug war ended like yesterday. 
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You're too polite.
Link Posted: 6/26/2017 1:30:49 PM EDT
[#31]
Right off the top of my head, a few possibilities:

1.  Manufacturer price increase.  Opioid manufacturers are under legal attack right now, with several states filing suit against them for 'promoting' opioid overprescribing/use.  

2.  Sam's Club/Walmart was selling them below cost as a loss leader and decided to stop doing that.

3.  They decided to gouge you.
Link Posted: 6/26/2017 1:40:19 PM EDT
[#32]
Couple of thoughts on this:

#1.   Sams might have been out of the generic and needed to substitute brand name (hence the price increase).

#2.   Here in PA (along with just about every other state) for a physician to write a Narcotic, we HAVE to go on the Prescription Drug Monitoring website and verify that the patient hasn't gotten a bunch of other controlled substances filled recently....however, we don't get paid extra to do it....and Pharmacies have to enter that info also..(so more paperwork on their end).

#3.  The root of all this is government interference.    They pushed for us to treat pain as a vital sign...then people got more pain meds...then more people got addicted...and turned to illegal drugs when they couldn't get enough...or the government started to crack down on narcotic prescriptions...so the patients have a harder time getting a prescription.
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