Talk of The Villages Florida - View Single Post - Medicare Advantage Plans A Failed Experiment?
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Old 06-15-2024, 03:52 PM
SusanStCatherine SusanStCatherine is offline
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The Pharmaceutical companies are way too powerful. The pharmacy benefit managers dictate what drugs go on the formulary and are available to you. So the formulary is based on maximum profit, not the most therapeutic drugs. There are no drugs on my formulary for my condition below tier four. I filed an exception and pre-approval and was granted it. What did that buy me? A chance to pay full price for the drug until my deductible is met and then I can pay half price for it. The half price they quoted me is more than the GoodRx price of $75 and this is a generic.