DOES THIS MAKE SENSE ??? … it sure does to the powerful Drug and Insurance industries !
In 2000 I had a bad case of acid reflux and underwent an operation to correct it. That really seemed to cure the problem but about 6 months ago I started to feel a choking sensation in my throat and my Doctor recommended an esophageal barium swallow xray. The result is that there in no obstruction but acid is coming back up from my stomach mimicking the closed throat sensation.
Long story short my Doctor prescribed Omeprazole (which is the generic for Prilosec). He called the RX in to Walmart and I went there today to get it. I almost passed out when the girl gave it to me because the charge was $86 and change ! “Wait a minute,” I said, “I can get it over the counter for about a quarter of that”… to which the girl replied that it was called in by a Dr. so it had to be charged at the PRESCRIPTION PRICE and evidently my insurance wouldn’t pay for it.
Now, the interesting thing is that I did a lot of research when Medicare D (the prescription drug program) came out and decided that it was way too costly for the few meds I’m on … even with the sneaky little scare tactic that the Insurance companies put in where I’ll be charged a hefty late enrollment penalty if I ever decide to join. I opted to not have any drug insurance coverage … so, of course this prescription charge wasn’t covered.
Well I’m sure you can guess the rest. I refused to take the Dr. ordered pills and, instead, bought the exact same OTC meds and the total cost was less than $20. What this boils down to is that those with drug coverage will gladly pay the 20% that‘s not covered (around $18) … feeling secure in the fact that the medication has been prescribed by their Doctor… never realizing that the price has been inflated so that the drug and insurance companies receive a larger cut.
This is just a small example of how the mega drug and insurance companies work together and the “little guy” is, once again, left paying the bill … literally ! It would be very interesting to research this and to find out how many other medications fit into this scenario.