How Drug Prices Work | WSJ

1. Funny thing is the description of how Pepsi gets to the convenience store is a major oversimplification. It’s more like:
   1. Pepsi licenses to independent bottler
   2. Independent bottler produces beverage
   3. Distributor sells beverage inventory to convenience store
   4. Convenience store sells it to you.

   Still simpler, but not as simple as the comparison would suggest.

2. I just watched this and still confused . PBMs are acting like they trying to help lower prices but they want higher prices for higher rebates …one hand washes the other. Total scam

3. 1. drug <<< illegal under: "The Loaned Land Act – 2nd Amend!"
   1b. It has – no param – no f(x) by – temperature – our body!
   2. Clinic clan membership

4. What if… The supply chain for pharmaceuticals was the same as the chain for hamburgers?

5. PBMs stay up nights thinking up evil ways to make your life miserable. May all their evil deeds come back on their own heads.

6. Government sanctioned fraud and corruption

7. When the world says our system is corrupt, THIS is what they're talking about. This is fraud, corruption, and bribery on full display, except it's not transparent at all.

8. This is shameful.

9. I am exporting pharmaceutical products

10. Actually, the description of how Pepsi works is inaccurate. Pepsi sells its concentrate to bottlers (many who are now vertically integrated with PepsiCo), the bottlers sell it to distributers, and the distributers sell it to retail stores.

11. Altogether this is not fair for the customers who have to pay for drugs we are always paying and paying and getting the lower end of the stick. We pay taxes every year, we pay car insurance, house insurance, medical insurances and they still stick to us in doctors and drugs. What more do they expect to do to the customers drain us of whatever money we have left? The government should have stopped all these business from getting our of proportion and limit them to what they can do. Or is this a country where the rich keep getting richer and the poor pooer with no end in sight. There were times way back when the government put limitations of what the insurances and all those companies would put controls on them, not now anymore?

12. PBM'S are owned by the big insurance companies. Sounds like conflict of interest to me. System needs to looked at to see if they have monopolies and are getting to big and powerful.

13. Pharmacy benefit managers:

14. Please Lower The price of all Brands of Military Equipment and Local for All Brands of Pharmacy Products Now 900,000 That's Too Much $$ 900,000 Now The Whole World 900,000 Now 🙏 🤲 🕍

15. Bottom line is insurance companies, always have been a scam always will be a scam

16. What's in india

17. too many middlemen

18. 0:33 supply chain for prescription drugs.
    prescription drug coverage 處方藥費保險計畫
    1:00 Pharmacy benefit management 藥品福利管理
    understand the drug and money flow.

19. Scientia Potentia Est

20. I still don't understand why distributers were mentioned at all. Only things mentioned were pharma companies, pbms, and insurance companies.

21. You forgot to Add doctors getting bribes to write brand names

22. Here is something that never factors into these discussions, and it's a MAJOR point concerning the costs of medications. I used to work for a large pharma company, on the manufacturing side. On average, the cost of a drug, from development, all the way through completion of the drug trials, is around 500 – 600 million dollars. On average, a company will see 1 in 20 of it's drugs make it to market. So you have 100's of billions of dollars spent with zero returns on that money. Myself, I wonder why drugs aren't more expensive than they are now.

23. That's in the USA. What about in other countries where there are no.pbm's but the cost of drugs is still high? How do you explain that? One can only see the drug companies trying to milk their profits.

24. Check your doctor's $$ rebates whereas docs get checks monthly from each pharma plus vacations, pharmacy retailers get discounts and rebates for pushing certain meds and generics especially NOW with rDNA or MRNA (scary?) drugs, and oh my gosh…. hospitals get hundreds of thousands $$ in dollars in monthly rebates PER MONTH PER Pharma company. It's amazing… I paid $80 for same med at same major retail pharmacy my uninsured daughter (she is not on Medicaid either) got and they charged her $12. Being that I am insured, $80 was my cost after insurance coverage. I asked them if I could get mine for $12 and not run thru my insurance and they said they couldn't do that if I was insured. Now does that make sense???? I should have the option to get mine at same price. Notice that pharmacies will not give you a quote over phone anymore without asking you about insurance and getting your name to look you up on their computer. But that's the same way healthcare works also. Did you know that Medicare and Medicaid prices were different depending on what county you have surgery in….such as, if you had surgery in a poorer area versus a higher income area, your surgery costs would be much MUCH lower ….. at least this is the way it works in my state . Next time call medicare or medicaid and ask what their rates are for a certain county for the surgery (of course you would have to provide them with the code that you can obtain from your doctor for that surgery first before they can give you the coverage rate). Hhmm. Interesting?

25. All of this was good except for the conclusion. The patients don't pay the list price in almost all situations.

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