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An Arm and a Leg

Why are drug prices so random? Meet Mr. PBM

An Arm and a Leg

An Arm and a Leg

Documentary, Health & Fitness, Medicine, Society & Culture

4.81.1K Ratings

🗓️ 26 June 2019

⏱️ 18 minutes

🧾️ Download transcript

Summary

I filled a prescription recently, and the drugstore said they wanted more than 700 bucks… for an old-line generic drug. My insurance ended up knocking that down, but it was WEIRD.  And it meant a big homework assignment for me. Luckily, I got help.

Transcript

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0:00.0

So at the beginning of the year, my family switched to a new health insurance plan.

0:04.3

And I've got this prescription I take. I get three months worth of it at a time.

0:07.7

And in February, it was time to renew. The drugstore texted me. They had it.

0:11.6

I called the check, got the robot voice.

0:13.6

There's one prescription here for Daniel.

0:16.2

And some news.

0:17.2

The out-of-pocket cost is $720.69.

0:23.8

And that's ready for pickup.

0:25.0

I was like, what?

0:26.3

This is an old time generic drug.

0:28.2

I'm used to paying like 15 bucks.

0:30.1

Would you like me to repeat that?

0:31.3

I was like, maybe you better. I want this on tape.

0:33.4

The outer pocket cost is 700. I was also like, yeah, I'm just going to bring my new insurance

0:40.0

card over to the drugstore and hope that clears things up. And it did. The copay was $0. That

0:46.7

is some good new insurance right there. And as I walked out of the drug store, I was like,

0:51.7

what was that all about? I pulled up a site called

0:55.1

GoodRX on my phone, a doctor friend of mine, sometimes recommends it to people whose

0:59.5

prescriptions cost a lot, and what I found there was weird. I punched in the name of the

1:04.9

medication and my zip code and it showed me prices from a bunch of different

1:09.1

places. Drugstore chains like CVS and Walgreens, big box stores like Costco and Walmart,

1:14.7

local supermarkets with pharmacy counters.

...

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