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Replies to "So yes, the provider gets the $ full amount from insurance or patient with perhaps a..."
Prostate Cancer | Last Active: 21 minutes ago | Replies (44)
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Replies to "So yes, the provider gets the $ full amount from insurance or patient with perhaps a..."
So the doctor acts as their own pharmacist? They don't get the drug from a pharmacy?
Again, just curious. Here in Ontario, pharmacies are allowed a maximum markup of 8% on drugs under $1,000 and 6% on drugs $1,000 or over (that's in Canadian dollars). So for my monthly Orgovyx, which costs about CA $325 (US $235) per month, the pharmacy would make a maximum $24 profit, plus maybe a $5 dispensing fee. For my Erleada (close to CA $5,000/US $3,620 per month), the specialist pharmacy that provides it would make maximum CA $283 profit plus dispensing fee. The oncologist who prescribes both would earn no extra fee beyond the CA $34.10 for a follow-up visit.