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Access · Pricing · continued

Price changes over 2025 and 2026, tabulated and dated — does this still hold? posts 91–120

This is a continuation of a long topic, addressed by post number rather than by page. Start at post 1 · go to the accepted answer.

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m.ekstromTL216 Feb 2026#91

I changed my mind about Price changes after someone here asked me for the source and I could not produce one. That is worth saying out loud because it is the ordinary way it happens.

0 likes 5mo
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l.piresTL217 Feb 2026#92
dexa_twice_yearly, post #82: Post #79 answers the question as asked. The question underneath it is different. The version of Price changes that I was taught turned out to be a teaching simplification. Useful, and not true in the way I had assumed it was. Go to post

I had written a reply contradicting post #88 and deleted it. Here is what survived.

Price variation between pharmacies: identical prescriptions can cost different amounts at different pharmacies because pharmacies negotiate individually with insurers and manufacturers.

0 likes in reply to #82 5mo
HM
h.mensahTL218 Feb 2026 · edited#93
PharmNotes_Whitfield, post #11: Insurance tier placement: a compound might be covered but on a higher tier (higher copay). Moving to a lower tier usually requires prior authorization or documented failure of cheaper alternatives. It is worth checking rather than assuming, which costs nothing. Go to post

Larger orders shift risk as well as price, because more of your material then comes from one lot.

It cost nothing to check and would have cost something not to.

8 likes in reply to #11 5mo
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l.solbergTL220 Feb 2026#94

Speaking only to Price changes as I have actually seen it, rather than as it is usually described: the effect is real, it is smaller than the thread suggests, and the variance between people is larger than the effect.

19 likes 5mo
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e.verhoevenTL221 Feb 2026#95

Post #94 is right about the mechanism and I think understates the practical bit.

A price well below the rest of the market is a fact rather than a finding, and it is worth noting without concluding from it.

9 likes 5mo
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g.rasmussenTL222 Feb 2026#96

Coming back to post #92, because the follow-up matters more than the original answer.

Price differences within a market are usually about scale, documentation and logistics rather than about anything mysterious.

Two sources, same conclusion, and I could not rule out that one copied the other.

20 likes 5mo
MP
mira.patelTL4 Admin23 Feb 2026#97
v.klausen, post #22: The most useful pricing posts here are the ones that show the arithmetic rather than the conclusion. Someone should write this up properly, and it should probably not be me. Go to post

Marking my place. If it changes for me I will come back and say so.

5 likes in reply to #22 5mo
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m.onwukaTL224 Feb 2026#98
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j.cabreraTL225 Feb 2026#99

Building on post #96 rather than restating it.

Where a price is quoted per vial, the fill has to be stated for the comparison to mean anything.

Old habit: I write down the expected answer before I calculate it.

5 likes 5mo
TS
taper_shiftTL3Regular26 Feb 2026#100

Insurance tier placement: a compound might be covered but on a higher tier (higher copay). Moving to a lower tier usually requires prior authorization or documented failure of cheaper alternatives.

I would put this at better than even and not much better.

14 likes 5mo
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a.reyesTL4 Admin27 Feb 2026#101

Second-hand on Price changes, so weight it accordingly — someone whose method I trust told me this and I have not verified it myself.

1 like 5mo
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k.dahlbergTL228 Feb 2026#102
d.fontaine, post #3: Worth separating two things that the opening post runs together. List prices versus negotiated prices: the price a pharmaceutical company publishes and the price an insurance company or pharmacy actually pays differ substantially. List price is not what anyone pays. I would hold that lightly until someone with a larger sample weighs in. Go to post

On post #99 — agreed on the reasoning, with one qualification.

The bit of Price changes that nobody enjoys is that the answer changes depending on what you are trying to decide with it. Say what the decision is and the thread will converge.

6 likes in reply to #3 5mo
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owen.bradyTL4 Moderator1 Mar 2026#103
a.nascimento, post #37: The failure mode on Price changes is boring rather than dramatic. It is almost always the step everyone assumes was done correctly because it is too simple to get wrong. Go to post

Confirming post #100 from a second method, which matters more than confirming it from a second person.

Comparing a licensed product's price to a research-use-only preparation's price is comparing two different things, and the difference is most of the explanation.

15 likes in reply to #37 5mo
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n.silvaTL22 Mar 2026 · edited#104

Good question, well framed, and I would like to see it answered properly.

31 likes 5mo
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ms_hollowayTL4Mass spectrometrist3 Mar 2026#105

Adding the measurement that post #103 says would settle it.

Reframing Price changes slightly, because I think the disagreement is about the question rather than the answer. If the question is "does it happen", yes. If it is "how often", nobody here knows.

0 likes 5mo
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e.iyerTL24 Mar 2026#106

Post #102 describes the usual case. This is about the unusual one.

A cheaper option that arrives slowly has a cost in the form of running out, and people rarely price that.

3 likes 5mo
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dr.villanuevaTL3Physician5 Mar 2026#107
e.kjeldsen, post #49: On post #48 — agreed on the reasoning, with one qualification. Offering a way to settle Price changes rather than another opinion about it. Two measurements, taken the same way, a fortnight apart. If the difference is within the noise, the question was not answerable at this precision. Go to post

Adding what did not work for me on Price changes, since the failures never get written up and they are half the useful information.

10 likes in reply to #49 5mo
SG
s.grimaldiTL26 Mar 2026#108

The cost of an independent submission is worth stating in these threads, because it is the main reason people do not do it.

That is a description of practice, not a recommendation of it.

23 likes 5mo
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sourced_claimsTL3Regular7 Mar 2026#109
f.fontaine, post #65: Where I part company with post #61, and it is a narrow parting. Agreed on Price changes, with one qualification that I think matters. The reasoning holds for the case as described. Change the starting assumption and it does not, and the starting assumption is the part nobody states. Go to post

Larger orders shift risk as well as price, because more of your material then comes from one lot.

0 likes in reply to #65 5mo
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r.bruunTL28 Mar 2026#110
l.diallo, post #90: Where a price includes consultation, device and follow-up, saying so makes a comparison possible. Most quoted figures do not. Reading it again, the caveat matters more than the finding. Go to post

Where a price is quoted per vial, the fill has to be stated for the comparison to mean anything.

1 like in reply to #90 5mo
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s.chowdhuryTL310 Mar 2026#111
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methods_marginTL3Regular11 Mar 2026 · edited#112

Insurance tier placement: a compound might be covered but on a higher tier (higher copay). Moving to a lower tier usually requires prior authorization or documented failure of cheaper alternatives.

Noting that I have skin in this question and have tried to discount for it.

29 likes 5mo
EB
e.bakkenTL212 Mar 2026#113
ai.vukovic, post #87: Price changes is a good example of a question where the honest answer is boring and the interesting answers are unsupported. I would go with boring. Go to post

A cheaper option that arrives slowly has a cost in the form of running out, and people rarely price that.

14 likes in reply to #87 5mo
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crossover_reviewTL3Regular13 Mar 2026#114
Leiterman, post #62: Reading rather than contributing, but this is the most useful thread I have found on it. Go to post

Cost per milligram is the only comparison that survives format differences, but even then it needs care. A pen and a vial are not the same product and cannot be compared on price per milligram alone because dead volume, wastage, and number of doses actually obtainable differ.

5 likes in reply to #62 5mo
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t.vargaTL214 Mar 2026#115

Post #113 put the caveat in the right place and I want to underline it.

If someone has run Price changes properly I would rather read that than my own reconstruction of it. Posting mine only because the thread has gone quiet.

0 likes 4mo
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a.kwiatkowskiTL2Member15 Mar 2026#116

Bookmarking this. I will come back when I have something worth adding.

21 likes 4mo
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n.kaufmannTL216 Mar 2026#117
maintenance_mode, post #78: Everything in post #75 holds. The case it does not cover is the one I have. The reason Price changes is hard to answer is that the obvious measurement and the relevant quantity are not the same thing, and substituting one for the other is silent. Go to post

Price differences within a market are usually about scale, documentation and logistics rather than about anything mysterious.

It took me longer than it should have to see that.

9 likes in reply to #78 4mo
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IRenaudinTL2Member17 Mar 2026#118

Where somebody posts a comparison, the useful version states the date, the region and what was included.

2 likes 4mo
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l.lundgrenTL218 Mar 2026#119

Two people in this thread mean different things by Price changes and are disagreeing about the definition while believing they are disagreeing about the facts. Worth pausing to define it.

30 likes 4mo
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crossover_entryTL319 Mar 2026#120