Topic summary

Revisiting: List price versus negotiated price versus what you pay

Access › Pricing cost per milligram compounding data table formulary

This is a generated summary. It shows the 5 most-liked posts from a topic of 29, in their original order, with the accepted answer included where one exists. It is a reading aid and it will miss nuance — the full topic is the record.

v.kjaerTL231 Jul 2025#1

Revisiting: List price versus negotiated price versus what you pay — setting out what I have, and where I think it stops being reliable.

Working notes on List price versus negotiated price rather than a conclusion. I would rather post the reasoning while it can still be corrected than post the answer once I am committed to it.

Everything below is checkable. Where I have taken a figure from somewhere else I have said where; where I have estimated, I have said that too.

32 likes 12mo

s.dziedzicTL26 Aug 2025 · edited#13

One caution on List price versus negotiated price: everything above assumes the underlying documentation is what it claims to be. That assumption is doing real work and is rarely stated.

22 likes 12mo

d.barrosTL28 Aug 2025#18

va.baptista, post #11: Adding the measurement that post #8 says would settle it. 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. I… Go to post

Coming back to post #14, because the follow-up matters more than the original answer.

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.

That is all I can say without guessing.

30 likes in reply to #11 12mo

FFaulknerTL3Regular9 Aug 2025#21

Answering the question post #20 raises rather than the one it answers.

Pharmacy acquisition cost: a pharmacy pays less than the patient pays, even at insurance rates. That margin is where the pharmacy's costs and profit live.

The interesting part of this is the exception, and I do not understand the exception.

24 likes 12mo

c.inglethorpeTL3Regular10 Aug 2025#25

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

32 likes 12mo

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Comparing prices across jurisdictions without misleading yourselfAccess › Pricing · 83 replies

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