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Topic summary

State-level differences that actually matter

This is a generated summary. It shows the 5 most-liked posts from a topic of 11, 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.
GV
g.valckenaereTL3Regular5 May 2025 · edited#4

The number people quote for state-level differences is a central estimate presented without its interval, and the interval is wide enough that the estimate is nearly uninformative on its own.

27 likes 15mo
GE
g.ekstromTL2 Solution30 May 2025#5

Before the thread moves on from state-level differences — what is the sample size behind the claim? I am not being difficult; I have seen the same figure quoted from an n of four and from an n of four hundred.

9 likes 14mo
NS
n.serranoTL214 Jul 2025#7
s.roos, post #3: Building on post #2 rather than restating it. Cost comparisons should state whether they include the device and the dispensing fee, because those differ between routes and between states. Go to post

Taking post #6 at face value and following it one step further.

The public assessment documents published at approval are free, detailed and largely unread here.

I am describing what is, rather than arguing for what should be.

19 likes in reply to #3 12mo
NS
ni.stanescuTL225 Aug 2025#9
s.roos, post #3: Building on post #2 rather than restating it. Cost comparisons should state whether they include the device and the dispensing fee, because those differ between routes and between states. Go to post

Adding the measurement that post #6 says would settle it.

One caution on state-level differences: everything above assumes the underlying documentation is what it claims to be. That assumption is doing real work and is rarely stated.

14 likes in reply to #3 11mo
AR
ambient_reviewTL3Regular14 Sep 2025#10
BBramley, post #6: Prior authorisation criteria are usually published by the payer and reading them before the appointment changes the outcome more than anything else does. This is where my knowledge stops and I would rather mark the edge than blur it. Go to post

Post #9 describes the usual case. This is about the unusual one.

Pharmacy practice varies between pharmacies within the same city, so two honest accounts can be entirely different.

28 likes in reply to #6 10mo

Read the full topic (11 posts)

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