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Posted: 7/26/2013 11:11:53 AM EDT
[#1]
A med I have been taking for 10 years at $13/month supply, just shot up to $90/month supply at my regular pharmacy. After shopping around, I have gotten some various different answers as to why. But basically my health insurance coverage decided to increase my co-pay $76 over night.
This is one of the most common prescribed medications in the entire world, some would argue overprescribed. Its about greed. Not any of this free market bullshit some have proffered. |
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Posted: 7/26/2013 11:12:05 AM EDT
[#2]
Quote HistoryQuoted:
Yes. There are a lot of us in RTP. (I'm goin' for the trifecta!) GSK? |
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Posted: 7/26/2013 11:12:47 AM EDT
[#3]
Quote HistoryQuoted:
RTP? Quote HistoryQuoted:
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I just got through calling different pharmacies to see what their prices are for the same drug. CVS Pharmacy only charges $103.00. Guess where I will be getting my prescriptions filled from now on? Pharmacies don't usually charge different prices for the same drug. There is something else going on here. You in the industry? Yes. RTP? Really Tan People? |
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Posted: 7/26/2013 11:13:19 AM EDT
[#4]
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I am unaware of any med that has increased from $75 to $900. Provide the drug name, and I can get the pricing history back to launch most likely. ______________________________________________________________________________________________________________________ I'm not going to name the drug or it's manufacturer because I don't want sued on top of being raped. Suffice it to say that it is AIDS related treatment. 
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Posted: 7/26/2013 11:13:36 AM EDT
[#5]
Quote HistoryQuoted:
Considering the amount pharm companies put into research that must be recouped from the few drugs that sucessfully make it to market, there's a reason drugs have extensive patents. Quote HistoryQuoted:
Quoted:
Would you be dead if the company didn't exist and didn't make the drug you take? I can't see a drug increasing in price by that much after being only $75 for 30 day supply. Maybe one rare ingredient is actually harder to get and costs that much. It can happen. If you can't profit from business activities, there is no reason to be in business. If pfizer can't make a profit making drugs, then they disappear, and everyone else suffers. Nobody is making life saving drugs just for fun. They have to eat too. Considering the amount pharm companies put into research that must be recouped from the few drugs that sucessfully make it to market, there's a reason drugs have extensive patents. By the time a drug actually makes it to market, most of its patent coverage (in terms of time) is usually gone. |
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Posted: 7/26/2013 11:13:38 AM EDT
[#6]
im guessing it was an insurance whoops... And OP got all crazy with out checking out the reasoning...
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Posted: 7/26/2013 11:14:15 AM EDT
[#7]
Quote HistoryQuoted:
A med I have been taking for 10 years at $13/month supply, just shot up to $90/month supply at my regular pharmacy. After shopping around, I have gotten some various different answers as to why. But basically my health insurance coverage decided to increase my co-pay $76 over night. This is one of the most common prescribed medications in the entire world, some would argue overprescribed. Its about greed. Not any of this free market bullshit some have proffered. An almost 700% increase in price and none of the generic manufacturers can be bothered to make it since as you imply there's no reason for it to jump up so much. That's unusual. |
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Posted: 7/26/2013 11:14:55 AM EDT
[#8]
The OP has to be confused. Other than the 400% price increase I noted earlier that took place in 2003, the largest one of late is 9.7% on a product that should go generic in the first quarter of next year.
I'd love to hear more from the OP about this. |
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Posted: 7/26/2013 11:15:28 AM EDT
[#9]
Quote HistoryQuoted:
I am unaware of any med that has increased from $75 to $900. Provide the drug name, and I can get the pricing history back to launch most likely. ______________________________________________________________________________________________________________________ I'm not going to name the drug or it's manufacturer because I don't want sued on top of being raped. Suffice it to say that it is AIDS related treatment. I'm soory that happened to you. Why would you be sued for mentioning the drug name? |
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Posted: 7/26/2013 11:15:38 AM EDT
[#10]
Quote HistoryQuoted:
The OP has to be confused. Other than the 400% price increase I noted earlier that took place in 2003, the largest one of late is 9.7% on a product that should go generic in the first quarter of next year. I'd love to hear more from the OP about this. It probably has to do with the insurance. |
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Posted: 7/26/2013 11:16:17 AM EDT
[#11]
OP: don't feel like you have to disclose personal information to win over GD. Glad you found a good deal, drop it and move on.
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Posted: 7/26/2013 11:16:38 AM EDT
[#12]
Quote HistoryQuoted:
It has nothing to do with offsetting the cost of research. The cost was $75. That has been so for over 3 years. To charge $900 for the same drug is pure greed. Quote HistoryQuoted:
Quoted:
Yeah fuck those guys wanting to pay for all of that research.  It has nothing to do with offsetting the cost of research. The cost was $75. That has been so for over 3 years. To charge $900 for the same drug is pure greed. First of all profits are not greed. Also how do you know that its not some socialist environmental bull shit law making it harder to get the ingredients? There is a low more to making pharmaceuticals than hamburger helper and the FDA and EPA carry big sticks and carry a lot of weight. |
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Posted: 7/26/2013 11:17:02 AM EDT
[#13]
Maybe it was a mistake and the price went from $75 to $90, not $900? That may be why CVS is prices at $103.
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Posted: 7/26/2013 11:17:47 AM EDT
[#14]
Quote HistoryQuoted:
An almost 700% increase in price and none of the generic manufacturers can be bothered to make it since as you imply there's no reason for it to jump up so much. That's unusual. Quote HistoryQuoted:
Quoted:
A med I have been taking for 10 years at $13/month supply, just shot up to $90/month supply at my regular pharmacy. After shopping around, I have gotten some various different answers as to why. But basically my health insurance coverage decided to increase my co-pay $76 over night. This is one of the most common prescribed medications in the entire world, some would argue overprescribed. Its about greed. Not any of this free market bullshit some have proffered. An almost 700% increase in price and none of the generic manufacturers can be bothered to make it since as you imply there's no reason for it to jump up so much. That's unusual. SmilingBandit should start a pharma or an insurance company. Free healthcare is going to wind up being really expensive too. |
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Posted: 7/26/2013 11:18:05 AM EDT
[#15]
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OP: don't feel like you have to disclose personal information to win over GD. Glad you found a good deal, drop it and move on. I like the way you think!! 
I've done my bitching and feel better now. |
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Posted: 7/26/2013 11:18:28 AM EDT
[#16]
Quote HistoryQuoted:
It has nothing to do with offsetting the cost of research. The cost was $75. That has been so for over 3 years. To charge $900 for the same drug is pure greed. Quote HistoryQuoted:
Quoted:
Yeah fuck those guys wanting to pay for all of that research. It has nothing to do with offsetting the cost of research. The cost was $75. That has been so for over 3 years. To charge $900 for the same drug is pure greed. No. The new price reflects their new cost structure for hard to obtain components and/or intermediates for the compounding of the drug. The pharmaceutical company has no obligation to lose money and they have a right to pass on costs to the consumer. If you can't live without the drug, and can't afford the new price contact the pharmaceutical manufacturer and ask if they have a program to assist people with the cost of the drug they need. Most pharmaceutical companies have such a good-will program. Also, there is a difference between avarice and enlightened self interest. In my life I have observed that most often it is those who cry "GREED!" are the selfish ones who think they are entitled to the labor and property of others. |
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Posted: 7/26/2013 11:19:43 AM EDT
[#17]
Our German Shepherd has some funky genetic autoimmune thing - basically his immune system thinks his fucking eyeballs are "foreign bodies" and was attacking them - and needs to be on doxycycline indefinitely to keep it suppressed. We tend to stock up and were well ahead on his 'scrip, which cost $21/mo at the Costco pharmacy. Then the holidays came and life happened and we lost track. Oh, no! We're out of his doxy! No worries. I'll just bop around the corner and get it refilled there.
$300. Over the course of about 2 months. Combination of huge increase in demand because of tetracycline shortages and several manufacturers stopping production. Found a local place to compound it to the tune of ~ $75/mo but still - holy shit! |
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Posted: 7/26/2013 11:19:47 AM EDT
[#18]
Quote HistoryQuoted: $75 per month. Quote HistoryQuoted: Quoted: What is your life worth to you? $75 per month.  |
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Posted: 7/26/2013 11:21:19 AM EDT
[#19]
Quote HistoryQuoted:
A med I have been taking for 10 years at $13/month supply, just shot up to $90/month supply at my regular pharmacy. After shopping around, I have gotten some various different answers as to why. But basically my health insurance coverage decided to increase my co-pay $76 over night. This is one of the most common prescribed medications in the entire world, some would argue overprescribed. Its about greed. Not any of this free market bullshit some have proffered. There has not been a free market in medicine and the provision of health care since WWII. A free market would require the government get of of regulating insurance, medicine and shift the tax deduction to the individual away from the employer (or eliminate it altogether). |
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Posted: 7/26/2013 11:21:34 AM EDT
[#20]
Quote HistoryQuoted:
Pharmacies don't usually charge different prices for the same drug. That has not been my experience. |
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Posted: 7/26/2013 11:22:29 AM EDT
[#21]
My wife uses Humira, which was covered by Tricare and what is left of my HMO whatever.
It was normally 35 a month. Now it is 1500 a month and they offered a substitute called remicade which has more side effects and they are rather severe for her. We have been going back and forth on it and so far we keep losing despite that it works. So the better alternative was to go overseas. In this option, she is using Canada and also going home to Hungary to get her medications until I can add her to my health insurance when open season opens this November. Yeah yeah yeah whatever...cool story bro and whatever bullshit but it is really fucken funny to GD until it happens to them and then..WOW..just wow......its al sharpyton social injustice. |
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Posted: 7/26/2013 11:22:40 AM EDT
[#22]
Quote HistoryQuoted:
That has not been my experience. Quote HistoryQuoted:
Quoted:
Pharmacies don't usually charge different prices for the same drug. That has not been my experience. Branded. |
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Posted: 7/26/2013 11:23:37 AM EDT
[#23]
Quote HistoryQuoted:
An almost 700% increase in price and none of the generic manufacturers can be bothered to make it since as you imply there's no reason for it to jump up so much. That's unusual. Quote HistoryQuoted:
Quoted:
A med I have been taking for 10 years at $13/month supply, just shot up to $90/month supply at my regular pharmacy. After shopping around, I have gotten some various different answers as to why. But basically my health insurance coverage decided to increase my co-pay $76 over night. This is one of the most common prescribed medications in the entire world, some would argue overprescribed. Its about greed. Not any of this free market bullshit some have proffered. An almost 700% increase in price and none of the generic manufacturers can be bothered to make it since as you imply there's no reason for it to jump up so much. That's unusual. I am taking the generic version. The insurance company reduced their coverage overnight. When I asked if they could do this, my pharmacist said yes, its written in the their fine print on the policy. The consensus among the handful of pharmacists I spoke to said its the way health care companies are starting to ramp up for ObamaCare implementation next year. |
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Posted: 7/26/2013 11:25:05 AM EDT
[#24]
Quote HistoryQuoted:
There has not been a free market in medicine and the provision of health care since WWII. A free market would require the government get of of regulating insurance, medicine and shift the tax deduction to the individual away from the employer (or eliminate it altogether). This is my dream. It is how it should be. |
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Posted: 7/26/2013 11:26:55 AM EDT
[#25]
Quote HistoryQuoted:
My wife uses Humira, which was covered by Tricare and what is left of my HMO whatever. It was normally 35 a month. Now it is 1500 a month and they offered a substitute called remicade which has more side effects and they are rather severe for her. We have been going back and forth on it and so far we keep losing despite that it works. So the better alternative was to go overseas. In this option, she is using Canada and also going home to Hungary to get her medications until I can add her to my health insurance when open season opens this November. Yeah yeah yeah whatever...cool story bro and whatever bullshit but it is really fucken funny to GD until it happens to them and then..WOW..just wow......its al sharpyton social injustice. Sub-cutaneous and infused biologics are very expensive to discover and manufacture. The price of Humira has always been high. It is a complicated medicine with the best dosing profile in the category. It has never been $35. That was just a copay. What you are upset about is that your subsidy was cut. It sucks that the price of drugs is so high in America. We as Americans subsidize the prices for the rest of the world. It costs about $1M for the FDA to review a drug application. That's just a fee. Then, there is no guarantee that you make any progress toward approval. |
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Posted: 7/26/2013 11:28:18 AM EDT
[#26]
Quote HistoryQuoted:
A med I have been taking for 10 years at $13/month supply, just shot up to $90/month supply at my regular pharmacy. After shopping around, I have gotten some various different answers as to why. But basically my health insurance coverage decided to increase my co-pay $76 over night. This is one of the most common prescribed medications in the entire world, some would argue overprescribed. Its about greed. Not any of this free market bullshit some have proffered. that's still free market. People stop buying, price comes back down. That model always works. |
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Posted: 7/26/2013 11:28:48 AM EDT
[#27]
Quote HistoryQuoted: Yeah fuck those guys wanting to pay for all of that FDA rabble rousing. Also, today I learned that AR-180 and I are probably neighbors at work. |
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Posted: 7/26/2013 11:29:46 AM EDT
[#28]
Quote HistoryQuoted:
The OP has to be confused. Other than the 400% price increase I noted earlier that took place in 2003, the largest one of late is 9.7% on a product that should go generic in the first quarter of next year. I'd love to hear more from the OP about this. But a doubt you will. He came here to rant, not to be fact checked about his very suspicious numbers. |
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Posted: 7/26/2013 11:29:57 AM EDT
[#29]
Quote HistoryQuoted:
By the time a drug actually makes it to market, most of its patent coverage (in terms of time) is usually gone. Quote HistoryQuoted:
Quoted:
Quoted:
Would you be dead if the company didn't exist and didn't make the drug you take? I can't see a drug increasing in price by that much after being only $75 for 30 day supply. Maybe one rare ingredient is actually harder to get and costs that much. It can happen. If you can't profit from business activities, there is no reason to be in business. If pfizer can't make a profit making drugs, then they disappear, and everyone else suffers. Nobody is making life saving drugs just for fun. They have to eat too. Considering the amount pharm companies put into research that must be recouped from the few drugs that sucessfully make it to market, there's a reason drugs have extensive patents. By the time a drug actually makes it to market, most of its patent coverage (in terms of time) is usually gone. This is a large defect in our patent system. It can take years to get a new drug approved, and the whole time the patent clock is running. Recovery times become short and prices go up. This sounds like something else though. It may be that the drug is old enough they are having source problems with source chemicals to manufacture it. |
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Posted: 7/26/2013 11:30:20 AM EDT
[#30]
Quote HistoryQuoted:
pharmacuetical (SP) manufacturers have a huge cost to recover. For all the meds that make it to market and earn them money, how many didnt? How many millions of dollars were spent on the pill that makes liberals glow blue, only to have FDA approval denied? they recoup those losses somehow. We wont even get into the extra $2 per dose you pay so they can pay the lawsuits when thalidomide goes bad, or it turns out in 50 years the Viagra causes bone weakness, or whatever. Most of the money booked to the development of a drug are not from actual cash flow, or real expenditures. Drug manufacturers get to book future costs, and lost opportunity costs as well. This is why a drug's booked cost of development is at $900 million, while the actual expenditures (real money spent) is more like $200 million. Drug manufacturers have a hell of a lobby system like GE, and hence, is the reason why they can do this without being thrown in jail. Try that in your accounting books as a contractor and see what happens. |
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Posted: 7/26/2013 11:30:52 AM EDT
[#31]
Quote HistoryQuoted:
that's still free market. People stop buying, price comes back down. That model always works. Quote HistoryQuoted:
Quoted:
A med I have been taking for 10 years at $13/month supply, just shot up to $90/month supply at my regular pharmacy. After shopping around, I have gotten some various different answers as to why. But basically my health insurance coverage decided to increase my co-pay $76 over night. This is one of the most common prescribed medications in the entire world, some would argue overprescribed. Its about greed. Not any of this free market bullshit some have proffered. that's still free market. People stop buying, price comes back down. That model always works. People will not stop buying a prescribed med just because the cost goes up. Well, some may be forced to stop buying because its a decision whether to buy food, or buy meds. |
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Posted: 7/26/2013 11:31:12 AM EDT
[#32]
FSA membership number?
Dont like it? Dont take it and die. |
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Posted: 7/26/2013 11:35:08 AM EDT
[#33]
I'm not gonna be hostage to the pharmaceutical world. Strangely Humira has a program to pay for it if you qualify.
http://www.needymeds.org/papforms/abbpae0323.pdf Right now until I can add her to my health insurance in November this is what we are doing. So about once a month she travels to Canada and gets her shots there which is far cheaper. And once every 6 months she goes to hungary because the shot is free due to the national health insurance which is about 35 a month. they even actually don't have enough patient for the medication in Hungary and one time they gave her a 3 month supply which she keeps in our fridge. |
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Posted: 7/26/2013 11:35:20 AM EDT
[#34]
Quote HistoryQuoted:
I just got through calling different pharmacies to see what their prices are for the same drug. CVS Pharmacy only charges $103.00. Guess where I will be getting my prescriptions filled from now on? So it WASN'T the evil big drug company? |
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Posted: 7/26/2013 11:36:19 AM EDT
[#35]
Quote HistoryQuoted:
FSA membership number? Dont like it? Dont take it and die. Who said I don't pay for my medicine myself?? You just ASSumed I'm on the dole. I pay my own way. And you have a very negative attitude. |
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Posted: 7/26/2013 11:36:56 AM EDT
[#36]
Quote HistoryQuoted: First of all profits are not greed. Also how do you know that its not some socialist environmental bull shit law making it harder to get the ingredients? There is a low more to making pharmaceuticals than hamburger helper and the FDA and EPA carry big sticks and carry a lot of weight. Quote HistoryQuoted: Quoted: Quoted: Yeah fuck those guys wanting to pay for all of that research. It has nothing to do with offsetting the cost of research. The cost was $75. That has been so for over 3 years. To charge $900 for the same drug is pure greed. First of all profits are not greed. Also how do you know that its not some socialist environmental bull shit law making it harder to get the ingredients? There is a low more to making pharmaceuticals than hamburger helper and the FDA and EPA carry big sticks and carry a lot of weight. FDA? EPA? Youre forgetting EMEA, PMDA and a USDA and a host of other lettered agencies. |
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Posted: 7/26/2013 11:37:13 AM EDT
[#37]
For many conditions in America, people could avoid a medical condition with diet and exercise or less risky behaviour. But, it's easier to take a pill. When that's the case, expect the pills to be expensive.
When you have to make it through a giant government beaurcracy, expect it to be even more expensive. |
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Posted: 7/26/2013 11:38:48 AM EDT
[#38]
Quote HistoryQuoted:
Its too late everyone now considers you FSA because its not something they have to deal with. Forget that you have been paying for it for 3 years or that the price increase was +825$ a month... Quote HistoryQuoted:
Quoted:
Quoted:
Yeah fuck those guys wanting to pay for all of that research. It has nothing to do with offsetting the cost of research. The cost was $75. That has been so for over 3 years. To charge $900 for the same drug is pure greed. Its too late everyone now considers you FSA because its not something they have to deal with. Forget that you have been paying for it for 3 years or that the price increase was +825$ a month... Or better yet, forget the COST to make it went up $825, and complain about stupid shit because you don't understand commodities. OP said they were having problems getting the ingredients. Ever heard of supply and demand? Basic economics, learn some. TXL |
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Posted: 7/26/2013 11:40:09 AM EDT
[#39]
BTW, I really like the way everyone is all suddenly a libertarian cowboy until it happens to them or their family and you experience it yourself.
I don't wish this disease my wife has on ANYONE...NOT EVEN MY WORST ENEMY nor anyone in GD but Lord or whatever sky god fairy princess you worship have mercy on you if you are effected and you don't have the right health insurance or setup. I don't like Obamacare not one bit and it fixed nothing. But in the end..I sincerely believe this really isn't right to be held hostage this way. 1500 a month is half of our combined salary including my take home base pay. |
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Posted: 7/26/2013 11:41:26 AM EDT
[#40]
What the pharmaceutical industry needs is more regulation... maybe price controls would work. They did wonders for gas prices under Carter.
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Posted: 7/26/2013 11:43:25 AM EDT
[#41]
FFS people, the answer was in his op
RIF TXL |
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Posted: 7/26/2013 11:44:12 AM EDT
[#42]
Quote HistoryQuoted:
But a doubt you will. He came here to rant, not to be fact checked about his very suspicious numbers. Quote HistoryQuoted:
Quoted:
The OP has to be confused. Other than the 400% price increase I noted earlier that took place in 2003, the largest one of late is 9.7% on a product that should go generic in the first quarter of next year. I'd love to hear more from the OP about this. But a doubt you will. He came here to rant, not to be fact checked about his very suspicious numbers. Yea aside from an insurance mistake I'm curious how the OP got this so wrong. Story never passed the smell test. |
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Posted: 7/26/2013 11:45:20 AM EDT
[#43]
Quote HistoryQuoted: Those costs were "recouped" years ago. A $75 drug (they set the price) didn't go up to $900 to recoup costs. Quote HistoryQuoted: Quoted: pharmacuetical (SP) manufacturers have a huge cost to recover. For all the meds that make it to market and earn them money, how many didnt? How many millions of dollars were spent on the pill that makes liberals glow blue, only to have FDA approval denied? they recoup those losses somehow. Those costs were "recouped" years ago. A $75 drug (they set the price) didn't go up to $900 to recoup costs. No but it may go up that high to cover the costs of materials and manufacturing.
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Posted: 7/26/2013 11:46:08 AM EDT
[#44]
Quote HistoryQuoted: For some reason, I'm finding it hard to give a fuck. Oh it's the 800% increase for a product people need. How many of those same drugs have sent people into a psychotic rage, thus meaning the drugs should be pulled?Quote HistoryQuoted: Quoted: pharmacuetical (SP) manufacturers have a huge cost to recover. For all the meds that make it to market and earn them money, how many didnt? How many millions of dollars were spent on the pill that makes liberals glow blue, only to have FDA approval denied? they recoup those losses somehow. For some reason, I'm finding it hard to give a fuck. Oh it's the 800% increase for a product people need. How many of those same drugs have sent people into a psychotic rage, thus meaning the drugs should be pulled?Huh? Adverse drug reactions can happen with any compound. They usually don't result in drugs being pulled from the market.
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Posted: 7/26/2013 11:47:01 AM EDT
[#45]
Quote HistoryQuoted:
No but it may go up that high to cover the costs of materials and manufacturing. Quote HistoryQuoted:
Quoted:
Quoted:
pharmacuetical (SP) manufacturers have a huge cost to recover. For all the meds that make it to market and earn them money, how many didnt? How many millions of dollars were spent on the pill that makes liberals glow blue, only to have FDA approval denied? they recoup those losses somehow. Those costs were "recouped" years ago. A $75 drug (they set the price) didn't go up to $900 to recoup costs. No but it may go up that high to cover the costs of materials and manufacturing. Economics. How does it work? |
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Posted: 7/26/2013 11:47:07 AM EDT
[#46]
Quote HistoryQuoted: Pharmacies don't usually charge different prices for the same drug. There is something else going on here. Quote HistoryQuoted: Quoted: I just got through calling different pharmacies to see what their prices are for the same drug. CVS Pharmacy only charges $103.00. Guess where I will be getting my prescriptions filled from now on? Pharmacies don't usually charge different prices for the same drug. There is something else going on here. That's not true. Now, a difference that massive is unheard of, however.
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Posted: 7/26/2013 11:47:30 AM EDT
[#47]
Quote HistoryQuoted:
A med I have been taking for 10 years at $13/month supply, just shot up to $90/month supply at my regular pharmacy. After shopping around, I have gotten some various different answers as to why. But basically my health insurance coverage decided to increase my co-pay $76 over night. This is one of the most common prescribed medications in the entire world, some would argue overprescribed. Its about greed. Not any of this free market bullshit some have proffered. LOL, anyone who thinks healthcare is anything bearing even a passing resemblance to a "free market" is high on something. Healthcare is not a free market, however, as in ANY market, free or not, prices are set at what the market will bear. You were taking a med that your insurance company subsidized the cost on, and then they decided to increase your share of the cost, as insurance companies trying to save money are wont to do. |
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Posted: 7/26/2013 11:47:33 AM EDT
[#48]
I love drug companies. They pay my employer who then pays me. So basically the drug companies bought my guns and stuff.
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Posted: 7/26/2013 11:49:26 AM EDT
[#49]
Quote HistoryQuoted:
$75 per month. Quote HistoryQuoted:
Quoted:
What is your life worth to you? $75 per month. So what is the name of that drug? |
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Posted: 7/26/2013 11:49:32 AM EDT
[#50]
Quote HistoryQuoted: Most drug companies have programs for people who cannot afford needed medication. A 1200% increase is probably not something they did by choice, since most people cannot afford to pay that, even for needed medication. I pay over $6000 a year in medication and assorted medical costs, and while its frustrating its not greed that drives up the costs, its pure economics. Some of them aren't even need based. My wife uses an acne medication that is not covered by our insurance. She got the first prescription free due to a manufacturer's coupon, but after that we were told it would be $498 a tube. I ordered some from Canada for $200 or so a tube, but then we found out that if your insurance doesn't cover it, the manufacturer will sell it to you for $20 a tube. No income qualifications.
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