The over complicated process of drug pricing

  • Black-box negotiation processes” between drugmakers, insurers and the middlemen who haggle behind closed doors over how much money changes hands are hidden from patients.
  • Drug companies set the list price of drugs at insanely high levels solely to ensure the highest possible payment by insurers once all the haggling is complete.
  • There are markups along the supply chain by wholesalers and retailers, which want as big a piece of the profits.

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