18 points
I take Xolair, which is billed at about $5k for four syringes. Insurance pays $4875 and the Xolair copay program, run by the manufacturer, pays $125. Why are they so willing to pick up the copay? Before four syringes of Xolair cost about $60 in total to produce.
7 points
*
Because the insurance company already paid them way more than it’s really worth. And if the insurance company has agreed to pay that much, it’s because they’re making more than enough profit off their “service” to everyone that they can afford to pay it.
If your medicine used to cost $60 and now costs $5000 thst’s because the insurance company knows they can get that money from its customers.