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Re: Bolio98 post# 349292

Wednesday, 08/04/2021 5:59:30 PM

Wednesday, August 04, 2021 5:59:30 PM

Post# of 425837
2) demands something HN cannot provide in all cases - most Part D plans have 5 tiers, with 1 = preferred generic, 2 = no preferred generic, and 3 = preferred brand - it's literally impossible to have a brand and a generic on the same tier. There's also still the issue of what do you do with states that require generics regardless of skinny labels - doesn't directly involve HN, but CA also has a law that if a generic exists nobody can use a discount coupon - not just Part D patients, commercial patients are barred from using them too - that law also does not account for skinny labels, maybe because there's never been a situation like this that politicians could foresee, an old drug given a new indication that accounts for 90% of sales - they are not doing their constituents any favors barring V coupons in CA.

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