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Tuesday, 28 August 2018

Want to Save a Billion Dollars? Go to Google to lern what these drugs do for you. August 28, 2018

        I used to post many times and long time ago that to take combo medicine is not good idea. I never take it. At first it is difficult to find out which medicine works and which one does not. Second, it is difficult to find right dose of it in combo medicine. And lastly what really medicine combined for? If it is the different medicine for the same condition then why do not increase dose of medicine in stead to combine it with another medicine the same family?  If medicine is fior different medical conditions then why treat two different medical conditions with the same medicine? Really I do not trust in combo. What I did not look at is the price. I was wrong. It is better to take a look at.
The math seems fuzzy in this article...generic diovan hct is less than 50 cents a pill...generic Percocet is less than 30 cents a pill not over 14 a pill...using brand name prices instead of the prices of the generic equivalent makes no sense...so no, not using combos will not save Medicare a billion dollars if you use the actual generic prices that are being paid...why was this article even written...
       This is comment of one of the reader of this disclose.  So, if I take two different drugs, and one is generic and another is brand then what do I have to pay? Co-pay. This co-pay is the same as it is combo medicine or it is single medicine. The co-pay is the same, regardless of dose. Great discovery for me.Another reason to not take combo medicine.
If I prescribe oxycodone and acetaminophen, CMS pays 38 cents per dose. If I prescribe Percocet, CMS pays $14.23 per dose—a 37-fold increase. You may, of course, ask why Medicare agrees to such exorbitant prices for these combo pills, but that, my friends, is a topic for another time.
Acetaminophen  (Tylenol) is an analgesic used to temporarily relieve minor aches and pains.  We all take this medicine time to time in our lives.
Oxycodone, sold under brand names such as Percocet and OxyContin among many others, is an opioid medication which is used for the relief of moderate to severe pain. 
If MD Rx opioid medication for me then more likely I will say? No, I do not take this medicine. I prefer Tylenol or Excedrin. it works for me all the time. No addiction. No withdrawal effect. Did MD notified patient what medicine he Rx? Not at all. We all take what MD Rx, till we get well educated and stop to trust in MD without reason. Trust must be learned. It never happened in first visit.
 If we took all of our patients on Diovan-HCT and switched them to valsartan and hydrochlorothiazide, we could give them each $1750 a year in cash and still come out even. That might be worth a bit of inconvenience, right?
         Diovan (Valsartan) is used to treat high blood pressure, congestive heart failure, and to reduce death for people with left ventricular dysfunction after having had a heart attack. Diovan is brand name. This is why many health care plans do not pay for. Also as I said, I will pay co-pay for diovan and have diuretic I do not need, and pay for it. There are many generic diuretics, no pay for patients at all. How really I am going to safe my money?
        This medication is used to treat high blood pressureHydrochlorothiazide belongs to a class of drugs known as diuretics/"water pills." It works by causing you to make more urine. This helps your body get rid of extra salt and water. 
How does this problem get fixed? Three solutions. First, Medicare can put its foot down and stop paying for combination pills. Second, the FDA can stop granting market exclusivity for combination pills when the constituents are not novel agents.
I do have a few questions to author to ask.
        First, if medicare will stop to pay for combo medicine then how you are going to convince patients to get drug addicts? Without opioids on Rx no one adult will get addicted. We take medicine to get rid of pain, not like recreational. Are you sure this will work as you suggest? Not at all. Ask your daddy.
       Second, how you are going to cheat patients when you Rx wrong medicine and this medicine does not work? Usually MD Rx one medicine. Then because of this medicine does not work, MD rx another medicine the same family, and it is also does not work. And then there is some combo medicine come to surface. There is some benefits, and patient cheated. It looks like this medicine is good. It is not, but patient takes it.
           One example of it, all combo with Metformin. try to stop to Rx Metformin. It is danger medicine, and all diabetics type 2 have to take it. Two times this medicine was taken off market. It is returned under different name. Now one time after another there is Black Box in lable. And one time after another Black Box taken Off. So, to avoid so many evidence that Metformin is danger for diabetics type 2, now it  is in combo medicine. Try to take it off. LOL  Ask your daddy before!!!!!!!!!!!!!!!!!!!!!


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