I added an important PS to my post on why the price of insulin hasn't changed, despite new, more affordable insulin entrants.
(Short answer - because the PBMs - pharmacy-benefit management companies - that large national health-insurance plans contract with aren't under the same state and/or federal regulations as insurance companies themselves are, and thus aren't legally required to be as transparent with their profit margins - but we do know they depend on large rebates for their income, which vary according to contract, and therein lies the problem - high cost means bigger rebates and thus profit for PBMs, which they don't legally have to disclose ;)
Essentially, the update is, in addition to the Semglee dual option (discussed in that post), the more competitors in a market to bring the price down, the better - - so on May 24th, Blue Cross Blue Shield announced that they had partnered with Civica Pharmaceuticals to produce and distribute a more affordable insulin.
The idea is to bypass the middle-man rebate game played by their contracted PBMs and contract directly with the pharmaceutical company to produce and distribute a more affordable form of insulin themselves.
They will still keep their contract on other drugs because the sheer volume of pharmaceuticals is too much for an insurance company to handle alone, thus why they contract it out to a third party - but with insulin, they're taking the control back.
This is theoretical and a pilot-program experiment - we shall see if it works and the implications for the rest of the pharmaceutical industry when it comes to the cost of not only insulin, but other pharmaceuticals, the cost of which has reached maximum capacity for ability to pay, not only by their members, but for the insurance companies themselves.
Otherwise - it's been a weird week - and not just with the Uvalde shooting, an event which has hung on me all week.
In addition, I was hit with double-whammy fun of a UTI and tonsillitis at the exact same time (during which I continued to work, albeit a bit more slowly).
Just an FYI for anyone suffering from chronic UTIs, D-Mannose at 2,000 mg works as far as prevention, IF your recurrent infections are caused by E. coli - it worked for 9 months.
The problem came in mostly because I started tinkering around with the formulation and dosages.
So ... I can't take large capsules and pills, they will get stuck and sometimes induce vomiting - so I was opening up the capsule and pouring it in water, which I suspect began to give a bit of esophagitis, so I stopped it for three days to check.
The esophagitis did, in fact, improve, so I ordered the powder form of D-Mannose, thinking an actual formulated powder would be softer - the problem with that was not only was three days too long to go without D-mannose, but the powder made me vomit - forcefully and profusely. (In fact, I initially thought the sore throat was irritation from this, but nope.)
If you suffer from recurrent UTIs - *if caused from E. coli* - over-the-counter D-mannose, 2,000 mg a day, never missing a dose, should do the trick for prevention (although the humidity may also be playing a part in the return, after a nine-month "hiatus.")
I've since found a chewable, expected to arrive today, so we shall see ;)
Regardless, I was put on a heavy-duty antibiotic to hit both infections - and I'm on the mend.
I also received my first COVID test, which thankfully was negative - thank you, Pfizer!
(I'm fully vaccinated, including two boosters, from which I received no side effects at all besides energy level and initial heavier bleeding, though in menopause, but that didn't happen again with boosters).
Also, COVID tests aren't rough, like people say, at least for me - a flu test is worse, it stings!
Also, our horse was visited by several vets, who initially thought the jaw abscess might be cancer instead of a tooth abscess.
In fact, bone cancer was the favored potential diagnosis by the team of vets, at first, still waiting test results - until an ultrasound vet found an overlooked foreign object in the jaw yesterday, and disagreed that it was cancer, which was a huge relief to us.
And still, tests must be done to ensure that is the case.
Otherwise, I hope you all have a wonderful Memorial Day Weekend!
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