Sinemet Prices and Sinemet Coupons - GoodRx

it was less than $20.00 for 90 of the 25/250, for some reason it doesn't cost much more than the 25/100. the actual cost is ridiculously cheap until recently and i was told prices have gone up. i'm lucky that one of my former independent pharmacy customers is still in business and will give me better service because i did so many things for him for free, i installed/wrote the software/and supported over 70 pharmacy customers at one time, just by myself, and had many of the major hospitals as customers. i had to tell my customers i had pd but very few changed to a new system and none because i had pd, noone likes to change computer systems and staying with me was the lesser of 2 evils. about 10 years after diagnosis i had to call it quits, i couldn't in good conscience continue to charge my customers, some i had for over 20 years, to maintain their systems when i couldn't guarantee i could continue to support their systems at least a year into the future, and there was a major software change coming due in how pharmacies bill insurance companies which i just couldn't guarantee i could actually finish the software in time and be certified by dozens of insurance companies, each one having a different certification process and each one giving you a short window of time to test in. My customers would have paid me a lot to keep supporting them, to hire help but i felt that might not have worked, allowing someone to work on a pharmacy's computer requires a lot of trust and if i hired the wrong person and the stole information that would be bad and my customers needed to bite the bullet and get new systems from a large vendor which had lots of features i would have to develop from scratch such as optically storing rx's, signatures, linking drug pictures to rx's, automatic refilling over the internet, blah blah blah. anyway, i still have dreams that i missed the deadline and none of my pharmacy customers could bill their insurance companies and i was in big trouble. a pharmacy has 2 weeks to bill a rx, after that they eat the cost so when that problem occurs alarms go off. nothing worse than having to dispense rx's and hope your software vendor will figure out the billing problem within 2 weeks while you are withholding billing $1000's in RX'S everyday. it's great that all pharmacies use the same billing format but it's quite complicated, there are over 1000 different pieces of data that the insurance company can require your software to send and receive, some in any order so each piece of data is preceded by a unique identifier, and with some data elements you can repeat them many times such as disease codes, allergies, basically when your pharmacy sends a claim to your insurance company, it likely goes to a pharmacy benefits manager's computer, which checks if your rx if covered, not filled too soon at any pharmacy, if there is a drug interaction, a medical condition interaction, an allergy interaction, within acceptable dose ranges for your sex/age, makes even more checks and then the response is sent back to the pharmacy, either accepted or rejected and the reasons why and how much the pharmacy will be paid. the screwiest thing about this system is the pharmacy has to send their true cost in the claim and if it's higher than what the claims manager thinks it should be the claims manager will cut the price to what they will allow. the pharmacy can refuse to fill the rx if the reimbursement is too low. but what can happen is the pharmacy might have entered the wrong cost when they setup the drug and be way low, say $10 when it should be $1000 and the benefits manager will reimburse them $10 + dispensing fee,no questions asked, even though the claims manager knows the hi/low costs for this drug. easy to lose money filling rx's if your're a small pharmay. the pharmacist might not see this error until he gets the remittence from the insurance company listing the payment info on their rx's. so to avoid this potential problem, there are companies that will check the numbers on the claim before it goes to the claim processor and won't send it on to the processor if it finds errors. just adds to healthcare costs. and it takes less than 3 seconds to transmit and receive the response back from the claims processor. so to make a long story short, i'm good friends with this pharmacy's owner but i'm sure you can price shop around and find one that won't gauge you. start with GOOD RX.