I use an oncology infusion center connected to a hospital.

The debate about the cost also has to take into account that some people's Tysabri is covered under their prescription plan. Some people have it covered under major medical with the infusion center supplying the drug. Some physicians supply the drug.

The cost of the drug when it is associated with a middleman is a doubling in cost. There are only so many pharmacies that you or the infusion center can order Tysabri from. So when the insurance prescription plan orders from the supplier, they pass some cost on to your plan. When the infusion center orders through THEIR supplier who orders through the central pharmacy that is TWO adds to the cost. They pass that cost on to you or your insurance plan. If the doctor orders the drug through his supplier who orders it through their supplier who orders it through the central pharmacy, and supplies it to the infusion center...

argh...