Access · Pricing · continued

Comparing prices across jurisdictions without misleading yourself posts 31–60

Access › Pricing compounding data table cost per milligram Solved Wiki

This is a continuation of a long topic, addressed by post number rather than by page. Start at post 1 · go to the accepted answer.

g.tanakaTL3Regular2 Jun 2026#31

t.wojcik, post #15: Adding the measurement that post #12 says would settle it. List prices versus negotiated prices: the price a pharmaceutical company publishes and the price an insurance company or pharmacy actually pays differ substantially. List price is not what anyone pays. That is what I would do. It may not be what is correct. Go to post

Narrowing post #30, because the general version has more than one answer.

The site carries no prices, no payment routes and no supplier links beyond the documented storefronts on vendor pages.

0 likes in reply to #15 2mo

m.mwangiTL23 Jun 2026#32

d.ndiaye, post #23: Biosimilars and future generics: as patents expire, biosimilar and generic versions might become available and prices might fall. That has already happened for some proteins; incretin agonist pricing might follow. I would hold that lightly until someone with a larger sample weighs in. Go to post

The cost of an independent submission is worth stating in these threads, because it is the main reason people do not do it.

Anyone who has looked at this more carefully, please correct the record.

3 likes in reply to #23 2mo

d.szymanskiTL3Wiki editor3 Jun 2026#33

Having read the whole comparing prices across jurisdictions thread before replying: the question in the first post has not actually been answered yet, and three of us have answered a nearby one instead.

16 likes 2mo

e.ndiayeTL23 Jun 2026#34

Post #32 and I disagree about the size of the effect, not about the direction.

An honest declaration on comparing prices across jurisdictions: I have a prior here and it is strong enough that you should weight what I say downward. Stating it rather than hiding it.

32 likes 2mo

KAnderssonTL3Regular3 Jun 2026#35

m.dumitru, post #21: On post #19 — agreed on the reasoning, with one qualification. Comparing prices across jurisdictions: I would want to see the raw numbers rather than the summary before agreeing. Summaries lose exactly the information that would settle this. Go to post

Nothing here is financial advice and none of it is a route to a transaction.

That is the version I use. It may not be the version that is correct.

0 likes in reply to #21 2mo

e.ferreiraTL3Regular4 Jun 2026#36

Trying to state the comparing prices across jurisdictions position in a way that someone who disagrees would recognise as fair, because I do not think the version in this thread passes that test.

1 like 2mo

HHidalgoTL2Member4 Jun 2026#37

This is the sort of exchange that makes the archive worth searching.

11 likes 2mo

st.dialloTL24 Jun 2026 · edited#38

Worth separating two things that post #36 runs together.

An update on my earlier comparing prices across jurisdictions post: the pattern held for another six weeks and then stopped, which I did not predict and cannot explain.

24 likes 2mo

lc_gradientTL3Analytical chemist4 Jun 2026#39

hana.sato, post #11: Fine by me. I had wanted a stronger conclusion and there is not one available. Go to post

Where somebody posts a comparison, the useful version states the date, the region and what was included.

That is one dataset and I would not build a rule on it.

3 likes in reply to #11 2mo

d.vukovicTL25 Jun 2026#40

Bookmarking this. I will come back when I have something worth adding.

10 likes 2mo

ra.mensaTL25 Jun 2026#41

e.pires, post #13: Post #12 is the version of this I will quote in future. One addition. I have no financial interest in anything named in this thread and I want to say so before I comment on comparing prices across jurisdictions, because it is the sort of subject where it matters. Go to post

Post #38 describes the usual case. This is about the unusual one.

On comparing prices across jurisdictions: the maintained page in the documentation commons covers the general case with citations and a review date, which is more reliable than any reply here including this one.

0 likes in reply to #13 2mo

cohort_watchTL25 Jun 2026#42

Collapsed as off-topic by two members at trust level 3 or above

I would put moderate confidence on the mainstream reading of comparing prices across jurisdictions and no more. That is not scepticism for its own sake; it is where the sourcing actually stops.

sa.okonkwoTL26 Jun 2026#43

The cost of an independent submission is worth stating in these threads, because it is the main reason people do not do it.

Noting that I have skin in this question and have tried to discount for it.

11 likes 2mo

j.delacroixTL3Regular6 Jun 2026#44

Answering the comparing prices across jurisdictions question as asked, then the question I think is meant. As asked: yes, with the qualification below. As meant: it depends on how the first measurement was taken.

4 likes 2mo

am.wikstromTL26 Jun 2026#45

m.yilmaz, post #19: Since comparing prices across jurisdictions keeps coming up, it should probably be a maintained page rather than a recurring thread. I am happy to draft it if someone with more direct experience will review it. Go to post

Worth separating comparing prices across jurisdictions as a question about the compound from comparing prices across jurisdictions as a question about the documentation. They get answered by different people and only one of them is answerable here.

0 likes in reply to #19 2mo

baseline_tableTL2Member6 Jun 2026 · edited#46

Adding a data point of agreement rather than a data point.

33 likes 2mo

a.coelhoTL27 Jun 2026#47

List prices versus negotiated prices: the price a pharmaceutical company publishes and the price an insurance company or pharmacy actually pays differ substantially. List price is not what anyone pays.

17 likes 2mo

d.magalhesTL2Member7 Jun 2026#48

g.tanaka, post #31: Narrowing post #30, because the general version has more than one answer. The site carries no prices, no payment routes and no supplier links beyond the documented storefronts on vendor pages. Go to post

Building on post #45 rather than restating it.

Small correction to my own earlier position on comparing prices across jurisdictions. I had the units the wrong way round, which changes the conclusion by an order of magnitude and therefore changes it entirely.

7 likes in reply to #31 2mo

a.villalobosTL27 Jun 2026#49

Collapsed as off-topic by two members at trust level 3 or above

Taking comparing prices across jurisdictions seriously for a moment rather than deflecting: the honest position is that the community has observations and no controlled comparison, and those two things support very different sentences.

taper_fileTL3Regular7 Jun 2026#50

j.delacroix, post #44: Answering the comparing prices across jurisdictions question as asked, then the question I think is meant. As asked: yes, with the qualification below. As meant: it depends on how the first measurement was taken. Go to post

This follows post #48 rather than contradicting it.

The most useful pricing posts here are the ones that show the arithmetic rather than the conclusion.

0 likes in reply to #44 2mo

b.wikstromTL27 Jun 2026#51

Narrowing post #48, because the general version has more than one answer.

Worth stating the null on comparing prices across jurisdictions before we explain it: the observation may be nothing. That possibility deserves a sentence and usually does not get one.

0 likes in reply to #23 2mo

buffer_sheetTL3Regular8 Jun 2026#52

Everything in post #50 holds. The case it does not cover is the one I have.

The arithmetic on comparing prices across jurisdictions is the easy part and it is where the errors are, which is an uncomfortable combination. Show your working and someone will catch it.

4 likes 2mo

i.wojcikTL28 Jun 2026#53

Seconded. It reads as careful rather than confident, which is the right register.

13 likes 2mo

bench_entryTL3Regular8 Jun 2026#54

Prices in old topics are historical records and are frequently wrong now. Every post here carries its date for that reason.

Genuinely open to being wrong about this one.

26 likes in reply to #13 2mo

s.salgadoTL28 Jun 2026#55

International pricing: the same compound costs very different amounts in different countries because healthcare systems and regulatory frameworks differ. Generally, US prices are higher than other developed nations.

That distinction has done more work for me than anything else in this category.

1 like 2mo

e.dalgleishTL3Regular9 Jun 2026#56

I read post #54 twice before replying, because I had assumed the opposite.

Offering a way to settle comparing prices across jurisdictions rather than another opinion about it. Two measurements, taken the same way, a fortnight apart. If the difference is within the noise, the question was not answerable at this precision.

7 likes 2mo

f.lindholmTL29 Jun 2026#57

Taking post #56 at face value and following it one step further.

The bit of comparing prices across jurisdictions that nobody enjoys is that the answer changes depending on what you are trying to decide with it. Say what the decision is and the thread will converge.

18 likes 2mo

integrator_logTL39 Jun 2026#58

Collapsed as off-topic by two members at trust level 3 or above

Pharmacy acquisition cost: a pharmacy pays less than the patient pays, even at insurance rates. That margin is where the pharmacy's costs and profit live.

n.kravchenkoTL29 Jun 2026#59

Something worth flagging about comparing prices across jurisdictions: the strongest-sounding claims in this thread are the ones with no source attached, which is the usual pattern and not a coincidence.

4 likes in reply to #15 2mo

slow_titratorTL2Regular10 Jun 2026#60

Useful. I have added it to my own notes with the date on it.

12 likes 2mo