Association of ameritech/sbc retirees® blue bulletin
AT&T Ameritech /SBC Retirees - We are AASBCR® Blue Bulletin Vol.7 No.4 February 28, 2012 Proudly working on behalf of retirees of the Bell System and successor companies of the Lipitor, a prescription for controlling cholesterol Part II This is part II of the Lipitor vs. generic Atorvastatin bulletin (see the AASBCR® Blue Bulletin dated 2-22-2012). As reported in Reuters… "As cholesterol fighter Lipitor went generic, its maker Pfizer Inc hopes to hold onto perhaps a third of the 3 million Americans who take the biggest-selling drug of all time. Lipitor lost its' U.S. patent protection on Wednesday, November 30, 2011. Pfizer is employing unprecedented tactics to hold onto as many Lipitor prescriptions as it can during the first six months of generic competition. Pfizer said it reached deals with some health insurers and pharmacy benefit managers (PBMs) -- firms that negotiate drug prices for companies and health plans -- that will allow patients to obtain branded Lipitor at similar or even lower co-payments than those assigned for Lipitor generics. The arrangements also mean health insurers working with Pfizer will pay no more for branded Lipitor than for the generics." The AT&T Vice President of Benefits replied: “I started to respond in writing here, but I don’t think that’s the best strategy. The issue is just too complex to describe in writing. So I’m going to ask you to contact one of my managers who has responsibility for Pharmacy at AT&T, and she is best positioned to go through this and answer your questions." The Human Resources representative informed the AASBCR® Benefit Director. "CVS Caremark does not set the prices. The pharmaceutical manufacturer, in this case Pfizer sets prices. Pfizer has done some unusual things to try to keep their market share. They are offering coupons and rebates to artificially keep the price of Lipitor lower than that of the generic Atorvastatin. AT&T is passing the rebates that Pfizer is offering 100% to the participants of the AT&T plans. If AT&T pulled the Pfizer/Lipitor rebate now being passed to the participants and AT&T kept it instead, we would not be having this discussion. The Lipitor price would definitely be higher than that of the generic, Atorvastatin.
The contract between AT&T and CVS Caremark is programmed on the entire plan, not only on one drug. 99% of generics are lower in price, Lipitor is an anomaly. Since the generic came on the market on November 30, there should be a price adjustment after the six months when the FDA allows this version of Atorvastatin to be the exclusive generic for Lipitor. When a mail order prescription comes to CVS Caremark, it is first reviewed by a front room pharmacist. He/she looks at the clinical makeup of the prescription, does it work with what else the participant is taking, then checks if it follows the AT&T plan. That plan calls for replacing branded drugs with their generic equivalent. In the case where there is a generic, that pharmacist will reach out to the doctor and attempt to change the branded prescription to generic. That pharmacist does not know the pricing. That pharmacist is administering AT&T's plan." Since you now know that CVS Caremark is not checking pricing, be an informed healthcare consumer. The burden is on you to check the price of any prescription that you have filled. As to Lipitor, if Pfizer offers yet more rebates or coupons, that may keep the Lipitor pricing down even longer. Until the artificially lower price of Lipitor ceases, call or check the CVS Caremark website before ordering. Keep in mind where you are, personally, with your yearly deductible as that affects the cost from CVS Caremark. Remember that, after we meet the yearly deductible, generic drugs cost the retiree less than branded. If the Lipitor is less money for you on your individual plan, ask your doctor to mark your file to not agree to change your Lipitor prescription to Atorvastatin until this situation changes. Also, please be aware that drugs are commodities. Just like milk or beef, the prices change, sometimes daily. Until your prescription is either shipped to you from CVS Caremark or rung up at the CVS retail store, the price can and sometimes does change from the time that you order it. AASBCR® is always working to make the benefit plan that you have work best for you.
De menstruatiecyclus van een vrouw duurt 25 tot 35 dagen. De eerste dag van de cyclus is de dag waarop de menstruatie begint. Op de helft van de cyclus vindt de eisprong plaats (ovulatie), onder invloed van het vrouwelijke geslachtshormoon oestrogeen. Hierna zorgt het hormoon progesteron ervoor dat het slijmvlies aan de binnenkant van de baarmoeder (het endometrium) elke dag iets dikker wordt: de
Italy Packing Tips: You’ve heard it a million times; now you’ll hear it once again— pack light. You don’t need a steamer trunk and we are not going to a third-world country. Allow room for purchases. You are your own porter, so get a soft-sided 20-22” bag with wheels and a pull-up handle and one school-size backpack. No more. Airlines have a strict 50 pound limit on each suitcase, s