Many employers will pay a gross price of $300 for a 30 day supply of prescription Nexium when the same dose of Nexium can be purchased Over The Counter (OTC) for $25.


There exist material discrepancies between what two employers will pay for the same drug. For example, one employer might pay $15 for a 30 day supply of Atorvastatin 20mg, while another employer of equal size will pay $100 for the exact same prescription. 

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Horizon Pharma markets Duexis at a gross price of $1,000 for a 30 day script. Duexis is a combination of Pepcid and Advil which can be purchased for $25 at a local drug store. Horizon hands out copay coupons to physicians and patients to incentivize the use of Duexis. 

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