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Jonathan Adly's avatar

Ok - hear this out.

1. Automate the requesting of the MAC list on a weekly basis.

2. Automate the response back from excel --> a database.

3. layer an API on top of that, where it will automatically give you NADAC (proxy-acquisition) and slightly-outdated MAC (proxy-reimbursement). BOOM! transparency without asking anybody for permission or to be nice to you.

Put drug in, get a reasonable estimate out.

I feel that both the big wholesalers (they should use universally-compatible APIs) and PBM make it hard to price-discover intentionally and they will fight really hard to keep it this way.

(0.832 catalog files and other exotic files formats are really annoying to work with, that's why non-pharmacy wholesalers don't want to touch them. Everyone uses and likes APIs)

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Joe Smith's avatar

Side note: it's worth noting that *prescribers* can access pricing through real-time benefit tools (RTBTs, also called real time pharmacy benefit check tools).

So prescribers have more insight into a pharmacy's pricing than the pharmacy itself does.

Plus, this pricing reflects what phase of the deductible the patient is in.

Why not let pharmacies access RTBTs?

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