ACORN Clean Out of Kool Cigarettes, Dems Now Desperate for Legit Votes
WICK CITY, MN
ACORN has announced it has run out of Kool cigarettes and now may be forced to discontinue the "Cigarettes for Votes" program launched by Obama democrats last summer.
Many multiple-vote casters are enraged and claim the government, more specifically former president George W. Bush, has conspired to stop Kool cigarette shipments from reaching the ACORN offices.
"I'm finished casting votes for them," said Derek Rosevale, a local homeless man who took advantage of the ACORN free cigarettes program. "If I don't get my squares [cigarettes], I quit."
Rosevale told the Peel he cast over 112 votes for Mr. Obama in November in exchange for 112 cigarettes, or a little over five packs. "I vote Democrat!" screamed Rosevale, "..they really care about us little people, unlike Bush and his cronies."
Jonah Leshnay - the Peel
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Etoricoxib generic price is $13.50 per day for all patients or $50,000 (two treatment visits) when all conditions are met. For example, the cost includes $1,000 for anesthesia under general anesthesia. The same generic drug is available in the United States, but at a much higher price, often $250 or more per pill (1). The most likely reason that generic drug in Europe costs more is that the pharmaceutical industry not allowed to offer any marketing compensation health care system suppliers.
In the United States, some state insurance and pharmaceutical industries have instituted price discounts for consumers of generics use in the United States (see www.pharmacycompare.com ) and in other countries (2). Such discounts may occur when generic versions of a particular pharmaceutical product for use in other countries are not available for the same or similar prices in the country from which they
Perinorm 2ml injection price were purchased. The following list summarizes a few of these programs with more being developed. While these programs are not a panacea for all of pharmaceutical prices, they may help consumers with their pharmaceutical purchase decisions.
Comprehensive drug pricing guidelines for patients in the United States recommend that physicians do not generic drugs without a good reason (3). Some physician practices use their pharmacy benefit manager (PBMs) to negotiate discounts with generic manufacturers, including negotiating price discounts for drug dispensing using a generic discount card offered under the Medicare Part D program (1). In general the negotiated prices are much more favorable than prices advertised by manufacturers for the same treatment as a generic is sold at (3). The cost to PBMs is approximately half of the price a drug marketed as generic (3). The price reductions offered through negotiating with manufacturers have resulted in generic prices less than 25% of the cost in United States (5), and even less than 15% in some cases (1,6). Although such negotiated pricing can be effective both ways, it is likely that most generic companies would rather see their product made available in the United States than any other country so that they can recoup their costs (3).
The Pharmacy Benefit Manager (PBM) model is one method of managing generic drug prices. Under this
Betamethasone dipropionate & salicylic acid ointment model, health care providers use the PBMs to negotiate with generic manufacturers through a "multi-tier" negotiating process (7). The model has been described in depth by the Institute of Medicine's Health Services Innovation Initiative (HSII, www.hshei.org ). The objective of model is to encourage lower prices for the generic companies, and it has a high success rate in negotiating the lowest prices over time on behalf of the health care system, according to a
Griseo creme prix maroc recent study (8,9). The model relies on an insurance company to provide administrative support the PBMs, who negotiate with multiple generic products manufacturers. The costs of administrative support are shared among all insurance providers (10).
In addition to providing administrative help the PBMs, HHS Secretary may offer a price discount to the PBMs for purchase of drugs from the generic manufacturers. This price discount is called the payment, which based on actual savings to the PBMs after adjusting for generic drug competition, as determined from the HHS Secretary's formula. cost for implementing the price discount payment and rate are shared between all PBMs participating in price discounts through the HHS discount program (HPSP), which is funded by the HHS Drug Rebate Program in the form of a per diem payment to PBMs (11,12). The discount paid by PBMs is the lowest negotiated price that PBMs receive through discount negotiation, or the lowest price HHS Secretary determines to apply the same product. HHS Secretary also may provide some general administrative support to PBMs for discount negotiations.
The primary way in which manufacturer price discounts are calculated for the United States is by using a formula called the National Generic Price Estimate (NNPI). In general, the NNPI represents average price that manufacturers negotiate with in response to the PBMs for each price-responsive medication. Therefore, this formula does not take into account the pricing behavior of different products. In general, the formula indicates that any generic product sold for $250 per dose (for example, a generic of amoxicillin for 10-day course therapy a patient with severe case of upper respiratory tract infection) would be priced about $30 cheaper than a generic product sold under the same brand name for $100 per 12-dose package. Thus, the formula does not take price-to-performance into consideration (13,14).
The NNPI is calculated for each specific generic and includes pricing for each pharmacy that dispenses the medication (15). formula also incorporates costs of marketing, generic drug manufacturing and retail sales marketing for a variety of generic products (13). As December 2010 the NNPI for one generic product was $24, while prices for generic.
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