[jjmorrison]

This is completely incorrect and fundamentally misunderstands the drug supply chain. The price cost plus lists as typical are just made up. The price they have is just a markup on top of the acquisition price that every pharmacy gets. And the savings the claim are often comparing brand prices to generic prices. First, the consumer view of a brand price is not the same as the 'net price' paid by medicare (there are 20% to even 90% discounts handed by pharma to medicare directly). And second, brands are only dispensed when argued for by the prescriber.

The waste and high prices in the system is generated by pbms taking massive discounts from pharma (of which they keep a %) for brand drugs that shouldnt be covered or often even sold.

Cost plus pharmacy is vaporware - they are a website which applies a flat markup on top of third party pharmacies that will ship you the med. There are no special discounts, they literally aren't doing anything.