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Message: <blockquote data-quote="karrma" data-source="post: 67942" data-attributes="member: 1980">Hi Dr. Who,I don't know how you cut and pasted my stuff to ask the questions, will address a couple other now.  A doctor has absolutely no negotiating power over a pharmaceutical company on their costs, other than to write a prescription or not.  When there is competition, generics, we can tell them that we are prescribing their competitors medication.  Pharmaceutical companies have something called a patent, and they set the market price.  Letting patients buy quality medications in Canada or overseas would be a good way to lower the costs of prescriptions, as the foreign countries have negotiated a better price, as does our Federal government program.  Insurance companies currently negotiate the price with pharmaceutical companies for their own insured.If you have a plan that doesn't pay the prescription, you either pay it or don't.</blockquote>