> the manufacturer’s “average sales price” means ... sales to all purchasers ... in the United States ... divided by the total number of such units
So it looks like the ASP is fixed to the shit price that results from fragmented bargaining by US companies. A 23% discount on a 100% markup = drug companies laughing all the way to the bank.
As for Medicaid, I'm not familiar enough to answer. Do they get decent prices or is there similar corruption at play?
The top 3 insurers (who negotiate these prices) in the US cover nearly 100 M people. Medicare gets those discounts included as well.
As for Medicaid, it often pays the lowest price of all purchasers in the US. For many doctors, Medicaid reimburses them so little, they lose money on drugs. That's why many doctors don't want to take Medicaid patients.
Medicaid does get decent prices, but providers may refuse to accept Medicaid. So some people have no access to affordable care, despite having Medicaid, because none of the providers within a reasonable distance accept Medicaid.
> the manufacturer’s “average sales price” means ... sales to all purchasers ... in the United States ... divided by the total number of such units
So it looks like the ASP is fixed to the shit price that results from fragmented bargaining by US companies. A 23% discount on a 100% markup = drug companies laughing all the way to the bank.
As for Medicaid, I'm not familiar enough to answer. Do they get decent prices or is there similar corruption at play?