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Amazon buys PillPack, an online pharmacy, for just under $1B

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Re: Amazon buys PillPack, an online pharmacy, for just under $1B

#131
post #110
post #81

I interviewed at Pillpack years ago and was very impressed but didn't get the gig. They seemed to be solving a great problem for customers using multiple medicines. I am not sure the solution works well for the millions of us taking one pill every night, e.g the "pillpack" is wasteful. It also doesn't address this really annoying problem I have getting my daughter's ADD meds. These require a paper prescription that m…

> for the millions of us taking one pill every night, e.g the "pillpack" is wasteful. Does the pillpack have a separate pack for each day with the date clearly labeled? If so I feel that would help a lot with adherence, which in my opinion is a serious problem

It does. The only problem is getting more granular - if you have a medication that is administered throughout a day, you'll have to handle that yourself.

Re: Amazon buys PillPack, an online pharmacy, for just under $1B

#132
post #80

Earlier quoted context omitted.

Even if you're buying directly from Amazon, or does this only apply to marketplace sellers?

The problem is that inventory from different sellers is commingled unless the seller pays extra. So Amazon's controllers are in the same bin as the ones from Real Good Fakes Inc. Even if you buy from Amazon the actual product you get might have been supplied by Real Good Fakes.

Source?

That doesn't make sense. They would then need to make sure "Real Good Fakes" products are cheaper than what they send... At anytime "Real Good Fakes" can ask for his stuff back and that has to be "Real Good Fakes" stuff or there may be a big problem (used vs refurbished vs new).

They automate everything, there's no way there's no barcode for this kind of thing.

Re: Amazon buys PillPack, an online pharmacy, for just under $1B

#133
post #79

This is interesting because Amazon isn't exactly known for supply chain integrity. Who here hasn't received fakes from Amazon? If you rely on a specific medication for your health, is Amazon a brand you trust to deliver it? How long until they start commingling pills and shipping random counterfeit/fake product to users? Hope it never happens but if they do with pharmaceuticals what they did with everything else they…

> This is interesting because Amazon isn't exactly known for supply chain integrity. The supply chain integrity problems were allowed by Amazon because it benefited their bottom line. If they wanted it perfect, they could have made it perfect. Remember when the eclipse was happening and they actually did a pretty good job of removing all glasses which weren't safe? They know where integrity counts, and I think when i…

> Remember when the eclipse was happening and they actually did a pretty good job of removing all glasses which weren't safe?

Only after people let them know they were not safe and not within a reasonable timeframe for people to order replacements.

Re: Amazon buys PillPack, an online pharmacy, for just under $1B

#134
post #29

Meanwhile, CVS + Walgreens lost $6B in market cap on the news Amazon is moving directly into pharmacy space. It's crazy how competitive Wall Street views Amazon moving into a market; have there been examples of Amazon making a large purchase/move but completely failing? (sure there are, just not coming me off the top of my head)

No different than when Garmin's stock collapsed when Google announced free Maps/Navigation [1][2]. It's just the market reacting to supply and demand. [1] http://www.macnn.com/articles/09/10/28/google.maps.helps.gps... [2] http://www.businessinsider.com/googles-free-gps-service-crus...

And caused a sea change for the industry and Garmin's business model.

Garmin's automotive segment revenue has dropped from $2.5-billion in 2008, to $700-million in 2017. [1]

They've been able to largely make up for it with revenue from other sources, [2] (mostly outdoor/fitness) [3], but I'm sure that shift and innovation was driven by the event you mentioned.

[1]https://www.statista.com/statistics/217901/net-sales-in-the-...

[2]https://www.statista.com/statistics/217907/net-sales-of-garm...

[3] https://www.statista.com/statistics/217905/revenue-distribut...

Re: Amazon buys PillPack, an online pharmacy, for just under $1B

#135
post #83

Earlier quoted context omitted.

At a previous employer, I attended a briefing for our health insurance switching to a mail order pharmacy. Granted this was years ago but the amount of confusion and frustration around the signup process, scheduling, skepticism about delivery times/reliability, etc were numerous. To me, it couldn't have been an easier process. For some people (especially retirees), going to the local pharmacy is part of a regular rou…

I don’t get many prescriptions so when my doc writes one I don’t care who fills it. She couldn’t send it to a random mail order pharmacy, I had to pick one. I think there’s a big opportunity for insurers to pick a default mail pharmacy that customers out of. So depending on your insurer, the EMR automatically files with a pharmacy you don’t care about and mails it to you within 24 hours.

Insurers already do that and also limit how many prescriptions they will cover outside of mail order delivery.

Re: Amazon buys PillPack, an online pharmacy, for just under $1B

#136

Earlier quoted context omitted.

I'm curious if you know why the ADD meds must be hand-delivered when government is actively incentivising e-prescribing among providers?

Controlled substance and cannot be prescribed more than 1mo supply at a time.

I get a prescription for a 3 month supply of Vyvanse (amphetamine), 90 pills.

The real pain is in the pharmacies who love to power trip. The CVS near me got a new pharmacist who decided she didn't want to fill my prescription because I wanted to pay in cash (no insurance at the time). Didn't even offer to call up my doctor's office to confirm. Just a hard no and goodbye. Made me feel awful, like I was trying to cheat the system or something by paying the ridiculous retail price of $850 for a drug that cost me $20 when I had insurance.

Had to go across the road to Walgreens who never let me down.

What a hilariously stupid system we have making everyone feel like a criminal. I get anxiety all day when it's time to refill. A drug I've been taking for 10 years.

Re: Amazon buys PillPack, an online pharmacy, for just under $1B

#137

Earlier quoted context omitted.

Just as a data point, I don't believe I've gotten a fake from Amazon.

This is not a useful data point, because there is a much larger set that this doesn't meaningfully contribute to.

Hacker news comments are hardly a random sample, and yet here we are.

Re: Amazon buys PillPack, an online pharmacy, for just under $1B

#138

This is interesting because Amazon isn't exactly known for supply chain integrity. Who here hasn't received fakes from Amazon? If you rely on a specific medication for your health, is Amazon a brand you trust to deliver it? How long until they start commingling pills and shipping random counterfeit/fake product to users? Hope it never happens but if they do with pharmaceuticals what they did with everything else they…

The integrity of the pharmaceutical supply chain is controlled by a specific federal law, Title II of the Drug Quality and Security Act of 2013, also known as the Drug Supply Chain Security Act.

The potential liability they would be exposing themselves to if Amazon treated their drug supply chain the way they treat standard 'Fulfilled by Amazon' products would hopefully prevent something like that from ever happening.

Re: Amazon buys PillPack, an online pharmacy, for just under $1B

#139
post #132
post #80

Earlier quoted context omitted.

The problem is that inventory from different sellers is commingled unless the seller pays extra. So Amazon's controllers are in the same bin as the ones from Real Good Fakes Inc. Even if you buy from Amazon the actual product you get might have been supplied by Real Good Fakes.

Source? That doesn't make sense. They would then need to make sure "Real Good Fakes" products are cheaper than what they send... At anytime "Real Good Fakes" can ask for his stuff back and that has to be "Real Good Fakes" stuff or there may be a big problem (used vs refurbished vs new). They automate everything, there's no way there's no barcode for this kind of thing.

>At anytime "Real Good Fakes" can ask for his stuff back and that has to be "Real Good Fakes" stuff

no, they can't, and it doesn't have to be. that's how the FBA program works - when you send your stuff to amazon, they store it in their warehouse on the understanding that it's identical to any other example of the product it is listed as. You can't then turn around and say "i want all the ones i shipped you back", because you've told amazon that the products are interchangeable.

Re: Amazon buys PillPack, an online pharmacy, for just under $1B

#140

Earlier quoted context omitted.

How has this not been a thing since Reaganomics became standard policy for the last 6 administrations?

I think he is specifically calling out the "tweeting" portion. IE, yes, companies have been lobbying to block their competitors for a while, but it's a fairly recent trend that all you have to do now is tell Trump he's the best and he will put out a twitter hit campaign against your competitors

Oh, My misunderstanding, then =). Fair enough I guess. I guess access to the President is cheaper now, through technology. Yay?
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