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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

#231

Just an FYI. I measured the inside temp of my mailbox in August’s once and it was 150 degrees. You want to be careful getting medications in the mail.

This already a regular thing - see Medco/expressscripts who will mail you items.

Additionally Pill pack address this on their website for temp. Controlled teams being shipped in a temp controlled way door to door (see Omaha steaks as an example of ‘it’ll be fine)

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

#232
What about the environmental impact of the PillPack packaging strategy?

http://assets.coolhunting.com/coolhunting/mt_asset_cache/201...

(note: above image is of an already mostly empty PP box, they often come stuffed completely full)

https://cdn.vox-cdn.com/thumbor/Jz4Xw7Xs-Fxnige1c2qnDlez-c0=...

I used PillPack a few years ago, and appreciated the reliable auto-refill (in fact their behavior was borderline insanely aggressive, which was fine by me).

However, the volume of single-use plastic trash created by the way PillPack does packaging was downright excessive, and I felt so guilty about it I deactivated my account. It is less convenient now, but after going back to using typical mail-order and local B&M pharmacies in town the process results in approximately 10-20% of the amount of trash.

See the images linked above as examples of what comes with each shipment - it's a plastic case full of little plastic pouches. There is 1 plastic pouch per dose of medication, and the plastic pouches are wound tightly inside. The volume of single-use plastic adds up rather quickly with PillPack.

EDIT:

Why all the downvotes? "Internet points" are unimportant, but it is curious and unsettling to see information about wasteful high-pollution corporate practices deep-sixed.

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

#233
post #82

Earlier quoted context omitted.

That’s your opinion. I disagree. With the glasses they probably needed lots of filtering by hand. Costed them a lot of money. They were afraid of costly lawsuits. But they don’t have the capacity to do that with every product they sell.

If fake goggles had liability problems wait till they sell a fake medication. They’ll invest the resources to ensure that doesn’t happen. Amazon didn’t get big by being stupid.

Invest, or lobby for law changes to protect themselves.

Your point stands.

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

#234
post #82

Earlier quoted context omitted.

That’s your opinion. I disagree. With the glasses they probably needed lots of filtering by hand. Costed them a lot of money. They were afraid of costly lawsuits. But they don’t have the capacity to do that with every product they sell.

No, Amazon totally had the ability to separate glasses from different suppliers and keep them apart in the warehouse. The bogus ones could then have been isolated and recalled, but this is not what happened.

I'd say there are two differences between goggles and medication.

1) Goggles used the existing supply chain. Which, as noted, was designed around the idea that customers would rather have cheaper things from any vendor that things from a specific vendor. Presumably the greenfield / acquired med supply chain is engineered around different desires and regulations.

2) By the time the goggle issue came up, inventory was already in the system. With some presumably co-mingled. I'm just saying I wouldn't want to be the DB analyst who got tasked with untangling that.

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

#235

Earlier quoted context omitted.

Via climate controlled aircraft, distribution facilities, and relatively well ventilated delivery trucks? No step in the retail pharmacy supply chain involves routinely putting it in a small black box sitting out in the sun until you get home from work in the evening.

Perhaps in long term Amazon drones with climate controlled container could drop the medicine off.

Or they can just deliver it like they do now without issue.

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

#236
post #229

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 a very ill-informed opinion. The supply chain is very strictly regulated for pharmaceutical medications. Do you really think that Amazon can get their stock medications from just anyone? Do you think there is no oversight on this kind of thing? The DEA doesn't fuck around. They take all of this stuff very seriously. Commingling medications? Really? In a pharmacy, medications are NEVER allowed to be commingled…

That kind of "innovation" is just what I've come to expect from Amazon.

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

#237

Earlier quoted context omitted.

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…

To get what you want, you must first understand the perspective of others. Understand their motivations and incentives and then take the path of least resistance. Apparently pharmacists can be held personally liable for narcotic law violations. When you pay in cash instead of with an insurance claim you are not in the system. Not all cash payers are trouble, but a noticeably higher proportion of cash payers are trouble. The same goes for being a new patient/customer, saying you lost your bottle, or needing an early refill. Assholes who re-sell their methylphenidate are why DEA, docs, pharmacies, etc. are putting up barriers.

As you noted this can be hostile to the people who need to take their meds. You can get stuck in a vicious cycle where being in urgent need is interpreted as suspicious which leads to denials and lack of meds makes you more harried. It's worst for people who are physically dependent on their meds and will who go into withdrawl, pain, or become very unproductive.

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

#238

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…

I understand the fear, but I don't think fake medicine is as big of an issue as fake market place items. PillPack already has an established distribution network and prescription delivery licensing in 50 states. I don't know for certain, but I would assume that fake prescription medicine is a much bigger risk and would threaten the operation more than, say, fake batteries.

Shitty generics are a big problem and the FDA doesn't really care.

I reject specific manufacturers from my CVS and get trusted manufacturers all the time.

Hard to do these days though. Teva is killing off a bunch of generics, Puerto Rico still a mess, weird shortages of common meds, etc. Sometimes I spend an entire day going around the city trying to find the specific generic which I'm used to. And then only get partial fills, etc.

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

#239

Earlier quoted context omitted.

I understand the fear, but I don't think fake medicine is as big of an issue as fake market place items. PillPack already has an established distribution network and prescription delivery licensing in 50 states. I don't know for certain, but I would assume that fake prescription medicine is a much bigger risk and would threaten the operation more than, say, fake batteries.

It doesn't have to be fake to cause harm, at least for epilepsy. The filler in the pills can vary by manufacturer.

Yup. Insurance companies like to pretend all generics are the same, but they are not. Getting them to pay for the brand because all of a sudden your pharmacy switches generic brands is almost impossible.

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

#240
post #65

The cumulative loss to CVS's and Walgreens's market caps has been about $12b. If Amazon had wanted to, they likely could have made more from the destruction of value to those companies than they paid to buy PillPack. I wonder what other industries out there can be arbitraged like this. I bet Amazon could shave well over $10b of market cap off of BKNG if they made the right strategic investment.

IANAL but I suspect it is actually legal for Amazon to short CVS+Walgreen in this case: Don't "inside information" trading laws apply only to the specific company about which information is available?

Doesn't the person on the other end of the short sue Amazon for having insider information material to the value of CVS+Walgreens? Or if not "insider trading", then "market manipulation"?
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