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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

#261

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)

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

#262
post #178

Large parts of PillPack were being mismanaged into the ground, I trust Amazon can fix them but at the same time my first reaction to the news was to text my non-programmer-or-management friends there about when they’re quitting. If Amazon’s warehouses or Whole Foods are any indication of how they’ll approach the unavoidable human work involved at a pharmacy, I have serious doubts about the quality of service. And pil…

What unavoidable human work at pharmacy? Authenticate patients and ship them prescriptions. Even CVS is doing it now.

GP is likely referring to the requirement for humans to count and verify the packs of pills. FDA rules don't allow all of that to be automated away.

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

#263

I used a mail order prescription service for a while (ExpressScripts). It was awful. They routinely lost, failed to ship, or double-shipped packages, and I got multiple bottles of pills that had expired due to being left in the heat. I, personally, will never trust mail order prescriptions again.

Curious - how do you know said drugs had 'expired'?

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

#264
post #23

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)

CVS is down 8% right now, Walgreens is down 9%, and Rite Aid is down 10%. Investors are very nervous right now.

I made a small bet earlier in the year thinking AMZN would buy Rite Aid. ah well.

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

#265
post #246

Earlier quoted context omitted.

From a consumer adoption standpoint, the only thing standing in Amazon Register's way was a lack of marketing. As a merchant, it was amazing. They offered promotional rate of 1.75%, which is basically impossible to beat for any small business. For context, Square and most "simple pay per swipe" merchant service providers charge 2.75%. If you go out and get a really good deal from a intrchange+ provider, you might be…

My credit card cash back is 2.00%, your 1.75% promotional rate was losing them money.

There were quite a few people taking advantage of this promotional rate. It was a fun time.

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

#266
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…

What always seemed odd to me in such a wasteful society as the US: counting pills. Really? In many countries you get blisters. No counting. I suspect in some European countries it would actually be illegal to do this.

The disadvantage is that there are some leftover pills most of the time. E.g. you need 30 pills and there are only units of 20 available.

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

#267

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'd be more worried about the quality of generic formulations.

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

#268
post #229

Earlier quoted context omitted.

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…

What always seemed odd to me in such a wasteful society as the US: counting pills. Really? In many countries you get blisters. No counting. I suspect in some European countries it would actually be illegal to do this. The disadvantage is that there are some leftover pills most of the time. E.g. you need 30 pills and there are only units of 20 available.

In New Zealand, I sometimes receive prescription medication in a generic box full of blister packs, where the last blister pack has been cut down to match the prescribed number of doses. Occasionally I'll get a couple of cut down sheets, presumably using up the leftovers from other people's prescriptions.

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

#269
post #229

Earlier quoted context omitted.

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…

What always seemed odd to me in such a wasteful society as the US: counting pills. Really? In many countries you get blisters. No counting. I suspect in some European countries it would actually be illegal to do this. The disadvantage is that there are some leftover pills most of the time. E.g. you need 30 pills and there are only units of 20 available.

> The disadvantage is that there are some leftover pills most of the time. E.g. you need 30 pills and there are only units of 20 available.

This is the exact reason why they count pills. You have a prescription for X pills, you get X pills.

It's been a while since I've had a prescription filled, but I think that in New Zealand it's the same. Most prescription drugs like opiate painkillers or antibiotics are counted and bottled.

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

#270
post #254
post #247

There are some interesting security issues in the underlying systems that pharmacies like PillPack use. Here is a security advisory for PillPack from 2015: https://wwws.nightwatchcybersecurity.com/2015/04/30/advisory... Basically the system that pharmacies used to transfer prescriptions isn't secure

You're basing this off a 3yr old security review of a 2yr old startup (at the time: founded in 2013, reviewed in 2015)? Got anything more recent? 3yrs is a lifetime in startup years. Plus they now have plenty of money to hire the best security firms to pen test their systems, plug holes, and run a serious monitoring operation.

PillPack was founded in 2013: https://www.crunchbase.com/organization/pillpack

Also read the advisory - the issue is not with them - it's with the legacy prescription transfer systems they hook into. That is something they cannot hire someone to pentest without getting all of their competitors to agree.

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