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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

#291
It seems that Amazon wants to become not only where you buy your stuff but also your Grocery and get Prescription drugs. I guess the play is that they are seeking out more places where to expand in a large way. Pharmacies are a big cash cow and entering in this space is not going to be trivial.

On the other hand imagine what you could do with the data . Lets say you have clinical depression. Maybe it would recommend you a medical food such as Deplin or even the l-methylfoliate.

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

#292
post #252

Earlier quoted context omitted.

Clearly the parent commenter didn't intend to imply that the industry is not regulated. I think it was more of a tongue-in-cheek jab at Amazon. I think it's just generally weird that a shipping and commerce company is taking interest in pharma to begin with. I think it SHOULD make users uncomfortable that a single company is potentially exposed to all these different vertices of user information. They know what you b…

Is it weird? I feel like it's more like Amazon just trying to monopolize everything. There are articles out there talking about getting Amazon-ed. Where Amazon would go in your industry and dominate you out the market. ( https://www.forbes.com/sites/jamescahn/2018/04/24/dont-let-y... ) This is just a natural thing or the thing that Amazon does. Their modus operandi. > what medicine they take which could in turn revea…

I guess I meant weird in the moral sense. It's certainly not unusual given their past behavior as a corp.

Sort of depressing, really.

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

#293

Earlier quoted context omitted.

Why make a human type it in if the majority of scripts are coming in via E-prescription?

Baby steps...in order for that to work there'd have to be some kind of interoperable API standard adopted by all doctors in pharmacies that the system understands (I am assuming there is not). In an ideal world there'd be basically no humans involved as soon as the doctor prescribes, obviously...

What makes you think an ideal world would involve no humans after the doctor writes a prescription? There’s a very good reason we have pharmacists. Doctors can and do make mistakes, and they may not know every medication that a patient is taking. Somebody has to catch these mistakes and potentially lethal interactions.

Doctors are typically not experts in medications. Specialists probably know a lot about medications pertaining to their specialty, but asking GPs to know so much about a vast array of diseases AND the medications to treat them all, AND all interactions between medications is unreasonable. Doctors education is primarily in diagnosing disease. Pharmacists go to school just as long as doctors do (I think the major difference is pharmacists don’t typically do a residency after they graduate unless they are not planning to work in a community pharmacy), but their entire education is based around medications. Pharmacists are the medication experts. It’s a good thing that we have both looking after the healthcare of patients.

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

#294

Earlier quoted context omitted.

But what about with other used items? It's the same problem either way. And what about "New" items missing packaging etc.?

This isn't an actual problem Amazon has, and Amazon has enough problems that we don't need to make up new ones to discuss. Used items are tracked and sold individually (with their unique condition described and viewable by the purchaser), unlike new items. They're not just binned together by condition, when you buy used you're buying a specific item out of inventory. A "new item missing packaging" would not be sold a…

Thanks!

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

#295
post #132

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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", be…

This seems like a viable scam opportunity.

Ship in a crate of counterfeit widgets to mix into their fulfillment pool. Price them stupidly high so they don't actually sell.

Wait a few weeks, to let the inventory churn. There's a fair chance some of your items will actually be shipped out, and many more will be so mixed with turnover from real sellers that it will be difficult to trace back to you.

Then pull the listing and ask for "your" inventory back. Odds are, you'll get at least some legitimate products back, which you can then sell elsewhere at a significant discount.

The math for it to be economic is interesting and likely varies on product price versus counterfeit price, and the rate at which inventory turns over.

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

#296

Earlier quoted context omitted.

I can confirm this as someone who used to do 6 figures plus of business on amazon every quarter. Unless I mark that I dont want my inventory commingled (which is an option more expensive than general FBA) once my product shows up at the various warehouses it's dumped into a bin along with everyone else who sent in the same part in for FBA fulfillment. I got all my product from HP via Synnex, all factory sealed brand…

Commingling is certainly something I wasn't aware of, it looks as if most consumers are in the same boat. The idea that FBA doesn't actually get me parts from the seller I picked has never crossed my mind. I certainly wouldn't have bought quite a few things if I knew that possibility existed.

It's part of their distribution strategy. I'd generally send 500 units to their warehouses a week. When you're dealing with quantities that large they have you split it up to several shipments to different warehouses throughout the country.

Usually it would be many small quantities near me, and then one large one to the other coast which they would then distribute amongst their warehouses on that coast themselves.

So as the number of vendors stocking inventory increases, the cost to amazon to distribute inventory widely enough to hit SLAs goes down because more of the cost is borne by the vendors.

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

#297
post #274
post #229

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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…

> In a pharmacy, medications are NEVER allowed to be commingled. If your medication is coming from two different manufacturers, or even the same manufacturer but the pills just look different, the pharmacy must put them in two different bottles to give to you Are there any exceptions allowed? I'm pretty sure I've had a major nationwide pharmacy give me a bottle with pills from two manufacturers in it. It had pills fr…

I don't know why you're getting downvoted. I've had the same thing happen multiple times, also at a certain "major nationwide pharmacy." Interestingly, the smaller/more local pharmacies have never done this.

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

#299
post #108
post #98

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+ I'm wary of Amazon Grocery. We had a bad experience with home delivery 10 years ago and my wife refuses to do it again. For packaged goods and non-perishables it's fine, but with fresh meats and produce it's hit and miss. It may not be failure but I doubt it will kill or disrupt the grocery business.

I'm pretty sure their grocery business has changed alot in the last 10 years, and will probably change even more with the integration of Whole Foods.

Groceries online make me very happy. I'm a convert. Carts queues and parking are anachronisms.

There won't be wide adoption until the customer gets a perfect order with no substitutions or blemishes every time. The psychology of perceived loss at not getting EXACTLY what was ordered is too great. Until then millions of disappointed people will discourage others.

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

#300
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.

It's the much superior way to do it though, in France all estimate say we would save a lot of money by doing this, but with such a strong phamaceutical lobby it just never happens. Same reason why somehow we have homeopathy being reimbursed as if it was a real medicine, Boiron is french !
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