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RX · Other high-use · modeled

Pantoprazole 40mg IV

Hospital buy vs billed (illustrative WAC/GPO/340B blend) Wholesaler

What the hospital pays (acquisition)$1.50
Cash$55
Medicaid$12
Medicare$16
Insured$140
Medicaid
$12
Medicare
$16
Cash
$55
Insured
$140

Insured path is $85 (155%) above cash. Hospital buy $1.50 vs insured $140.

Payers: modeled — see evidence.