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RX · Other high-use · modeled

Rho(D) immune globulin (RhoGAM)

Hospital buy vs billed (illustrative WAC/GPO/340B blend) Specialty blood-product distributor

What the hospital pays (acquisition)$95
Cash$280
Medicaid$130
Medicare$160
Insured$520
Medicaid
$130
Medicare
$160
Cash
$280
Insured
$520

Insured path is $240 (86%) above cash. Hospital buy $95 vs insured $520.

Payers: modeled — see evidence.