Well we all know that once you leave tier one and two the costs go up tremendously so when does tier five appear one might ask? The one man quoted in the article states that his HIV drugs went from $80 a month to $450 a month. One state, New York has banned tier four plans.
There has to be some give and take between pharmaceutical companies and insurers and in this instance the insurers are not completely 
the bad guys as they usually are with risk analysis comparisons. In some areas there are no tier one and two drugs available and so tier three and four are the only ones available. Research and development is expensive for drug development as well, so where does all of this hit the road for consumers? We already know that in the US we pay more for our drugs than any other country and basically somewhat subsidize the lower costs that others get. It’s all about the math and profits here and granted a certain amount of profit is needed to keep companies alive but let’s face it the big huge profits of the pharmaceutical business can stay forever. BD
Thousands of patients in California and across the nation who take expensive prescription drugs every month for cancer, rheumatoid arthritis and other ailments are facing sticker shock at the pharmacy.
Until recently, most of these patients typically paid modest co-pays for the advanced drugs. But increasingly, Anthem Blue Cross, Aetna and other insurers are shifting more prescriptions to a new category requiring patients to shoulder a larger share of the drug's cost.
To help lower their costs, health plans are changing their approach to drug coverage, often expanding from a three-tier to a four-tier plan. The first tier would be generic drugs at a $10 co-payment, for instance, the second tier preferred brand-name drugs at a $30 co-pay, the next tier non-preferred brand-name drugs for $50, and the top tier would be dozens of specialty drugs costing patients 10% to 30% co-insurance or $150 co-pays.
http://www.latimes.com/business/la-fi-expensive-drugs-20120529,0,2965274.story
store. If you under around 40 years old, you won’t know what one looked like as pharmacies today don’t have them any longer. MMR Global as you all know gained nationwide recognition over stocks and shares and the Hollywood suicide that occurred. Sometimes people say any publicity is good but in this case with getting the financials in order the company did get some press. At any rate if you have never heard of Micky Fine it’s in Beverly Hills and is a landmark. The Medical Quack has 
back with the CEO responding about a patient and making a little too much information available relative to her diabetes records. They were responding to a news report and it also ended up in the Los Angeles Times. Prime was already being watched for the Kwashiorkor Malnutrition billing codes they were using. I’ve done other posts too on billing software and the algorithms used for billing so there’s a little of both involved here with input and how the software does the ultimate coding as well. 
The official name is “SignatureValue Alliance” in California so I guess this means the doctors and hospitals have signed on the dotted line <grin>. It mentions evidence based medicine and for what I see most are already practicing that way and have for years. The rating algorithms come in here and again we all know how ratings go these days and depends on who’s algorithms are being use and the integrity of the data collected along with accuracy. 
The white powder tested positive for cocaine. The box showed no signs of tampering either so again this one of those to be tracked and solved. The store is probably clue less of course as they buy products to liquidate and hopefully we have no “blind shipping” documents here, which is where a point of origin is not shown, but the common carriers, if this is the case can track it through and find all that information out. BD 
to hear more on this topic as folks dig in. Investors beware of what some software folks claim when you have projects of a big magnitude as this. I don’t think that maybe they lied outright, they may not have said anything as heck investors and consumers buying this kind of stock don’t understand it anyway and how it all has to come together, they just want money. 
. I say part because to do an entire 4 year curriculum online with no other human intervention would be insane, but who knows it might get to that some day, but I don’t think so as you would have folks that may have all the intellect but know zap about how to work with other people. Just social networks kind of give us a hint of that today as a matter of fact. 
