The story gets a little worse in some cases. When patients are unable to afford the higher deductible the pharmacy charges the insurance companies anyway without dispensing the medication or trashing it. Yep. It is called fraud. There is one known case with a CVS pharmacy that needed corporate approval to reverse their “take” when the patient then asked for the 28 day supply. Part of the reason these events occur is because of vicious competition with brick and mortar stores and online pharmacies. The online pharmacies, for some reason, are doing it cheaper. In my opinion there is nothing like talking to a pharmacist in person. Why isn’t Big Pharma offering their own online pharmacy? They like that retail merchandise too much. But, this price gouging on Ozempic is highly unethical.