[MKSixer]

I work in your industry.

1. Take the text down. You are sharing material information about your organization and their internal operations. This is a terminable offense. Period. End of story.

2. The copay is a negotiated amount to be collected at the point of service by the pharmacy. This is especially important in specialty pharmacy where, as you accurately stated, the costs are higher and the meds for more serious conditions. If the patient has been billed through part B, medical, as stated, there is no co-pay.

3. Your job, as a pharmacist is to point the patient in directions such as co-pay buy down cards, patient assistance programs, matching programs, anything. Ask if a family member will help, etc. Giving them a break at the point of service is a great thing just be careful that you don't run afoul of the managed care organizations.

4. See point 1. Take the text down.