[whatok]

At a previous employer, I attended a briefing for our health insurance switching to a mail order pharmacy. Granted this was years ago but the amount of confusion and frustration around the signup process, scheduling, skepticism about delivery times/reliability, etc were numerous. To me, it couldn't have been an easier process. For some people (especially retirees), going to the local pharmacy is part of a regular routine that is not seen as a inconvenience at all.

Basically, the largest potential market for you is not tech savvy at all and makes it hard to convert.

[prepend]

I don’t get many prescriptions so when my doc writes one I don’t care who fills it. She couldn’t send it to a random mail order pharmacy, I had to pick one.

I think there’s a big opportunity for insurers to pick a default mail pharmacy that customers out of. So depending on your insurer, the EMR automatically files with a pharmacy you don’t care about and mails it to you within 24 hours.

[cowpewter]

My employer-provided insurance is UHC, which has a preferred partner situation with OptumRX, a mailorder pharmacy. They give you better rates on your prescription copay if you use them. The mail turn-around time is not great though. It's good for long-term prescriptions, shitty for short term like antibiotics.

My doctor sends short term stuff to a local pharmacy for me to pick up, and my daily long term pills to Optum, who charges my CC and mails them to me. They take about a week to arrive, but you can set it up so they automatically recur, so you always get your next 90 days before your current pills run out.

[prostoalex]

> there’s a big opportunity for insurers to pick a default mail pharmacy

Looks like it’s already happening, albeit in an opposite direction, with Aetna acquisition by CVS.

[whatok]

Insurers already do that and also limit how many prescriptions they will cover outside of mail order delivery.