Drugmakers have long been under attack for how they price medications sold in the U.S., and for their efforts to undermine rules on when their products can be sold generically for less.

These days, many doctors are part of a hospital system and will only refer people to services within these systems which are usually more expensive. To increase the utilization of these tools, they can be part of an incentive program. These tools can also be part of a Concierge service or health care guidance platform (or both).

(Bloomberg) –A health plan covering thousands of California teachers stopped paying for a diabetes drug that cost $352 per prescription. In its place, the plan now pays less than $13. The difference? Instead of getting a 1,000-milligram dose of metformin, members got two 500-milligram pills.