Cameron HeroldFounder of the COO Alliance & Invest In Your Leaders Training

The $3,600 Healthcare Logistics Trap | David Berg

2 Mar 2026 · 1 min

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David Berg shows how logistics, not the drug itself, drives medication costs. Lisinopril costs $3,600 a year if you need a capsule at 11 p.m. from a 24-hour pharmacy, but $20 a year as a tablet crushed in juice from a regular pharmacy. Changing when and how you fill prescriptions cuts expenses without changing treatment.

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As that trusted guide, it's real important that not only we help people understand the decision on the care they need, but also the cost of that care. And that cost of the care is going to be largely dictated by logistics, like where you go, when you go. If you need to get lisinopril, high blood pressure medication, very typical one, you need to go to 11 o'clock at night and it's got to be a capsule because you can't swallow it easily. You're going to go to a pharmacy that's going to charge you about $300 a month. $3,600 a year. But if you'll let me guide you to a better logistical answer, meaning not a capsule, but a tablet, if you have trouble swallowing it, grind it up, put in your orange juice, we'll solve that problem. And let's not go to that major store in the middle of the night pharmacy. Let's go to the grocery store the next morning. And now that drug is $1.71. So we take it from $3,600 a year to $20 a year. $20 bucks. Just with changing logistics. We didn't change the medication, we didn't change the disease, we didn't change anything. We just changed logistics.