We tried pre-packaged generics but couldnt even break even on them when Meijers and Kroger give it away for free. Meijers is giving away free generic atorvastatin. We take care of employees/families and bill insurance and write off the rest. I buy nebulizers, and they always seem to get loaned out and never come back. I by tubing for 50 cents to 1.00 a set - it is a great give-away...but I now ask for patients to bring me a cold diet-7up if they want an extra by the way question answered...you have to draw the line somewhere...