PharmacyChecker Blog

Helping Americans Get The Truth About Prescription Drug Savings
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Prescription Drug Coverage Under Obamacare —Do You Need to Worry?

In 2013 some Americans will start choosing health insurance plans offered by the new state-run health insurance exchanges. Designed to lower prices and increase competition, the exchanges will surely help millions of people access affordable care. However, health insurance plans often do not adequately cover prescription medications, and we are eager to follow the effectiveness of the exchanges as applied to prescription drug pricing.

While we hope (and believe) that increased coverage will enable more Americans to take needed medications, we believe that many will not benefit from the increased coverage. The Obama administration’s loose guidelines pertaining to prescription drugs and essential health benefits mandate that they require only one drug per class – in other words one statin (to treat high cholesterol), one proton pump inhibitors (to treat GERD), one inhaled steroid (to treat asthma), and so on, must be covered.

For many this will not be a problem. If there is only one prescription you plan on taking, you should be able to find a plan that covers it. If, however, you are taking multiple medications, things could get a bit hairy. Just because two drugs are in the same class doesn’t mean they work with the same efficacy for a given person. For example, atorvastatin (generic Lipitor) may work better for cholesterol treatment than simvastatin (generic Zocor) for one person, and vice versa for another. Imagine how difficult it would be to find an insurance plan that covers all your drugs if you are on three or four medications!

Some states plan to address this potential problem by requiring that plans offer more extensive drug coverage. As of October, 2012, an analysis of eight benchmark plans shows that they cover about 62% of drugs available in different classes.

While the health insurance exchanges are meant to provide a competitive marketplace that lowers costs, it isn’t as simple as just choosing a plan that covers the most drugs. You need to make sure it covers your drugs (in addition to other specific health benefits). We hope that the insurance exchanges will help end America’s $317 billion prescription non-adherence problem, but we fear that the pharmacy coverage under Obamacare won’t be nearly enough.

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How to Save on Lipitor (Atorvastatin), Brand and Generic

For nearly a decade, Pfizer’s Lipitor, a cholesterol-lowering medication, was America’s most popular brand name prescription drug. Americans spent a whopping $7.7 billion dollars on it in 2011 (and worldwide sales totaled about $11 billion). Since its U.S. patent expiration over a year ago, an increasing number of Americans have now shifted to lower cost generic versions. Still, some folks are sticking with brand name Lipitor. We’ve identified the best ways to save on brand name and generic Lipitor below.

Generic drugs are often preferable to brands because they are generally much cheaper even though they have the same active ingredients as the original. If you’re concerned about buying generic Lipitor because of the recent recall by Indian drug company Ranbaxy, you should know that there are other manufacturers who make generic Lipitor and generic Lipitor is still widely available. Moreover, it’s likely that Ranbaxy’s version will be back on the market soon. As a matter of personal preference and brand trust some people still prefer Pfizer’s Lipitor to the generic. What is most important is that you can afford and take the medicine that you need.

So where do the Lipitor and Atorvastatin savings stand now? (To skip to the summary of the savings, view the pricing chart).

Brand Lipitor

Online Savings Are Best
Even with generic competition, the cash price of Lipitor remains very expensive domestically – a 30-day supply of Lipitor 20mg is $226 at a local pharmacy in New York City. The absolute greatest savings on Lipitor is achieved by purchasing a three-month supply from an international online pharmacy, from which the lowest price found on PharmacyChecker.com is $68. Compare that to $678 at that local pharmacy in NYC and the savings comes out to 90% – over $2,400 annually!

Prescription Drug Discount Card/Coupon
The savings are not very substantial using standard discount cards and coupons. The highest discount we found for standard cards was 18%. However, Pfizer has a more significant savings program…

Pfizer’s Lipitor For You
Pfizer has a Lipitor discount program called Lipitor For You. The program can help you save money, but its marketing is a little deceptive. It claims to lower your out-of-pocket expenses to $4 for a one-month supply of Lipitor. Well, it can do that, and sometimes does. In reality, the Pfizer discount card is actually a $75 coupon, which can reduce your out-of-pocket expense to a minimum of $4. However, if your copay is high enough – over $79 – you will pay more than $4. If you don’t have insurance and the cash price is $226 then the discount of $75 will bring down the cost to $151 – a 33% discount. With Pfizer’s Lipitor program, savings are twice as large as using a normal discount but not as a great as using an international online pharmacy.

Bottom Line: For brand name Lipitor, the maximum savings are found either at an international online pharmacy or the Lipitor For You program, depending on whether or not you have insurance.

Generic Lipitor

Like the brand, the generic cash price can also be very high at local pharmacies — $157.99 at that same NYC pharmacy mentioned above, which is way more expensive that the brand version internationally! While conducting the drug price research for this blog post, the New York City pharmacist we spoke with even agreed; before stating the generic Lipitor price, he said, “It’s very expensive!” Here’s what you can do…

Buying Generic Lipitor Online A Great Deal!
As far as ordering generic Lipitor 20mg online goes, the U.S. has great prices – a three-month supply for $36. The international price is a little lower at $33 ,but you may also have higher overall costs because international shipping fees are higher, not to mention much longer waiting times

Local Pharmacies With A Discount Card Also A Great Deal!!
We’ve discovered that purchasing at your local pharmacy using a discount card is also a great deal – a 30-day supply is about $14.50, and a 90 day supply is $36.50. Keep in mind that when buying locally there are no wait times or shipping fees.

Bottom Line: When it comes to generic Lipitor, our research shows great deals both online and at the local pharmacy so it’s up to you to determine whichever way is most convenient and desirable.

To summarize, discount coupons and online pharmacies in the U.S. or abroad all offer pretty much the same savings on atorvastatin – the generic of Lipitor. When it comes to ordering the brand name version, the best savings depend on a variety of factors. If you have insurance, it depends on your co-pay amount, with the Lipitor For You program offering a great option. If you don’t have insurance and need to pay the cash price in the pharmacy, then Pfizer’s Lipitor from international online pharmacies is clearly your best deal. It will save you about $2,400 a year! Just make sure the online pharmacy is verified by an independent third party, such as those listed on PharmacyChecker.com.

Brand Lipitor 20 mg Savings (90 day supply)

Program Price Savings over Local Pharmacy Percent savings Annual Savings
Local Pharmacy $677.97
Discount Card Option $555.50 $122.47 18% $489.88
Coupon Option $532.68 $145.29 21% $581.16
U.S. Online Pharmacy $500.30 $177.67 26% $710.68
International Online Pharmacy: $68.00 $609.97 90% $2,439.88

Local pharmacy in New York City, International Online Pharmacy price as found on PharmacyChecker.com. Prices collected 12/13/2012

Generic Lipitor (Atorvastatin) 20 mg Savings (90 day supply)

Program Price Savings over Local Pharmacy Percent savings Annual Savings
Local Pharmacy $157.99
Discount Card Option $36.50 $121.49 18% $485.96
Coupon Option $36.50 $121.49 18% $485.96
U.S. Online Pharmacy $36.00 $121.99 18% $487.96
International Online Pharmacy: $32.90 $125.09 18% $500.36

Local pharmacy in New York City, International Online Pharmacy price as found on PharmacyChecker.com. Prices collected 12/13/2012

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U.S. Drug Prices Increase by 13%, Six Times the Inflation Rate; Prices Decrease Abroad

A new report from Express Scripts, one of the nation’s largest pharmacy benefit managers, shows that between September 2011 and September 2012, U.S. brand name prescription drug prices increased 13.3% — over six times the rate of inflation, which was only 2%.

What does this mean for American consumers? The answer is not simply that Americans will pay more for their medicine, increasing the profits of drug companies. It’s even more depressing than that. Tens of millions of Americans either do not fill or take prescribed medications due to cost, and an estimated 25 million Americans report becoming sicker because of it. With higher drug prices, we expect incidences of illness and hospitalizations to rise, with costs passed on to the American taxpayer. We lose as both patients and taxpayers, and the costs are staggering: a New England Health Institute report estimates prescription non-adherence costs to be almost $300 billion.

Americans who cannot afford these rising prices can access safe international online pharmacies to avoid going without needed medication. In contrast to rising drug prices in America, brand prices at these international pharmacies have actually decreased. Our latest drug price analysis shows that the savings available through these online pharmacies – on brand name drugs – have increased from March 2011. Today, online savings are 85%; in March of last year, they were 80%. More Americans taking needed medication will mean less sickness and hospitalizations that end up increasing healthcare costs funded by us, the taxpayers.

If you choose to order from an international online pharmacy, make sure it is safe. Pharmacies approved by PharmacyChecker.com are licensed, have licensed pharmacists, and require prescriptions. Look for the PharmacyChecker.com seal of approval, seen below, and make sure it links to a profile hosted by PharmacyChecker.com.

[Click seal for sample profile hosted on PharmacyChecker.com].

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