PharmacyChecker Blog

Helping Americans Get The Truth About Prescription Drug Savings
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Finding the Lowest Drug Prices is a Real Headache – the Story of Rizatriptan

Woman with Migraine
Migraine” by Sasha Wolff from Grand Rapids – Can’t Concentrate: 14/365. Licensed under CC BY 2.0 via Wikimedia Commons.

Dr. David Belk, a practicing physician in California, healthcare cost research guru and Huffington Post blogger, recently wrote a story about the huge difference in price faced by one of his patients when trying to fill a prescription for the migraine medication called Maxalt (rizatriptan). Since my daughter suffers from migraines, I know how debilitating migraine headache can be and how important it is to have the medication when you need it.

Essentially, Dr. Belk discovered that Walgreens, a big chain pharmacy, was charging much more money than another pharmacy – in this case Costco. The price for the generic at Walgreens without insurance was $1,490 for 40 pills, or $37 a pill, and even with insurance the price was almost $17 dollars a pill. But Dr. Belk’s patient ended up getting the medication at Costco for $1.03 per pill!!

Now ordinarily here’s where we’d write about how you might consider PharmacyChecker- verified international online pharmacies to purchase Maxalt or rizatriptin if you don’t have insurance – but you would not need to. According to Dr. Belk’s post, Costco’s price was the cash price! None of the online pharmacies in our program sell it for just over a buck a pill. It’s the cheapest in the U.S.A.!

A few months back, Tod Cooperman, MD, founder of PharmacyChecker.com was on Fox and Friends talking about another big chain pharmacy, one accused of overcharging consumers for generic medications. It seems that the problem is not just Big Pharma but Big Pharmacy.

Drug prices these days seem to be all over the place. The moral of this story: shop around as much as possible and don’t trust your friendly neighborhood chain pharmacy or assume that international online pharmacies are cheapest. I know it’s enough to give you a headache, even a migraine, but finding the lowest drug prices will help lessen the pain.

 

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Brand Name Medications Savings Often Exceed 90% Using International Online Pharmacies but FDA Rule May Threaten Access

"Abstract pills" by Robson# - Flickr: Pills here. Licensed under CC BY 2.0 via Wikimedia Commons - https://commons.wikimedia.org/wiki/File:Abstract_pills.jpg#/media/File:Abstract_pills.jpg

“Abstract pills” by Robson – Flickr

We issued a press release yesterday about our new drug price savings analysis, which shows that consumers can save 84% on average among a basket of 10 popular branded maintenance medications if purchased from verified international online pharmacies instead of local U.S. pharmacies. Many of the savings are over 90%! The greatest savings is 94% for the acid-blocking drug Nexium ($946.50 in the U.S. vs. $53.09 online for a three month supply of 40 mg pills) and the cholesterol-lowering drug Crestor ($803.89 vs. $51.40 – 20 mg pills). The greatest dollar savings is for the antipsychotic drug Abilify ($3,178.99 vs. $237.05 – 10 mg pills). The average annual savings per drug is $3,479. Despite this, last month, the U.S. FDA announced a “new rule” regarding its expanded authority to destroy personally imported medicine under Section 708 of the Food and Drug Administration Safety Act of 2012. Several members of congress have raised concern that FDA’s rules may impede access to affordable medication. [1]

The FDA says that its new regulation is meant to protect patients from unsafe medications and counterfeit drugs but the agency doesn’t seem to say how they will distinguish safe from potentially unsafe personal drug imports.

For the full press release, click here.

Prices for a 3-month supply of top-selling brand name medications
Drug Local U.S. Pharmacy Price International Online Pharmacy Price* International Online Savings Annual Savings
Nexium 40mg $946.50 $53.09 94% $3,573.64
Crestor 20mg $803.89 $51.40 94% $3,009.96
Abilify 10mg $3,178.99 $237.05 93% $11,767.75
Advair Diskus 250/50mcg (180 doses) $1,203.00 $99.99 92% $4,412.04
Spiriva Handihaler 18mcg $1,221.00 $113.99 91% $4,428.04
Diovan 80mg $611.99 $57.85 91% $2,216.56
Synthroid 100mcg $137.99 $26.99 80% $444.00
Jardiance 10mg $1,150.00 $287.99 75% $3,448.04
Ventolin HFA 100mcg $192.00 $68.82 64% $492.72
Lantus Solostar 15ml $397.89 $148.94 63% $995.80
Average $984.33 $114.62 84% $3,478.85

Sources: Local pharmacy prices based on prices at chain drugstores in New York City; International online pharmacy prices based on lowest prices listed on PharmacyChecker.com. All prices obtained on September 30, 2015.

*Medications dispensed by licensed pharmacies, verified by PharmacyChecker.com, in one of the following countries Australia, Barbados, Canada, India, Mauritius, New Zealand, Turkey, Singapore, or United Kingdom.

[1] U.S. Senator David Vitter, “Vitter Fights to Keep Prescription Drug Prices Affordable Through Reimportation,” July 9, 2014 [press release], see [www] vitter.senate.gov/newsroom/press/vitter-fights-to-keep-prescription-drug-prices-affordablethrough-reimportation [Last accessed 9/20/14]. 38 Representative JoAnn Emerson (MO), “Food and Drug Administration Reform Act.” May 30th 2012. See [www] votesmart.org/public-statement/702416/food-and-drug-administration-reform-act-of-2012#.UxVJN-co4s9 [Last accessed 9/22/14]. Letter to the U.S. Food and Drug Administration by Congressman Keith Ellison dated July 1st, 2014. See See [www] regulations.gov/#!documentDetail;D=FDA-2014-N-0504-0022.

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The Daraprim Drama: Prices Keep Going Up in the U.S. AND at Foreign Online Pharmacies

Contrary to the belief of the pharmaceutical industry and their minions, PharmacyChecker.com is not a champion of foreign online pharmacies, even the safest ones.  They just charge a lot less for medication, which helps American consumers stay healthy and avoid bankruptcy. But they are, like their U.S. pharmacy counterparts, just businesses.

Drug prices up up up

And that brings us back to our blog topic from last week, which was Daraprim, the parasite-fighting drug that, in the blink of an eye, went from $13.50/pill to $750/pill in the U.S. a few weeks back. We wrote what seemed impossible: a 99.8% international pharmacy savings on a medication. When we published that post, the price of Daraprim, manufactured and marketed by GlaxoSmithKline in Europe, was $1.53 a pill at the lowest cost international online pharmacy in the PharmacyChecker Verification Program. Well, those international online pharmacies jacked their prices, too…kind of.

As PharmacyChecker founder Tod Cooperman, MD, was writing an article for the Huffington Post about Daraprim, prescription drug importation and overall drug affordability problems, we discovered that the online price of Daraprim 25mg jumped from $1.53 a pill to $6 bucks! An increase of 292%.

It was reported that the villain of this whole story, the head of Turing Pharmaceuticals, the company that owns Daraprim in the U.S., was planning on lowering the price of Daraprim, which appeared to be an almost necessary public relations move. I called chain pharmacy giant Walgreens today expecting that the price would be less than $750 but found out that the price was actually $796/pill.

So the potential international drug price savings on Daraprim has plummeted from 99.8% to 99.25% A little Rx irony to end our week here at PharmacyChecker.com.

 

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Daraprim’s Cost is Bizarre: So Save 99.8% Buying from a UK Pharmacy

Martin Shkreli trying to look cool

Martin Shkreli, founder and chief executive of Turing Pharmaceuticals. Not that cool.

It’s no secret that Americans are unhappy with Big Pharma. Pharmaceutical companies regularly rank as one of the least loved industries, right up there (or down there) with Big Oil and Big Government. And while this has usually been expressed as contempt towards the industry as a whole, recently the negative spotlight is shining brightly on one man: Martin Shkreli, hedge fund investor and drug company entrepreneur.

Soon after his company Turing Pharmaceuticals purchased the marketing rights to the drug Daraprim, Shkreli raised the price of Daraprim from $13.50 per pill to $750.00 per pill in the U.S. market where Turing has exclusive marketing rights. But that only affects America! Thankfully, consumers can purchase Daraprim, marketed by GlaxoSmithKline in the UK, from a verified international online pharmacy for as low as only $1.53 per pill. A mere savings of 99.8%.

Daraprim is used to treat toxoplasmosis, a disease that results from infection with the Toxoplasma gondii parasite. This parasite is very common (in fact it’s been estimated that 22% of U.S. population have been exposed to it and it usually infects people who have eaten undercooked meat, raw vegetables, or have handled cat feces. In healthy people it usually only causes flu-like systems. However this disease can cause severe complications in people with compromised immune systems, such as those with HIV or cancer, including brain lesions and seizures. The disease can also be very harmful to women who are pregnant, leading to a stillborn child or a child born with birth defects.

It’s not rare for medications that treat a rare disease or a small patient population to be expensive. Moreover, it’s understandable that pharmaceutical companies want to recoup the extensive costs of developing a drug and make a profit, although Big Pharma’s lust for profits appears insatiable. But let’s take a deep breath…Daraprim is not some new wonder drug. It was originally developed and marketed by Burroughs Wellcome and patented back in 1953 (the patent expired in the 70s). A relatively inexpensive drug, it was long manufactured by GlaxoSmithKline, until that company sold the U.S. marketing rights to CorePharma in 2010. Impax Laboratories later bought CorePharma, and turned around and sold the rights to the drug to Turing.

At that point Mr. Shkreli and our friends at Turing decided to change how Daraprim was distributed. Hospitals, instead of going to a wholesaler, now had to order from Turing’s “Daraprim Direct” program. Patients, instead of going to their neighborhood pharmacy had to order from Walgreen’s Specialty Pharmacy. And since there is no approved generic in the United States, patients who need Daraprim face monopoly pricing, with no competition to Turing on the horizon.  Many people of all political stripes seem to be enraged over price gouging like this, because it seems like they’re getting the worst of corporate monopoly and government protectionism.

In order to get this medication, American consumers may need to look across the pond. As mentioned above, GlaxoSmithKline may have sold their U.S. marketing rights to Daraprim in 2010 but not in many countries around the world, such as England, where it’s sold for pennies to the pill!

It only seems fair, not to mention in the interest of public health, that an important drug like this, that’s listed on the World Health Organization’s List of Essential Medicines, should not be one subject to the twisted reality and bizarre rationalizing of hedge fund managers.

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Jardiance Lowers Risk of Cardiovascular Death, But Price is Three Times Higher in U.S. than Abroad

Dollar Symbol

Image by Svilen.milev


As reported today in The New York Times, a new study shows that the diabetes drug Jardiance (empagliflozin) can reduce the risk of dying from cardiovascular disease by 38%. The drug not only reduces blood sugar levels, but also blood pressure and arterial stiffness leading to a reduced risk of heart failure.

The cost of Jardiance in the U.S. is about $350 to $400 for just 30 pills. It would be a shame if people could not get this medication due to its high cost. Fortunately, this drug is available from licensed pharmacies in other countries (where the price is controlled or negotiated) at prices which are about 70% lower than in the U.S. As shown on PharmacyChecker.com, the 10 mg dose is available from several verified international online pharmacies for about $110 a month or, better, if purchasing a 3 month supply, it’s under $300. The 25 mg dose is only a few dollars more.

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How to Save Up to 66% on Eliquis

Electrocardiogram

More than six million Americans suffer from atrial fibulation (AFib), a heart condition that puts them at a much higher risk for blood clots and can cause a stroke. Strokes are most often seen in people over 65, and can lead to paralysis and death.

There are many anticoagulants (blood thinning drugs) used to prevent strokes, Coumadin (warfarin) being one of the oldest and most commonly used. But Coumadin is not right for some people: it can cause heavy internal bleeding and requires regular and frequent blood tests.

One of the newer medications, Eliquis, has been shown to have a lower risk of major bleeding and is better for people suffering from kidney disease. It is also effective as a medication for preventing deep vein thrombosis (DVT). DVT is caused when blood clots form in large veins, usually in the legs, and often in those with restricted mobility, such as people who are recovering from surgery.

But Eliquis can be expensive. If you don’t have insurance or are underinsured and have to pay out-of-pocket, the retail price is around $1,182.00 for a 90 day supply at a local U.S. pharmacy. Americans are at serious risk if they can’t afford this medication, especially seniors who are most likely to suffer a stroke. Despite Medicare Part D coverage, according to the National Center for Health Statistics, more than 13% of poorer Americans over the age of 65 did not take their medication as prescribed.1 And that can put their health and even their lives at risk.

There are ways of reducing the cost of Eliquis (see the table below). If you use a pharmacy discount card, you may be able to get it down to about $1,021 at your local U.S. pharmacy. But that still works out to over $4,080 per year. For many Americans those prices are out of reach. Fortunately, Eliquis 5mg, 90 days’ supply, is only $401.99 using a verified international online pharmacy, a savings of more than $3,100 versus the retail pharmacy price over a year’s time.

If you have AFib, and are prescribed Eliquis by a doctor, it’s vital for you to stay on your medication. Hopefully these price comparisons help you evaluate the best option for your health and savings. If you decide to buy internationally, remember, when using an online pharmacy, makes sure it’s one that’s been verified by PharmacyChecker.com.

Compare drug prices for Eliquis.

Eliquis 5 mg Savings (90 day supply)
Program Price Savings over Local Pharmacy Percent Savings Annual Savings
Local Pharmacy* $1,181.97
Pharmacy Discount Card* $1,021.88 $160.09 14% $640.36
International Online Pharmacy $401.99 $779.99 66% $3,119.94

 

*Savings based on lowest price listed on PharmacyChecker.com compared to local U.S. pharmacy price (8/21/15).

1 Center for Disease Control, National Center for Health Statistics, http://www.cdc.gov/nchs/data/databriefs/db184.htm

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