PharmacyChecker Blog

Helping Americans Get The Truth About Prescription Drug Savings
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Synthroid: Finding the Best Savings for Brand and Generic

Levothyroxine sodium, used to treat hypothyroidism and also for pituitary TSH suppression, was the fourth most popular medication in the United States in 2011. Whether looking for the brand name version – Synthroid – or a generic version, savvy shoppers will want to find the lowest price. We’ve found that you can save up to 82% on Synthroid and 74% on levothyroxine sodium.

Of all options, the lowest prices for generic Synthroid are through drug discount programs at major U.S. retailers like Walmart and Target. The price is about $10 for a 90 day supply!

In contrast, U.S. prices are much higher for brand name Synthroid. We compared the cash price — $102 for 90 pills (100 mcg) — at our local pharmacy in New York City to the prices at the same pharmacy using a discount card and discount coupon. They had similar prices of $77.19 and $74.41 respectively. If you choose to use one of these savings methods, be sure to check different coupons and cards, as they will have different prices. They may even have different prices at different pharmacies.

The biggest savings on brand name Synthroid are from international online pharmacies. We found that you can save up to 82%, and purchase 90 pills for $17.99.

Savings on 90 Day Supply of Synthroid

Program Price Savings over Local Pharmacy Percent savings
U.S. Local Pharmacy $102.00
Discount Card Option $77.19 $24.81 24%
Discount Coupon Option $74.41 $27.59 27%
U.S. Online Pharmacy $71.89 $30.11 30%
International Online Pharmacy $205.47 $826.50 80%

Local pharmacy in New York City, U.S. online international pharmacy found at Healthwarehouse.com, International Online Pharmacy price as found on PharmacyChecker.com, discount card used found on RxCut.com, coupon found on Goodrx.com. Prices collected 2/4/2013.

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Spiriva HandiHaler: How to Save 80%

Spiriva HandiHaler (tiotropium bromide inhalation powder) is a popular prescription medication used to treat chronic obstructive pulmonary disease (COPD). In 2011, Americans spent $2.4 billion on it, making it the 23rd most popular drug that year.

Spiriva is a very expensive medicine at $1,031.97 for a 90 day supply from a local U.S. pharmacy. Considering that cost is the number one factor contributing to Americans not taking prescribed medications. With no low-cost generic available, Americans without insurance or whose insurance does not cover Spiriva Handihaler will too often skip their medicine, resulting in poor health outcomes, including, but not limited to, hospitalization and emergency room visits.

Fortunately, there are ways to save including by using discount cards, drug coupons, or online pharmacies. In fact, by using an international online pharmacy, you can save over $3,200 a year by paying only $205.47 for a 90 day supply! If you need your medication immediately, you should use a drug coupon or discount card at your local pharmacy, which will save you 17%. Check out our price table below to view the best prices on Spiriva Handihaler.

Savings on 90 Day Supply of Spiriva HandiHaler

Program Price Savings over Local Pharmacy Percent savings
U.S. Local Pharmacy $1,031.97
Discount Card Option $854.81 $177.16 17%
Discount Coupon Option $853.96 $178.01 17%
U.S. Online Pharmacy $749.70 $282.27 27%
International Online Pharmacy $205.47 $826.50 80%

Local pharmacy in New York City, U.S. online international pharmacy found at Healthwarehouse.com, International Online Pharmacy price as found on PharmacyChecker.com, discount card used found on RxCut.com, coupon found on Goodrx.com. Prices collected 1/29/2013.

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CBO Study Shows Access to Lower Cost Medication a Critical Factor in Healthcare Spending

High prescription drug costs make Americans sicker and contribute to our national budget woes, according to a report by the Congressional Budget Office (CBO) released at the end of last year. The report serves as a reminder to always take your prescribed medicines. We view this study as further evidence that access to affordable medication from reputable international online pharmacies improves the health of Americans and decreases healthcare spending.

To put it simply, as consumers’ out-of-pocket drug costs rise, they are less likely to take their medicine as prescribed, which leads to more medical services and increased healthcare spending. The CBO report tells us that the converse follows: when out-of-pocket prescription costs fall there is less need for medical services, and as a result less healthcare spending.

The CBO’s report is based on an analysis of relatively new studies that have tracked out-of-pocket prescription drug costs and overall healthcare spending in employer and government-based health insurance programs. The result is that CBO has now internalized out-of-pocket prescription drug costs in its methodology for calculating the effects of legislation affecting drug costs. This means if a new bill aims to bring down prescription drug prices in the United States or through drug importation, CBO would calculate how many more prescriptions would be filled and estimate the resulting decrease in healthcare spending.

It is critical that our elected leaders and government officials take this into account when considering new laws or taking actions that affect access to affordable medication .Just yesterday, Minnesota U.S. Senators Al Franken and Amy Klobuchar re-introduced a bill, The Medicare Prescription Drug Price Negotiation Act, to enable the federal government to negotiate lower Medicare drug prices with drug manufacturers. Such legislation would most certainly lower drug costs, improve health, and decrease the taxpayer burden on healthcare spending

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Nexium, Prevacid, Prilosec, etc. – How to Save Money and Treat Your Heartburn

Fifteen million Americans suffer from heartburn every day, caused by such conditions as GERD (gastroesophageal reflux disease), Laryngopharyngeal disease, dyspepsia, and peptic ulcer disease. If you suffer from chronic heartburn you may want to use a proton pump inhibitor (PPI) to treat it. Which one should you take, and which is the best value?

PPI’s are among the most commonly prescribed medications; Americans spent over $6 billion dollars on Nexium, “the purple pill”, in 2011. That same year, over 59 million prescriptions were written for omeprazole (generic Prilosec). These numbers don’t even include sales for Aciphex, another popular prescription PPI, or any of the over the counter PPI’s, such as Prilosec (low dosage), Prevacid, or lower dose omeprazole.

A report from Consumer Reports studying 7 different PPI’s, found that all of them completely relieved symptoms for roughly 7 out of 10 patients within four weeks, and they repaired damage to the esophagus in roughly 9 out of 10 people within eight weeks. Consumer Reports recommends the OTC drugs when they are an option. If the necessary dosage is not available in OTC drugs, you should consult your doctor to find the prescription-only PPI with the lowest out of pocket costs. All of the OTC PPI’s mentioned above are about $30 for 28 pills.  If you choose to go with a prescription medication, check out the price tables below. We’ve compiled price comparisons for two popular brand name PPI’s below. For instance, you can save up to 89% — or $233 a month — on the “Purple Pill” by ordering from a verified online pharmacy.

Savings on 30 Pills of Nexium 40 mg

Program Price Savings over Local Pharmacy Percent savings
U.S. Local Pharmacy $260.99
Discount Card Option $222.96 $38.03 15%
Discount Coupon Option $213.07 $47.92 18%
U.S. Online Pharmacy $203.08 $57.91 22%
International Online Pharmacy $27.90 $233.09 89%

Local pharmacy in New York City, U.S. online international pharmacy found at Healthwarehouse.com International Online Pharmacy price as found on PharmacyChecker.com, discount card used found on RxCut.com, coupon found on Goodrx.com. Prices collected 1/16/2013.

Compare Nexium Prices on PharmacyChecker.com

Savings on 30 Pills of Aciphex 20 mg

Program Price Savings over Local Pharmacy Percent savings
U.S. Local Pharmacy $347.99
Discount Card Option $321.11 $26.88 8%
Discount Coupon Option $280.83 $67.16 19%
U.S. Online Pharmacy $260.10 $87.89 25%
International Online Pharmacy $49.00 $298.99 86%

Local pharmacy in New York City, U.S. online international pharmacy found at Healthwarehouse.com International Online Pharmacy price as found on PharmacyChecker.com, discount card used found on RxCut.com, coupon found on Goodrx.com. Prices collected 1/16/2013.

Compare AciphexPrices on PharmacyChecker.com

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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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Online Pharmacy Report for 2012: More Access and Less Misinformation Needed

The Deadly Problem of High Drug Costs and How Personal Drug Importation Helps

High prescription drug prices continue to be a public health crisis in America and the problem appears to have worsened throughout 2012.  The added healthcare costs to the economy caused by Americans not taking their medication have increased from $290 billion to $313 billion. According to a study by the New England Healthcare Institute, over one million Americans die each year because they do not correctly take needed medications or do not take them at all.  Though not all of those deaths are due to cost, it’s fair to estimate that hundreds of thousands of Americans are dying each year because drug costs are the number one reason for people not taking prescribed medications. It follows that all avenues of access to safe and affordable medication save lives, including access to safe online pharmacies with the lowest drug prices, international or domestic, which are a real lifeline for American consumers. Therefore, the federal statute banning personal drug importation under most circumstances doesn’t change the fact that current access to safe personal drug importation is good for the public health.

Savings Online Internationally Have Increased; U.S. Has Best Deals on Generics

Online pharmacy savings increased in 2012 due to lower international pharmacy prices coupled with extreme drug price increases – 13 % — in the United States.  The potential savings on popular brand name drugs increased to 85% in November 2012 from 80% in March 2011, according to PharmacyChecker.com research.  Online pharmacy savings are greatest on brand name medications, which when purchased internationally often help Americans save thousands of dollars each year. Some American lives are saved by online access to international pharmacies. In stark contrast to pricing on brand name drugs, U.S. generic drug prices remained globally competitive and offered Americans their best bet on many popular medications available generically at U.S. pharmacies, such as Walmart’s $4 discount programs, and usage of prescription drug discount cards.  And because many popular drugs, such as Lipitor and Plavix, are now sold generically in the U.S., we can expect a shift from international to domestic pharmacies in 2013.

Rogue Online Pharmacies vs. High Drug Prices: Which is More Dangerous?

Rogue online pharmacies are a serious public health threat and need to be put out of business, but the draconian public health consequences of Americans going without needed medication due to cost is a much bigger problem. While one death is too many, very few Americans have died from rogue online pharmacies, domestic or foreign. In dire contrast, as mentioned above, it’s estimated that over one million Americans die each year from not taking needed medication with U.S. drug costs identified as the main culprit behind Americans going without prescribed medication. It’s worth noting that the research showing this sobering data was funded in part by pharmaceutical companies, including PhRMA and Pfizer (Read the research by the New England Health Institute. Follow this hyperlink to the full report; the sponsors are made clear).

The Media Storm of Misinformation on Online Pharmacies

It’s not a freakish editorial accident that the media appears far more interested in reporting about the evils of online pharmacies, especially foreign ones, and their dangers, than the national disgrace of high drug prices causing bankruptcy, sickness, hospitalization and death. The amazing profits of the global pharmaceutical industry are overwhelmingly dependent on charging U.S. consumers the world’s highest prescription drug prices. Preventing Americans from access to lower international drug prices is obviously one of their major goals. The power of the pharmaceutical and the U.S. pharmacy industries, exercised through billions of dollars spent on advertising, lobbying, and media relations, has led to the mainstream media propagating a false narrative about an online marketplace in which it’s not safe to buy lower priced medication from non-U.S. online pharmacies under any circumstances. We’ve written about most of the groups responsible for perpetuating the false narrative:

Alliance for Safe Online Pharmacies

Center For Safe Internet Pharmacies (CSIP)

LegitScript.com

National Association of Board of Pharmacy

Partnership For Safe Medicines

With the exception of CSIP, each of the groups above receives funding or revenue from the pharmaceutical industry, U.S. pharmacy industry, and/or the U.S. Food and Drug Administration. They all conflate the evils of dangerous rogue online pharmacies with the safe practice of personal drug importation from safe online pharmacies, mostly based in Canada. While FDA’s policies continue to allow Americans to personally import prescription medication, the FDA now engages fully in promoting the industry-sponsored media script. CSIP is largely the brain child of the White House Office of the Intellectual Property Enforcement Coordinator, an office dedicated to protecting intellectual property rights and strenuously lobbied and influenced by the pharmaceutical industry.

The Truth About Online Pharmacies

There are many international online pharmacies, mostly based in Canada, that have operated safely and ethically for over a decade. Independent research demonstrates that there are clearly safe online pharmacies, international and domestic, including those approved by PharmacyChecker.com. Safe international online pharmacies meet the same or similar standards as U.S. mail-order pharmacies. Their main difference is that they sell medication at a much lower price than U.S. pharmacies. They are not rogue online pharmacies. It’s that simple.

The dangers of rogue online pharmacies are very serious.  Such rogues purport to be real and safe pharmacies when often they are not selling from licensed sources, requiring prescriptions or following other basic pharmacy safety protocols.  Some online pharmacies are even operated by organized crime groups. And some sell deadly products.

Online Pharmacies in 2013

In 2012, law enforcement successfully shutdown more dangerous rogue sites. We should all applaud and encourage further efforts to crackdown on rogue online pharmacies. But we should also expose misinformation being spread by the pharmaceutical industry about safe international online pharmacies. Their misinformation directly leads to Americans going without medication because people are scared away from online pharmacies that sell the medications they need at a price they can afford.

To help protect the ability of Americans to safely import affordable prescription medication, we encourage you to become part of the RxRights.org movement. Join RxRights.org and contact your elected officials now to let them know Americans need access to safe medication that is affordable, including through personal drug importation.

American consumers should be able and encouraged to purchase safe medication at the lowest possible prices, whether domestically or internationally. Federal and state laws that decrease access to safe and affordable medication are neither ethical nor conducive to protecting the public health. Comparing drug prices among licensed and safe pharmacies and making this information available online for consumers helps maximize access while greatly minimizing risks: PharmacyChecker.com will proudly as ever continue to do so in 2013.

Happy Holidays and New Year!

Gabriel Levitt
Vice President
PharmacyChecker.com

 

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