by Tod Cooperman, MD, President, PharmacyChecker.com, and Gabriel Levitt, Vice President, PharmacyChecker.com | Jul 24, 2012 | Advocacy, Drug Importation, Drug Prices, Online Pharmacies, Pharmaceutical Industry
A new organization, the Center for Safe Internet Pharmacies (CSIP) – safemedsonline.org – made its debut yesterday. Unfortunately, the group seems more focused on keeping its big corporate members in the good graces of the pharmaceutical industry and government than on helping American consumers. In fact, its actions may endanger public health.
This should come as no surprise, as the plan to create the Center for Safe Internet Pharmacies was hatched by the White House Office of the U.S. Intellectual Property Enforcement Coordinator in 2010 which, as previously reported here, was handed the plan by the pharmaceutical industry. The plan fit very well with the Stop Online Piracy Act (SOPA) and Protect Intellectual Property Act (PIPA) legislation which was eventually shelved.
The Center for Safe Internet Pharmacies has two main activities. The first is to educate, or more accurately, “scare,” the public away from using “illegal” pharmacies, which appear to include licensed and safe pharmacies outside the U.S. which sell genuine but lower priced medicine to Americans. The second is to work with the U.S. government to “shut down” chosen online pharmacies by blocking their ability to appear in online searches and to accept payments.
CSIP has handed over the job of deciding which online pharmacies are okay to LegitScript, which has its own suspect past and intentions. All non-US online pharmacies are branded “not approved” by LegitScript on the basis that it’s technically illegal to personally import most medications – even though the government, in its wisdom, has permitted it. Moreover, it appears that LegitScript is essentially a private sector extension of the FDA as evidenced by its $2.6 million government contract.
As part of its launch, the Center for Safe Internet Pharmacies produced a scare video showing a caring, young woman go online to research and order lower-priced medication online for an elderly relative. The relative then falls ill and the young woman worries that the medicine may have been fake or even “rat poison” and, through the miracle of video, the clock is rolled back, the medicine is never ordered, and all is somehow well without the medicine.
This far-fetched horror flick is far more likely to scare people away from affordable medicine than keep them safe. It’s an indisputable fact that for more than a decade millions of Americans, many of whom have trouble paying for prescription medication in the United States, have safely filled their prescriptions, at much lower prices, through online pharmacies in Canada and other countries. Independent research has also shown that medicine ordered from sites approved by PharmacyChecker.com or the VIPPS Program is genuine. If CSIP’s well-funded public relations team could have found a person who was actually injured by ordering medicine with a prescription from an online pharmacy, they would not have had to create a fictitious character and story.
It is well document that tens of tens of millions of Americans go without medication each year due to cost and suffer real illness as a result. Keeping them “safe” means helping Americans find affordable medicine – not cutting a lifeline to it.
There are plenty of rogue pharmacies out there which CSIP can help root out – ones that sell fake medicine and don’t require prescriptions. We hope CSIP decides to focus all of its attention on these real dangers. If not, the real horror story could turn out to be CSIP itself when its actions increase the number of people who go without needed medication or are left impoverished due to prices at pharmacies of which CSIP “approves.”
Tagged with: Center for Safe Internet Pharmacies, CSIP, Drug Prices, LegitScript, Online Pharmacies, Online Pharmacy Verification Services, PIPA, SOPA
by PharmacyChecker.com | Jul 20, 2012 | Counterfeit Drugs, Drug Importation, Online Pharmacies
For the last six months the WSJ has actively reported on fake Avastin purchased by some medical clinics in the United States. The latest report focuses on the fact that the owner of the foreign wholesaler that shipped the fake Avastin to the U.S. is also the owner of a large international online pharmacy called CanadaDrugs.com. The WSJ reporting makes it clear that the wholesale business is separate from CanadaDrugs.com.
CanadaDrugs.com is a long-standing member of the PharmacyChecker.com Verification Program. It takes orders online filled by licensed pharmacies that require a valid prescription. It does not sell Avastin and the WSJ didn’t report any safety problems associated with its operation.
PharmacyChecker.com’s programs are designed to provide information to consumers seeking safe and affordable medication online for their own use. We recognize that importation by medical clinics does occur and the reason is that drug prices of many drugs are unusually high in the United States. We believe that wholesale drug importation presents unique drug supply and safety challenges that should be addressed but are not related to personal drug importation.
Tagged with: avastin, CanadaDrugs.com, Counterfeit Drugs, personal drug importation, Wall Street Journal
by PharmacyChecker.com | Jun 18, 2012 | Advocacy, Drug Importation, Online Pharmacies
This Op-ed by our vice president, Gabriel Levitt, was first published in the popular Opinion/Controversy website – Opposing Views. We’re re-publishing the op-ed below.
Eleven years ago, an eighteen year old American named Ryan Haight tragically died from
an overdose of Vicodin, purchased online without a prescription. The Vicodin was real, not fake. In Niger, a much larger tragedy occurred – 2,500 people died out of 50,000 who were inoculated with bogus medication. The worst tragedy in recent U.S. history was the death of 238 Americans after ingesting fake Heparin found in the legal U.S. drug supply in 2007 and 2008. The Institute of Medicine reports that 100,000 Americans die each year due to prescription drug errors here in the USA.
What do all of these disparate and depressing statistics have in common? They have nothing to do with personal drug importation from properly credentialed online pharmacies. And yet opponents of safe importation insist that it is not safe, an assertion that runs contrary to the evidence.
A recent study published by the National Bureau of Economic Research, called “Unveiling
the Mystery of Online Pharmacies: an Audit Study,” shows that Americans who purchase
medicine from properly credentialed non-US online pharmacies receive genuine (not fake)
medication at much lower prices than U.S. pharmacies. In this study mystery purchases of
popular brand name drugs were tested for authenticity. All tested medications that were ordered from U.S. and non-U.S. websites approved by PharmacyChecker.com, National Association of Boards of Pharmacy, LegitScript.com, and the Canadian International Pharmacy Association were found to be authentic. Some non-credentialed website purchases failed testing.
A few weeks back Senator John McCain introduced an amendment to the Prescription Drug User Fee Act (PDUFA) to facilitate personal drug importation from credentialed Canadian online pharmacies. Unfortunately, while the larger bill passed, McCain’s amendment failed 54-43. Even worse, though removed from the Senate version by unanimous consent, the House version of PDUFA, which passed with overwhelming support, contains a section – 805 – that authorizes the Department of Homeland Security (DHS) to seize and destroy safely imported genuine medication valued at $2,000 or less. Since imported medication valued under $2,000 is for “personal use” the language was clearly aimed at destroying medication ordered internationally, often online, by individual Americans.
The putative goal of Section 805 is to protect Americans from counterfeit and dangerous drugs. In reality it will only hurt patients by blocking their ability to obtain affordable medication. Other parts of PDUFA contain forward thinking measures to protect us from counterfeit and substandard drugs, such as increasing penalties against drug counterfeiters, strengthening registration requirements on, and improving inspections of, foreign drug manufacturers. It also has provisions that could help bring needed pediatric medicines to market faster. But seizing and destroying safe personal imports will not help solve the counterfeit drug problem. Moreover, tens of millions of Americans don’t fill prescriptions each year due to the high cost of medication – 48 million in 2010 according to the Commonwealth Fund. Aggravating this public health crisis by destroying people’s prescription drug orders will result in more sickness, hospitalizations and death.
About a million Americans rely on safe non-US online pharmacies. If Section 805 is not
removed from PDUFA then DHS will seize and destroy safe prescription drug orders en
route to patients. That is medically unethical and a threat to public health. Section 805 must be removed from the final bill to avoid even more Americans going without needed medication.
First published here: http://www.opposingviews.com/i/health/conditions/eliminate-counterfeit-drugs-don-t-curb-access-safe-and-affordable-medication
Tagged with: avastin, Counterfeit Drugs, Gabriel Levitt, NBER, Opposing Views, PDUFA
by PharmacyChecker.com | Jun 13, 2012 | Drug Prices, Generic drugs, Online Pharmacies
Update: 7/17/2012
When we initially published this blog post, Dr. Stephen Barrett from pharmwatch.org had reported significant difficulties using the Plavix Choice Card program. Dr. Barrett subsequently communicated these problems to Bristol-Myers Squib and Sanofi. On July 13th, Dr. Barrett reported that the problems had been fixed and concluded that the program is now a great way to save money on Plavix. For more, see pharmwatch.org.
Buying Plavix at the cash price from your local pharmacy can run you about $2,500 per year! While the drug has recently gone off-patent and a generic version (clopidogrel) is available, the price of the first generic on the market is not much lower. Drug companies offer programs that purport to help Americans acquire the brand name version cheaply – Bristol-Meyers Squibb and Sanofi, the companies that market Plavix, offer the Plavix Choice Card Program. However, Dr. Stephen Barrett, a consumer advocate, recently tried using this program and found it unbelievably complicated – if not impossible – to use.
Dr. Stephen Barrett shares his Plavix Choice Card Program experience on his website Pharmwatch.org. We encourage you to read about it.
Another low-cost way to get this medication is through verified international online pharmacies. Below is a chart comparing prices from a local retail pharmacy in New York, a U.S. based online pharmacy, and from a pharmacy listed on PharmacyChecker.com. As you can see, the savings using an international online pharmacy is even greater (86% savings) than with the Plavix discount program (82% savings). What’s more, unlike the discount program, you don’t have to “qualify” to get the savings.
Drug Prices For 3-Month Supply of Plavix (75 mg)
|
Local Retail Pharmacy* |
U.S. Online Pharmacy** |
Plavix Card Discount Program |
International Online Pharmacy on PharmacyChecker.com |
| Price |
$634.00 |
$585.00 |
$111.00 |
$88.20 |
| Difference From Cash Price |
— |
$49.00 |
$523.00 |
$545.80 |
| Percent Savings |
— |
7.73% |
82.49% |
86.09% |
* Pharmacy in New York City, price collected 6/11/2011
**HealthWarehouse.com, price collected 6/11/2012
Tagged with: Drug Coupons, Pharmwatch.org, Plavix, Plavix Choice Card Program, Stephen Barrett
by PharmacyChecker.com | May 24, 2012 | Drug Importation, Healthcare Reform, Online Pharmacies, Personal Drug Importation
McCain Amendment.
Senator John McCain (R-AZ) introduced an amendment to the Pharmaceutical Drug User Fee Act authorization bill that would create explicitly legal access to and facilitate safe and affordable medicine from Canadian pharmacies through a government list of online pharmacies. Sen. McCain should be applauded for continuing his efforts on this issue. Unfortunately, the amendment was voted down 43 to 54.
In his floor statements, predicting his amendment’s failure, Senator McCain communicated that too many of our elected representatives are beholden to the pharmaceutical industry. For that reason, we can expect future legislative actions to curb access to safe personal drug imports. Due to FDA’s current regulatory practices, Americans are not prevented from obtaining needed medications from verified international online pharmacies.
CBS News On Online Pharmacies and Drugs Safety
In a recent article, CBS News informs American consumers on critical issues of drug safety. When it comes to ordering prescription drugs online, especially from outside the United States, the article is clear that Americans should only shop from properly credentialed online pharmacies, such as those approved by PharmacyChecker.com.
Americans should take other precautions as well. For instance, you should only take prescription medications prescribed to you from your doctor. Check expiration dates to make sure your prescription product is still effective. Before taking medication, look at it closely for any indication something is not right, including disintegration or discoloration.
Online pharmacies discussed by world leaders at G8 summits
Leaders from the world’s most advanced economies discussed online pharmacies at the recent G8 conference. The topics discussed also included economic growth and development, food and nutrition, and international security. Global health experts criticized the G8’s agreement, as published in the Camp David Declaration, for an over-emphasis on intellectual property protection in its section that mentioned drug safety.
Americans who buy medication safely from properly credentialed international online pharmacies should be concerned about high level talks that address this issue. The pharmaceutical industry’s anti-consumerist positions on intellectual property rights are often overrepresented in such international organizations, and the industry seeks global action to shutdown safe international online pharmacies.
On the other hand, looking at the glass half-full, the Camp David Declaration makes clear that public safety – not intellectual property rights – are the goal in fighting rogue online pharmacies and counterfeit drugs: “To protect public health and consumer safety, we also commit to exchange information on rogue internet pharmacy sites in accordance with national law and share best practices on combating counterfeit medical products.”
We strongly support international actions to thwart the sale of dangerous medications online to protect both American and global patients. In fact, PharmacyChecker.com has been dedicated for almost a decade to evaluating online pharmacies in order to provide information about those that sell safe and affordable medication.
Tagged with: Camp David Declaration, CBS News, FDA, G8, John McCain, Pharmaceutical Drug USer Fee Act
by PharmacyChecker.com | Apr 18, 2012 | Drug Importation, Drug Prices, Medication non-adherence, Online Pharmacies
Today we issued a press release showing that the most popular brand name asthma medications are on average 76% less when purchasing from the lowest-cost PharmacyChecker.com-verified online pharmacies than at U.S. bricks and mortar pharmacies. For example, a three month supply of Advair Diskus (250-50mcg/dose), a popular preventative medication, costs $947.97 at a bricks-and-mortar pharmacy in New York City. The same medicine, by the same manufacturer, costs $149.00, at a verified international online pharmacy – a savings of 84%. With such high prices domestically it’s no surprise Americans with asthma often find themselves going without needed treatments and ending up in emergency rooms.
A 2005 study sponsored by Kaiser Family Foundation, Harvard School of Public Health, and USA Today found that 44% of American households with an asthma sufferer are unable to follow prescribed treatments due to cost. According to the U.S. Centers for Disease Control and Prevention, 1.7 million Americans went to emergency rooms in 2009 due to their asthma conditions. The CDC attributed such hospitalizations to low adherence to asthma management strategies, which include taking preventative asthma medication. A study in the Journal of the American Medical Association last month reported that out-of-pocket costs for medicine were a factor in greater hospitalization rates among children with asthma in the U.S
The health benefits of products such as Advair Diskus, Flovent, and Singulair – preventative asthma medications –are sometimes difficult for patients to ascertain when they are not showing asthma symptoms. Unfortunately, because prices for these products are so high in the United States, Americans view skipping these medications as a way to save money and others simply can’t afford them. If more Americans could find these products at more reasonable prices, such as from verified international online pharmacies, then adherence would improve, leading to less ER visits, better overall health outcomes, and lower healthcare costs for all of us. And with more affordable asthma medication, trips to the grocery store will be less daunting.
For more on asthma medication prices, see the press release.
Tagged with: Advair Diskus, Asthma Medication, Emergency Room Visits, Flovent, Journal of the American Medical Association, Singulair, Symbicort, U.S. Centers for Disease Control and Prevention
