PharmacyChecker Blog

Helping Americans Get The Truth About Prescription Drug Savings
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Center for Safe Internet Pharmacies (safemedsonline.org) – Help or Harm for Consumers?

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.”

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Seniors in Medicare Doughnut Hole Skipping Depression Medication

A new study, reviewed in Medpage Today, finds that seniors falling into the Medicare Part D prescription drug coverage gap, often referred to as the “doughnut hole,” reduced the number of monthly anti-depressant prescriptions they filled by 12.1% compared to those with full coverage. In 2012, Part D plans share drug costs with enrollees up to $2,930. With co-pays, premiums, and deductibles seniors pay about $1,500 up to that point. After $2,930 the doughnut hole begins and plan enrollees pay out-of-pocket until they have spent $4,700 – after which the plans pay for 95% of drug costs.

The study also showed that those in the doughnut hole were more likely to go without other medications. Monthly use of heart failure drugs and anti-diabetics fell by 12.9% and 13.4%, respectively, relative to the group with full drug coverage. The study, Effects of Medicare Part D Coverage On Medication and Medical Treatment On Elderly Beneficiaries With Depression, was published in the July issue of Archives of General Psychiatry.

We’ve previously reported that the doughnut hole is a serious health issue for America’s seniors who are unable to afford needed medication. The new healthcare law offers seniors substantial discounts in the doughnut hole on brand name medications, and by 2020 the doughnut hole will supposedly be closed. The discounts help seniors to access medicine, but the crisis of skipped medicine will persist through the decade. Until then, it’s critical that seniors do not stop taking needed medications.

Medicare enrollees in the doughnut hole face very high drug costs for popular products such as Lexapro, Cymbalta and Abilify, all used to treat depression. These very medications are, on average, 80% less expensive if ordered from the lowest priced verified online pharmacies. See the chart below for price comparisons of verified international online pharmacies and a U.S. bricks and mortar pharmacy.

Prices for Three-month Supplies of Popular Anti-Depressants

Drug U.S. Bricks and Mortar Pharmacy* Lowest Pharmacy-Checker.com Listed Price** Savings Over 3 Months Percent Savings Savings Over 1 Year
Abilify 10 mg $1,881.99 $332.10 $1,549.89 82.35% $6.199.56
Cymbalta 30 mg $637.00 $133.20 $503.80 79.09% $6,199.56
Lexapro 10 mg $351.00 $84.61 $266.40 75.90% $1,065.60
Average: $956.66 $183.30 $773.36 80.84% $3,093

* Pharmacy in New York City, price collected 7/5/2012
**Lowest price listed on PharmacyChecker.com as of 7/5/2012

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High Drug Prices Make Americans Sicker; Affordable Care Act Will Help But Too Slowly

Americans die and get sicker every day because they can’t afford their medications.

The Patient Protection and Affordable Care Act will help provide health insurance for millions of Americans, reducing the cost of their medications. But we’re not there yet! We’ve compiled statistics – see below – on the negative health effects of prescription non-adherence due to cost.  Our country needs greater access to safe and affordable medication now, including through verified international online pharmacies that offer far lower prices on essential medications.

Here are the stats:

  1. 25 million Americans report becoming sicker because they are not taking medication due to its cost. 1
  2. An estimated 150 million prescriptions go unfilled each year due to prescription costs.2,3
  3. 125,000 deaths occur per year among patients with heart disease due to prescription non-adherence. And that’s just for heart disease. The number of deaths per year among all conditions due to cost-related non-adherence is unknown. 4
  4. Americans who skip medication due to cost are almost twice as likely to experience a significant decline in overall health over 2 years of follow up.5

  1. USA Today/Kaiser Family Foundation/ Harvard School of Public Health Health Care Costs Survey, 2005. 20% of survey respondents report not filling a prescription due to cost; and 54% of those said their condition got worse as a result. Extrapolated to the 2012 population of adults 18 and older, (234,564,071), that is 25 million.
  2. McCarthy R. The Price You Pay for the Drug Not Taken. Business Health 1998. Reports that 20% of prescriptions go unfilled, and 15% of those go unfilled because the drug costs are too high.
  3. IMS National Prescription Audit PLUS reports 4.024 billion prescriptions dispensed in 2011. If 80% of prescriptions written are dispensed, then 5.03 billion prescriptions were written. 15% of 20% of 5.03 billion is around 150 million prescriptions forgone due to cost.
  4. McCarthy, R. The Price You Pay for the Drug Not Taken.Business Health 1998. Quote from Daniel Gerner, chairman at the time of Healthcare Compliance Packaging Council.
  5. Heisler et. al, The Health Effects of Restricting Prescription Medication Use Because of Cost. Medical Care, Volume 42, Number 7, July 2004
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