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Can You Find Free Prescription Medication in the U.S.? Going Publix…

Close up of dollar billI’m talking about super-sized supermarket Publix, which operates over 1000 stores throughout the Southeastern U.S. Sure, it’s not the only superstore to offer this but I happened to come across its Free Medication Program while researching drug prices today: and I want to talk about it.

There’s a lot of yelling and screaming and downright hostility toward the pharmaceutical industry (much of it warranted), including against generic drug companies, who are under scrutiny because some old generics have increased in price by thousands of percent. So here’s a little relief…free medication.

The list is not long but the following drugs are free at Publix pharmacies: Amlodipine, Lisinopril, and Metformin. Bring your script and walk out with a 90 day supply free. If you’re prescribed a 14-day antibiotic treatment of Amoxicillin, Ampicillin, Sulfamethoxazole/Trimethoprim, Ciprofloxacin (but not its XR version) and Penicillin VK – free at Public Pharmacies.

Now most of us don’t live near a Publix. Very low cost and free drug programs at U.S. retailers and chain pharmacies were launched almost a decade ago when Walmart announced its $4 prescription drug programs. The programs are still around and a report is long overdue about them. I promise to bring you a broader list of these free medication programs in the New Year.

Why would a pharmacy offer medications for free? If you’re looking for a full explanation, here’s some good journalism in Toledo’s The Blaze from 2006. It has something to do with the medication being a “loss leader” for the company. Then again, who cares – the meds are free.

 

 

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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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