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Helping Americans Get The Truth About Prescription Drug Savings
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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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American Consumer Calls Drug Prices in America “Extortion” In an Open Letter to PharmacyChecker.com

I had a conversation with Gabriel Levitt from PharmacyChecker.com the other day, as I was in search of a Canadian Pharmacy that I could travel to and obtain affordable, needed, drugs. The reason for this “travel” was the recognition of the newest law (the new FDA bill) on the books in the U.S. that any drug under the value of $2,500.00 would (or could) be seized and destroyed by border security agents.

My particular situation is this: I am on blood thinner (anti-coagulate) medicine. I must continue on this medicine for the remainder of my life. A few years ago I had open heart surgery to repair a defective Mitral valve inside my heart. I elected to have an artificial valve installed instead of a “bio” valve (Porcine or bovine). After weighing the options it was pointed out to me that “bio” replacements would not last as long as artificial valves have proved to be. If any of you have had open heart surgery in the past you will share my desire to not do that again. Very painful recovery and many weeks of gaining strength back.

This brings up the only downside of the artificial, compared to “bio”, replacement. My blood has to be thinned and monitored to prevent clots from forming around the replacement valve. This requires the drug Coumadin to be taken daily. All is fine so far.

Here’s the real kick – If I have to have any procedures that might involve bleeding, be it surgery or even as insignificant as tooth extraction, I must wean myself off Coumadin and bridge this time period with one of the heparin derivative drugs. One of the least expensive of these is Lovenox.
The cost of this drug in the US is approximately $1,200.00 per box of ten Syringes. I must self-administer twice a day so this is only a five day supply. My experience with this medicine is that I must refill and administer more before my Coumadin goes takes effect. Ok, so that is another $1,200.00 out of pocket. Even when I was on Medicare part D my out of pocket was still about $420.00 per purchase.

I was in contact with one of the pharmacies in Canada that your organization verifies. The cost at the Canadian pharmacy was about $140.00 per box of ten syringes. Same manufacturer, same dosage, and same freshness.

I ask you, what is the $1,060.00 extra for? I know that the Canadian pharmacies are not selling me this drug at their cost, so they are making a profit, but why the huge difference?

It makes me think that the drug companies here, in the states, are being allowed to make OBSCENE profits by a significant number of members of congress. What else would explain the very large difference in pricing?

This brings us back to the enactment, with lightning speed, this new law provides for the destruction of mail order drugs from “over the border “pharmacies. The law makers established a price of $2,500.00 as a criteria to destroy (or not) these drugs. Interesting!

Well, that is my story. I know I am not the only US citizen that is being held hostage by those that have a vested interest in keeping US drug prices at an apparent, artificial, level. I think the word extortion is repugnant but does it apply is this discussion?  Unfortunately, I think so.

To Mr. Gabriel Levitt and the good folks at Pharmacy Checker please feel free to use this letter in any effort to help bring down the cost of drugs in this country. In the short run, to rescind any attempt by lawmakers to prevent my obtaining affordable drugs from Canadian Pharmacies.

Thank you for reading my story. I am not alone.

Mike M
Syracuse, NY

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New York Times Op-Ed Calls For Legalization of Personal Drug Importation From Credentialed International Online Pharmacies

The main Op-Ed article in today’s New York Times, “The Wrong Way to Stop Fake Drugs,” calls for the legalization of personal drug importation from credentialed international online pharmacies, such as those approved in the PharmacyChecker.com Verification Program. Authored by Roger Bate, a resident scholar at American Enterprise Institute, the central message of the piece is that the technical ban on personal drug importation does not help the fight against counterfeit drugs but does discourage Americans from getting needed medication. We couldn’t agree more.

Dr. Bate offers evidence-based and compassionate approaches to help uninsured/underinsured Americans obtain medication at affordable prices and reduce the threat of counterfeit medication domestically and abroad. For more on this story see today’s press release

For the past year, Americans who buy medication from international online pharmacies have engaged through RxRights.org to help stop government actions that could block their online access to safe and affordable medication. Taking the cue from this latest op-ed, Americans should start asking their leaders to pass legislation directing the FDA to provide accurate information about online pharmacies. At the very least, the FDA should cease its categorical warning against all international online pharmacies for the simple reason that some are very safe and can help more Americans afford needed medications.

We looked at the top five brand name drugs by sales today to highlight the incredible price discrepancies between US pharmacy and international online pharmacy prices.

Price Comparisons for Lipitor, Advair Diskus, Nexium, Abilify, and Plavix

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