PharmacyChecker Blog

Helping Americans Get The Truth About Prescription Drug Savings
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Low Premiums Could Mean Low Value When Choosing a Part D Medicare Drug Plan

Many Medicare enrollees shopping for drug plans this open enrollment season may be lured in by the offers with the lowest premiums, when in fact these plans can make for poor choices. What’s most important when choosing a Part D plan is that the drugs you need are covered; and if the plan doesn’t cover your meds, then plain and simple, it is not a good option for you. To find out which plans include the drugs you take, you can use the government’s website, found here: Medicare Plan Finder.

Blindly choosing the plan with the lowest monthly premium means you’re more likely to neglect researching drug coverage and other crucial factors about your Part D drug plan. For instance, if your plan is linked with a preferred drugstore, location could be a problem. This worry is highlighted in a recent AP article, as the Humana/Wal-Mart plan with the lowest premium on the whole Medicare list is causing trouble for some. While the competitive premium prices from Humana and other Part D providers are drawing attention as factors in picking a plan, accessibility, co-pays, deductible and coverage in the doughnut hole must be considered in addition to the most critical factor – the drugs covered on a plan’s formulary. (more…)

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2011 Medicare Open Enrollment Starts Today… Now What?

Open Enrollment is the period between November 15th and December 31st each year when Medicare enrollees can sign up for Part D prescription drug coverage, or if they are already enrolled, cancel their current plan, or switch to a different plan. Open enrollment is the time to research, rate and compare the plan options so that you pick the plan that’s best for you. A month and a half means you don’t have to and should not rush to a decision…

The enrollment period can be confusing enough for Medicare members, and this year’s changes that come with the health reform may make sign-up decisions even more complicated. We therefore recommend MedicareDrugPlans.com as a very helpful site that gives you access to honest plan reviews from your peers.

On MedicareDrugPlans.com you can sort plan options by name, company, location, overall rating or individual rating (i.e.: information received from plan, customer service, choice of drugs, cost of plan, and ease of use). There are plan profiles for all plan options offered in 2011 and  forums about the drug plans,  and related Medicare issues, on which you can ask questions or add your input. This means you can find important information about the plans and what others have experienced using them. You may discover which plans covered all of a member’s drugs without problems or which have great or not-so-great customer service – all from a community of consumers just like you.

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Will Pharmaceutical Companies Raise Prices to Offset Medicare Part D Discounts?

With open enrollment for Medicare Part D just around the corner, 50% discounts on brand name prescriptions while in the coverage gap seems to be a great new benefit this coming year… or is it? Some patient advocate groups, and we at PharmacyChecker.com, are asking, 50% off what price? Will PhRMA offer the discount on a higher-than-normal base price to cover their losses?

As the market, not the government, controls drug prices, it is a possibility that manufacturers will up the prices on drugs, especially specialty medications that lack brand-name alternative or generic competition, in order to make up for the lost profit. A brand name drug that costs $100 per month now – $50 in 2011 for Medicare Part D enrollees – may likely cost $120 next year – or $60 for Medicare enrollees – so that the manufacturers are able to spare revenue loss little by little. (more…)

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