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Helping Americans Get The Truth About Prescription Drug Savings
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Online Pharmacies, Personal Drug Importation and Public Health: Laws Governing Online Pharmacies

Is it legal to order medications online? Yes. If you live in the U.S., you can legally order medications online for mail order, such as from Walgreens or CVS. Is it legal to order medications from an online pharmacy located in a foreign country – to personally import it? Technically, no; but people who import small quantities of prescription medication for their own use, according to the FDA, are not prosecuted for doing so. There are a lot of nuances and quirky details when it comes to laws and regulations that apply to online pharmacies. Some laws are there to protect your health and safety; others seem more bent on protecting the profits of big drug companies – and there’s a lot in between. It’s complicated.

So this week, in our continuing quest to get the truth out and for our elected leaders in Congress to take bold action to protect online access to safe and affordable medication, we’re publishing the next section of our report called Online Pharmacies, Personal Drug Importation, and Public Health

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What Roger Bate Discovered about Online Pharmacies

Dr. Roger Bate, an economist who publishes extensively about drug quality, safety, and intellectual property, finds himself a bit out in the cold right now and we think that’s wrong. It’s all because of his latest work on Internet pharmacies and personal drug importation.

He was once a favorite of the pharmaceutical industry. In a 2004 National Review article called “What Patent Problem?” Dr. Bate enraged the progressive, health activist community for arguing that patents are not obstacles to needed medication in poor countries because 95% of World Health Organization Essential Medicines are already off patent. Arguments like those were welcomed by industry, but things have changed. His recent research showing that personal drug importation (which undermines pharmaceutical profits) through online pharmacies can be safe has made him persona non grata in some pharma circles, despite his other positions which support pharma. Unfortunately, it seems the health activist community is also hesitant to embrace Dr. Bate’s current work on personal drug importation, perhaps because they don’t want to lend credence to his past research.

We think it’s time that everyone, including the FDA, listens carefully to what Dr. Bate is saying about personal drug importation. After extensive mystery shopping and testing of products, Dr. Bate came to a very simple conclusion: As long as people purchased medication from websites (foreign or domestic) approved by PharmacyChecker.com or the National Association of Boards of Pharmacy, they were generally safe doing so. His data also showed that Americans could save a lot of money (an average of 52%) on brand name medicines from legitimate pharmacies outside the U.S. He believes this option, to be fair, should exist mainly for lower income individuals rather than people able to afford U.S. prices.

Dr. Bate’s conclusions about online pharmacy are an inconvenient truth for the pharmaceutical industry and U.S. pharmacies – which include some of the funders of his employer, the American Enterprise Institute. These industries lobby the government to prevent Americans from accessing drugs online at lower cost from foreign pharmacies. Their strategy has been to ignore Dr. Bate’s findings on Internet pharmacies. The FDA seems to be playing the same game by scaring the public away from personal drug importation through public information campaigns, such as Be Safe Rx.

We know that Dr. Bate’s work on online pharmacies is guided by hard data, objective analysis, and his free market sensibilities. We do not agree with his positions on all subjects, but his studies on drug safety demand respect from all sides and could help policy-makers reach the right conclusions for the public good.

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How to Save on Lipitor (Atorvastatin), Brand and Generic

For nearly a decade, Pfizer’s Lipitor, a cholesterol-lowering medication, was America’s most popular brand name prescription drug. Americans spent a whopping $7.7 billion dollars on it in 2011 (and worldwide sales totaled about $11 billion). Since its U.S. patent expiration over a year ago, an increasing number of Americans have now shifted to lower cost generic versions. Still, some folks are sticking with brand name Lipitor. We’ve identified the best ways to save on brand name and generic Lipitor below.

Generic drugs are often preferable to brands because they are generally much cheaper even though they have the same active ingredients as the original. If you’re concerned about buying generic Lipitor because of the recent recall by Indian drug company Ranbaxy, you should know that there are other manufacturers who make generic Lipitor and generic Lipitor is still widely available. Moreover, it’s likely that Ranbaxy’s version will be back on the market soon. As a matter of personal preference and brand trust some people still prefer Pfizer’s Lipitor to the generic. What is most important is that you can afford and take the medicine that you need.

So where do the Lipitor and Atorvastatin savings stand now? (To skip to the summary of the savings, view the pricing chart).

Brand Lipitor

Online Savings Are Best
Even with generic competition, the cash price of Lipitor remains very expensive domestically – a 30-day supply of Lipitor 20mg is $226 at a local pharmacy in New York City. The absolute greatest savings on Lipitor is achieved by purchasing a three-month supply from an international online pharmacy, from which the lowest price found on PharmacyChecker.com is $68. Compare that to $678 at that local pharmacy in NYC and the savings comes out to 90% – over $2,400 annually!

Prescription Drug Discount Card/Coupon
The savings are not very substantial using standard discount cards and coupons. The highest discount we found for standard cards was 18%. However, Pfizer has a more significant savings program…

Pfizer’s Lipitor For You
Pfizer has a Lipitor discount program called Lipitor For You. The program can help you save money, but its marketing is a little deceptive. It claims to lower your out-of-pocket expenses to $4 for a one-month supply of Lipitor. Well, it can do that, and sometimes does. In reality, the Pfizer discount card is actually a $75 coupon, which can reduce your out-of-pocket expense to a minimum of $4. However, if your copay is high enough – over $79 – you will pay more than $4. If you don’t have insurance and the cash price is $226 then the discount of $75 will bring down the cost to $151 – a 33% discount. With Pfizer’s Lipitor program, savings are twice as large as using a normal discount but not as a great as using an international online pharmacy.

Bottom Line: For brand name Lipitor, the maximum savings are found either at an international online pharmacy or the Lipitor For You program, depending on whether or not you have insurance.

Generic Lipitor

Like the brand, the generic cash price can also be very high at local pharmacies — $157.99 at that same NYC pharmacy mentioned above, which is way more expensive that the brand version internationally! While conducting the drug price research for this blog post, the New York City pharmacist we spoke with even agreed; before stating the generic Lipitor price, he said, “It’s very expensive!” Here’s what you can do…

Buying Generic Lipitor Online A Great Deal!
As far as ordering generic Lipitor 20mg online goes, the U.S. has great prices – a three-month supply for $36. The international price is a little lower at $33 ,but you may also have higher overall costs because international shipping fees are higher, not to mention much longer waiting times

Local Pharmacies With A Discount Card Also A Great Deal!!
We’ve discovered that purchasing at your local pharmacy using a discount card is also a great deal – a 30-day supply is about $14.50, and a 90 day supply is $36.50. Keep in mind that when buying locally there are no wait times or shipping fees.

Bottom Line: When it comes to generic Lipitor, our research shows great deals both online and at the local pharmacy so it’s up to you to determine whichever way is most convenient and desirable.

To summarize, discount coupons and online pharmacies in the U.S. or abroad all offer pretty much the same savings on atorvastatin – the generic of Lipitor. When it comes to ordering the brand name version, the best savings depend on a variety of factors. If you have insurance, it depends on your co-pay amount, with the Lipitor For You program offering a great option. If you don’t have insurance and need to pay the cash price in the pharmacy, then Pfizer’s Lipitor from international online pharmacies is clearly your best deal. It will save you about $2,400 a year! Just make sure the online pharmacy is verified by an independent third party, such as those listed on PharmacyChecker.com.

Brand Lipitor 20 mg Savings (90 day supply)

Program Price Savings over Local Pharmacy Percent savings Annual Savings
Local Pharmacy $677.97
Discount Card Option $555.50 $122.47 18% $489.88
Coupon Option $532.68 $145.29 21% $581.16
U.S. Online Pharmacy $500.30 $177.67 26% $710.68
International Online Pharmacy: $68.00 $609.97 90% $2,439.88

Local pharmacy in New York City, International Online Pharmacy price as found on PharmacyChecker.com. Prices collected 12/13/2012

Generic Lipitor (Atorvastatin) 20 mg Savings (90 day supply)

Program Price Savings over Local Pharmacy Percent savings Annual Savings
Local Pharmacy $157.99
Discount Card Option $36.50 $121.49 18% $485.96
Coupon Option $36.50 $121.49 18% $485.96
U.S. Online Pharmacy $36.00 $121.99 18% $487.96
International Online Pharmacy: $32.90 $125.09 18% $500.36

Local pharmacy in New York City, International Online Pharmacy price as found on PharmacyChecker.com. Prices collected 12/13/2012

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