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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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Sen. Olympia Snowe Makes Case For Safe Personal Drug Importation From Credentialed Online Pharmacies

UPDATE: the video showing Senator’s Snowe’s floor remarks is no longer available. Please consult the congressional record for this date to read Senator Snowe’s full remarks.

In support of Senator John McCain’s amendment to facilitate safe personal drug importation from credentialed online pharmacies, Senator Olympia Snowe spoke comprehensively, passionately and honestly about the issue. Though the amendment did not pass, Americans interested in online pharmacies and drug affordability should be aware of some of Ms. Snowe’s most pertinent points in support of personal drug importation. The full senate floor presentation is available for viewing as well.

  1. “Americans are facing tremendous increases in prescription drug prices for far too long and I think it’s at a point in which Congress should address this issue,” said Senator Snowe.In 2010 AARP found that retail prices for the most popular brand name drugs increased 41.5% while the consumer price index rose just 13%. In other words the cost of prescription drugs rose more than three times as much as the inflation rate.”
  2.  Senator Snowe wisely reminded her colleagues that most of “America’s” drug products are already manufactured overseas. Senator Snowe points out that the very medications America consumes come from manufacturing facilities in over 50 countries and “not all of those facilities are even inspected….”
  3. We need a more competitive pharmaceutical market. Senator Snowe points out (by quoting a former Pfizer CEO) that more competition from imported medication will lead to lower prices, higher quality products, and more innovation.
  4. The amendment is far more modest than previous drug importation bills and only calls for the Secretary of Health and Human Services (HHS) to make a list of approved online pharmacies for personal drug importation but it would not allow for greater “wholesale” drug importation. PharmacyChecker.com already provides such a list that consumers can freely access. Ironically, while Senator Snowe didn’t mention it, the Secretary of Health and Human Services, Kathleen Sebelius, actually published such a list when she was governor of Kansas for a state drug importation program.

 For those interested in learning more about why personal drug importation should be made more available to Americans please watch Senator Snowe’s floor remarks.


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