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Helping Americans Get The Truth About Prescription Drug Savings
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CEO of PharmacyChecker On People’s Pharmacy Radio Talking Safety and Savings on Narrow Therapeutic Index Drugs

Tod Cooperman, MD CEO of PharmacyChecker.com

Joe and Terry Graedon have been helping Americans make better health decisions for the last 40 years, including through their syndicated radio show on National Public Radio called The People’s Pharmacy. As you can imagine, their listeners are interested in prescription drug safety and savings. Our CEO was on their show this past Saturday and I’d like to tell you about it, especially if you want to learn how to save money on brand name drugs.

The CEO of PharmacyChecker.com, Tod Cooperman, MD, is also the founder and president of ConsumerLab.com, the leading evaluator of health and wellness products. ConsuemrLab.com has worked with The People’s Pharmacy in the past to test prescription medications. While I believe that generics sold in the U.S. are usually of the highest quality, equal to or better than generics in most other countries, ConsumerLab.com’s findings show that some generic medications in the U.S. are not always equal to the brand. Due to his expertise is drug quality and his knowledge about drug prices, The People’s Pharmacy brought Dr. Cooperman on to their show last week to talk about Narrow Therapeutic Index (NTI) drugs. Listen to the show! (See minutes 6:50-18:00).

For NTI medications, it’s even more important that the active pharmaceutical ingredient is present in the exact amount required. When NTI medications have too much of the active pharmaceutical ingredient, it can be toxic; but those that have too little may not be adequately efficacious. Most NTI drugs are available in generic form, which usually means they are low cost, even without insurance, and usually lower-priced than in Canada and other countries, too! The opposite holds true for brands.

Some providers are deciding that it’s important for their patients stick with the brand for NTI drugs for the reasons stated above.  But the prices here are often too high. In the radio show, Dr. Cooperman recommends looking internationally for those who can’t afford the brand locally. Americans can often find discounts averaging 80% internationally on Brand name NTI drugs. Last summer, when we read The Graedon’s Guide to Saving Money on Medicines, we noticed the list of NTI drugs and wanted to compare drug prices domestically and internationally. Our research from Fall 2016 is below.

Narrow Therapeutic Index (NTI) Drugs: Brand Name Price Comparison (U.S., Canada, International*)

Per Pill Cost[i] Potential Savings
Medication Name: Brand (Generic) Strength U.S[ii] Canada[iii] NZ/UK[iv] Canada Other Int’l Overall
Tegretol (Carbamazepine) 200mg $2.87 $0.77 $0.57 73% 80% 80%
Cleocin HCl (Clindamycin) [v] 300mg caps $24.00 $3.38  NA 86% NA 86%
Catapres (Clonidine HCl) 0.1mg $3.34 $0.45  NA 86% NA 86%
Sandimmune (Cyclosporine) 100mg /mL  50mL $664.84 $327.98  NA 51% NA 51%
Lanoxin (Digoxin)[vi] 0.125mg $12.54 $0.75  NA 94% NA 94%
Depakote (Divalproex)[vii] 250mg $5.73 $0.90  NA 84% NA 84%
Zarontin (Ethosuximide) 250mg $4.51 $0.66  NA 85% NA 85%
Synthroid (Levothyroxine) 100 mcg (0.1mg) $1.87 $0.35 $0.63 81% 66% 81%
Dilantin (Phenytoin) 100mg $1.45 $0.33 $0.48 77% 67% 77%
Depakene (Valproic acid) 250mg $5.76 $0.93  NA 84% NA 84%
Coumadin (Warfarin) 5mg $3.69 $0.60 NA 84% NA 84%
 Average Savings 81%

[i] Based on three month supply of medication.

[ii] Walgreens, NYC, December 2016

[iii] Prices of international online pharmacies verified by PharmacyChecker.com.

[iv] Prices of international online pharmacies verified by PharmacyChecker.com.

[v] Marketed as Dalacin C in Canad

[vi] Marketed as Toloxin in Canada

[vii] Marketed as Epival in Canada

 

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Medication Safety is a Weak Argument Against Allowing Personal Prescription Importation

In this blog post I’m going to get personal. Not about me but about importing medication from Canada and other countries. You’ll see what I mean. Last week, Senator Bernie Sanders introduced an amendment to the budget bill, which would have paved the way for future deficit neutral spending to implement new regulations expanding lawful access to lower cost imported medication from wholesalers, pharmacies and individuals. Unfortunately, the amendment was defeated 52-46.

Let’s forget about the fact that drug companies give members of Congress lots of money. OK, I can’t forget: it’s about two billion dollars over the last 15 years. Some senators who voted against the amendment cited their concerns with safety as a basis for their vote. Let me explain why they are wrong, at least when it comes to personal vs. wholesale drug importation. (more…)

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People’s Pharmacy Talks About Huge Savings on Narrow Therapeutic Index Drugs from Canada

People's Pharmacy on NTI Drug Savings in Canada

People’s Pharmacy on NTI Drug Savings in Canada

This past summer we wrote about The Graedon’s Guide to Saving Money on Medicine, by the People’s Pharmacy, as a very worthwhile read. One of its sections talked about Narrow Therapeutic Index drugs for which generics are usually low cost and available in the U.S. but for some patients only the brand works: and the brands are very expensive. NTI drugs are those for which the precision of a medication’s dosage is of even greater importance than for most medications. Often these drugs are measured in micrograms not milligrams.

In its Guide, the People’s Pharmacy mentioned several popular medications that fall into the NTI category. We researched their prices and found medications on which Canadian online pharmacies offer spectacular savings, often 80%. They wrote about some of our findings in an article this week called: Can you trust Canadian online pharmacies?

As we’ve written before, many Canadian online pharmacies are really international online pharmacies because for years they’ve been partnering with pharmacies in other countries not just filling orders from Canada. But what was interesting about our data on the NTI drugs is that most of the lowest prices were in fact in Canada, not international pharmacies elsewhere.

Expect more in the New Year on how to get to the brand name drug you want at a price you can afford – including a deeper discussion on Narrow Therapeutic Index Drugs.

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Is Synthroid in Canada the same as in the U.S.?

synthroid-postSynthroid is the brand name for a medication called levothyroxine, which is manufactured by drug company Abbvie in the U.S. and Mylan in Canada. It treats hypothyroidism, as well as enlarged thyroid gland and thyroid cancer. Synthroid sells for about $100 for a three-month supply in the U.S. compared to $32 in Canada. Over the course of a year, since this is a maintenance medication, the annual costs are $400 vs. $128. You compare Synthroid brand prices here. This is a very popular drug: about 23 million prescriptions are written monthly for Synthroid. For Americans who do not have insurance or their insurance doesn’t cover Synthroid, buying it from Canada means real savings. But will they be getting the exact same drug?

After all, there are generic versions of levothyroxine sold in the U.S. that cost even less than Synthroid in Canada: $10 at Walmart for a three-month supply. For most medications (but there are exceptions) your best bet is the lower cost U.S. generic compared to a higher cost brand drug internationally. In the U.S., the FDA affirms that approved generics are bioequivalent to the brands, meaning the active ingredient has the same rate and extent of absorption in the bloodstream (for all intents and purposes they are the same). But for some medications, especially those with a narrow therapeutic index, your provider may not want you to take a generic.  Medications with a narrow therapeutic index have a narrow range between the drug’s risks and its benefits and small differences in dose or blood concentration may matter, meaning it’s more critical that the amount of pharmaceutical ingredient is precise and delivered correctly through the bloodstream. But what about brand products of the same medication made in different countries? (more…)

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People’s Pharmacy Gives a Shout Out to PharmacyChecker.com; Right Back at ’Em!

People's PharmacyI’ve been around the consumer health world for long enough to have a good idea of which groups and individuals really want to find and spread the truth to Americans. Joe and Terry Graedon of the People’s Pharmacy are high on the list. So I was honored to read what they wrote about us (as people, the CEO and me, and as a company) in the latest edition of The Graedon’s Guide to Saving Money On Medicines:

“We have met the founders (Tod Cooperman, MD and Gabriel Levitt, MA). They have impressed us with their commitment to helping U.S. citizens obtain affordable and reliable medications. Even more helpful than the list of pharmacies are the PharmacyChecker.com price comparisons.”

(more…)

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Justcare.org Founder Diane Archer Interviews PharmacyChecker’s VP for Pharmacy Verification

Independent, unbiased health information.

Independent and unbiased health information

Consumer advocate Diane Archer is the founder of JustCare (www.justcareusa.org), a new online resource that makes health advice fun and easy to understand for boomers, older adults and care providers. We’re excited to announce that Diane interviewed our Vice President for Pharmacy Verifications and Information, Kelly Ann Barnes, JD, Rph, about online pharmacy safety and savings. The interview clearly shows why online pharmacies can save you money –– and how PharmacyChecker.com’s verification efforts give consumers information they need to find the safest international online pharmacies.

In Justcareusa.org’s most recent newsletter, Diane writes: “Can online pharmacies offer safe drugs at huge savings? You bet!” As Chair of the Consumer Reports Board of Directors and founder of the Medicare Rights Center, Diane is a nationally recognized consumer advocate and we’re honored and pleased to have her support for the work we do. It speaks volumes about the integrity that she brings to Justcareusa.org in making it a truly objective and independent source of health information for older Americans and the people who care for them.

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