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Helping Americans Get The Truth About Prescription Drug Savings
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Imported Medications From Credentialed Online Pharmacies Are “So Safe”

Getting the truth about Online Pharmacies

The economist and drug safety expert Roger Bate, PhD, affiliated with the American Enterprise Institute, published a short article this week, the title of which says it all: “Credentialed online pharmacies are so safe that peer review literature is no longer interested in results showing it.” The gist is that he and colleagues have been testing medications for several years, since 2008, as mystery shoppers ordering online domestically here in the U.S. and internationally for import. The research shreds the myths of the drug companies by presenting peer-reviewed data to derive what are called “facts” about the Internet and importation. The main fact proved is that importing medications, ones ordered online, can be equally safe as U.S. pharmacies.

In the studies from 2008-2016, 822 online medication orders were tested: 275 medications from 22 international online pharmacies verified by PharmacyChecker.com (12 of which are also verified by the Canadian International Pharmacy Association); 127 medications from eight U.S.-only online pharmacies verified by the National Association of Boards of Pharmacy and/or LegitScript.com, and the rest from websites with no verification.

Verified U.S. pharmacies sold zero counterfeits but one (out of 127) order of generic Cipro was substandard. Verified international pharmacies sold zero counterfeits but one (out of 275) order of generic Cipro was substandard. On a percentage basis, the PharmacyChecker.com-verified websites performed best (but that’s nitpicking). And for those of you thinking, well, one was substandard…that same medication is available at your local Walgreens or CVS. Read the research.

In contrast, online pharmacies with no verification (Dr. Bate calls it “credentialing”) sold eight counterfeits and 16 substandard drugs (out of 332 tested).

How about prices? When it came to brand name drug prices, the studies showed that credentialed international pharmacies were about 60% cheaper. (more…)

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Minority Communities Needing Better Healthcare Means Highlighting Safe and Affordable Online Pharmacies

Amidst Washington’s vapid attempt at “solving” healthcare, Americans continue dealing with the everyday obstacles that come with prioritizing our families’ health, and all the while, prescription drug costs just keep rising. Minority communities are particularly at risk.

The crisis of rising drug costs expands beyond minority groups, but studies show that Hispanics are more likely to forgo filling a prescription due to cost than the population at large. Worse, as immigrants increasingly fear leaving their homes, undocumented immigrants will be less likely to get needed medications. Wherever you stand on the immigration issue, this trend is unacceptable and must be combatted by educating all people about lower cost drugs available abroad, but some people are getting this wrong…

In a recent op-ed written by Garfield Clunie and Richard Williams and published in Morning Consult, a well-meaning yet dangerous claim is made—that “if [Congress permits the importation of prescription medicines from other countries], the United States government will actually be promoting the use of counterfeit and unsafe medications.”  This is simply false. (more…)

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International Online Pharmacy Verification Due Diligence

PharmacyChecker Verification Program Protects Public Health

Americans and consumers worldwide come to PharmacyChecker.com to find pharmacies that will sell them properly dispensed, genuine medication, at a price they can afford.

We take our role very seriously and continually improve and enhance our program to keep up with changes in the marketplace.

For those who are interested, I’m happy to announce today that we have published our latest program documentation that effectively communicates our most current standards, policies and online pharmacy practice guidance on how to meet those standards. In reviewing our protocols, consumers, healthcare providers and advocates, and policy professionals can more fully understand why websites “approved” in the PharmacyChecker Verification Program are the safest international online pharmacies: as safe as U.S. pharmacies, according to peer-reviewed research and medication testing.

You can review our full set of PharmayChecker.com standards for verifying online pharmacies here. Below are some of the key attributes of our program and standards. (more…)

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New Study Shows International Online Pharmacies Are Safe As U.S. Pharmacies If Verified By PharmacyChecker.com

Properly Verified International Online Pharmacies Sell Genuine and Safe Medication

Last month, Roger Bate, a scholar at the American Enterprise Institute and head of the Safe Medicines Coalition, published the results of a study which tested and compared the quality of drugs purchased from online pharmacies in the U.S. and abroad, including pharmacies verified by third-parties and those not verified. The findings were clear: PharmacyChecker-approved international online pharmacies sell medications of comparable quality to U.S. online pharmacies verified by the National Association of Boards of Pharmacy (NABP) and LegitScript.

In fact, overall, the results were better for PharmacyChecker-verified pharmacies than for those verified by NABP and LegitScript. Results were dramatically worse for pharmacies with no third-party verification. The drug testing focused on generic versions of Lipitor (atorvastatin) and of generic Cipro (ciprofloxacin), which were ordered from the online pharmacies by the researchers. (more…)

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How many people buying from international online pharmacies have a prescription?

PharmacyChecker.com-Approved Online Pharmacies will require your valid prescription.

One of the hallmarks of a safe international online pharmacy – or a domestic-only online pharmacy – is the requirement of a valid prescription, one that a customer obtains locally from his or her doctor or other licensed practitioner during an in-person medical consultation. Whereas rogue online pharmacies, domestic and international, sell prescription drugs without requiring a prescription or they offer a bogus remote medication consultation with an anonymous doctor. Most people looking to buy medications online are seeking lower prices; others do it because they can’t afford to see a provider or their providers won’t write the prescription they want.

A recent survey found that 76% of people who imported a drug for personal use that was ordered online had a prescription for the medication. Lower drug prices on a website that doesn’t require a prescription may be a prescription for disaster, as I’ll explain below. But for people who are ordering online with a prescription, the international savings can be a lifeline because medication costs so much less outside the U.S.

The survey on drug prices and importation was conducted by Zogby Analytics, commissioned by Prescription Justice and has a margin of error of +/-3.1%. Extrapolating the percentages to the general adult population we find 27 million Americans say that they have ordered medication online, imported for personal use; 20.5 million had a prescription; 6.5 million did not have a prescription. The number 20.5 million is surprisingly close to a recent Kaiser Family Foundation survey that showed about 19 million Americans say they import medication for personal use because of cost. (more…)

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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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