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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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Colchicine prices are a rip off in America: Why? How?

drug-price-ripoffTo treat gouty arthritis, patients have been taking a drug called Colchicine for over 200 years. Apparently, it’s a very helpful drug, but it’s neither new or innovative, to say the least. It’s no longer under patent protection and is available as a generic medication. It’s supposed to be super cheap, right?

So why is the estimated cash price for Colchicine .6mg at Walgreens about $590 for 100 pills?! Even with a Colchicine discount coupon it’s $239.37 – about $2.40 per pill. Compare that with the lowest cost Colchicine sold at a PharmacyChecker-verified international online pharmacy, 41 cents per pill or $41 for 100 pills – about 90% less than the Walgreens retail price! And just to be clear that’s a Canadian pharmacy price.

You can compare Colchicine prices at local U.S. pharmacies and international online pharmacies on PharmacyChecekr.com.com.

Yes, this is an example of drug companies AND U.S. pharmacies having free reign to charge whatever they want. For brand drugs on patent that often leads to exceedingly high prices because the pharmaceutical company has a monopoly: there’s no competition. But for generic drugs there is supposed to be competition to bring down the price. What went wrong with Colchicine? (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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Generic Rosuvastatin or Brand Name Crestor? Which is cheaper online? Where is it made?

Brand Name Crestor: Made in Puerto Rico under FDA's regulations.

Brand Name Crestor: Made in Puerto Rico under FDA’s regulations.

Rosuvastatin is now available in U.S. pharmacies as a generic but you can get Crestor 10mg, the brand version, 94% cheaper online. To put some flesh and bones, dollars and sense (pun intended) to this percentile: Ninety pills of generic rosuvastatin cost a whopping $795 at a Walgreens in Brooklyn, NY, but 90 pills of brand name Crestor is $45.65 at a low-cost international online pharmacy, one that is verified by PharmacyChecker.com.

What about using a prescription discount card to buy generic Crestor? Drug price comparison company GoodRx offers a coupon to be used at Rite Aid Pharmacy for a price of $329.52 – still more than seven times the price to get Crestor from an online pharmacy.

Care to know where these drugs are made? It may surprise you. (more…)

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AARP Report Shows Dire Situation of Accelerating Drug Costs from 2006-2013. What can Americans do?

According to a new AARP drug price report, in 2006 the average cost of prescription medication increased by 3.6%, just a little higher than the rate of inflation in the U.S. which was 3.2% that year. In 2013, in stark contrast, drug costs were up 9.4% above 2012 with a corresponding rate of inflation of 1.5%. In fact, the average annual cost of popular medications for chronic conditions used by seniors went from $4,140 in 2005 to $11,341 in 2013.

Many of these brand drugs are covered by private and public pharmacy benefit plans, including Part D – but too often they are not, which leaves Americans having to foot the bill out of pocket. Even covered brand name drugs often mean very high co-payments or co-insurance. If you’re paying out of pocket and can’t afford your brand name drug, international online pharmacies have much lower prices – an average of 84% less on a basket of popular medications.

In the past, AARP has been criticized, not surprisingly by the pharmaceutical industry, for just looking at brand name drug prices in its drug price reports and not generics, which help moderate increases. But this latest report measured 622 drugs, a large basket that included brand, specialty and generic drugs. Brand and specialty drug prices were up an average of 12.9% and 10.6%, respectively, compared to a decrease in average generic drug prices of 4%.

AARP’s report concludes that it’s possible, “we can no longer rely on lower priced generics to counterbalance the price trends seen in the brand name and specialty prescription drug markets.” And things appear to be getting worse.

After reading the report, which looked at prices up to 2013, I was curious to find out how much brand name prices increased last year. In 2015, brand name drugs still under patent were up almost 15%, and generics, which tend to get cheaper, had even increased by almost 3% on average [Source]. These drug price increases corresponded with an inflation rate increase of .1%!

With about 30 million Americans still uninsured, many more millions of underinsured with inadequate pharmacy benefits, and drug prices continuing their ascent, tens of millions of Americans will continue to forgo prescribed medication entirely. Fewer will have to make this choice by comparing drug prices among safe international online pharmacies and local pharmacies using prescription discount cards at www.pharmacychecker.com.

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Buying Valium Online To Save Money? Try the Generic at Your Local U.S. Pharmacy Instead

I like showing Americans who are searching online for affordable medication, often from foreign pharmacies, that their mom and pop pharmacy on Main Street U.S.A. can actually offer a better deal. It’s actually pretty common. The generic version of Valium, diazepam, which treats anxiety, is a perfect example. Bottom line: no need to buy online or from Canada to save money.

(more…)

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