Tips for getting the best prices when you shop at the pharmacy; plus, why it pays to shop like a country mouse
Consumer Reports compared drug prices for five blockbuster drugs that have recently gone generic, including heart drugs Lipitor and Plavix, finding that Costco offered the lowest retail prices overall and CVS charged the highest. The report is available wherever magazines are sold and online atwww.ConsumerReports.org.
And while Costco is a good bet for low drug prices, consumers may find a good deal too at their local independent pharmacies. "A consumer can't assume that the price of their prescription medications is set in stone. One of the big takeaways is that you have to ask for the best price and see if your pharmacist will work with you. Especially for the independent pharmacies, if they want to retain your business and loyalty, they will help you get the best price," says Lisa Gill, editor, prescription drugs, Consumer Reports.
One reason for the wild cost fluctuations may be that different types of stores have different business incentives, says Gill. "It really comes down to a store's business model. For example, big box stores tend to use their pharmacies as a way to get consumers through the door with the expectation that they'll buy other things."
Consumer Reports' secret shoppers called more than 200 pharmacies throughout the U.S. to get retail prices (what you would pay without insurance) on a month's supply of five blockbuster drugs that have recently become available as generics: Actos (pioglitazone), for diabetes; Lexapro (escitalopram), an antidepressant; Lipitor (atorvastatin), for high cholesterol; Plavix (clopidogrel), a blood thinner; and Singulair (montelukast), for asthma. The result? A whopping difference of $749, or 447%, between the highest and lowest priced stores.
Some price comparisons:
-- If you shop around, a month's supply of generic Lipitor will set you
back $17 at Costco, CR's secret shoppers found. However, if you fail to
do your homework and purchase it from CVS, you could pay $150. That's a
difference of $133. Rite Aid and Target were also pricey.
-- For the antidepressant Lexapro, Consumer Reports found a month's supply
available of the generic version at a cost of $7 at Costco and $126 at
CVS. Rite Aid, grocery stores, and Walgreens also charged high prices
-- Generic Plavix, which is prescribed to people with cardiovascular
disease, was also available at widely varying prices. For example, on
the low end, a month's supply was available at $12 through
Healthwarehouse.com and $15 at Costco, while CVS quoted $180 when CR's
secret shoppers inquired about prices.
-- For the market basket of drugs CR checked, independent and grocery store
pharmacies' prices varied widely between stores, sometimes offering the
cheapest and the most expensive price for the same drug. So consumers
should shop around.
HOW TO SAVE
Bear in mind that while some drugs are prescribed for a short term, others may be lifetime drugs, so you want to get the best price for the long haul. "If your doctor prescribes Lipitor, you may be taking it for the rest of your life. So it can really pay to shop around. You could save yourself thousands of dollars on that one medication," says Gill. "Talk to your doctor about lower cost alternatives in the same class of drug. And make sure you have that talk when your doctor is about ready to write the prescription. Once you're taking a drug and tolerating it well, your doctor might be less inclined to try alternatives," says Gill.
Some tips for saving:
-- Request the lowest price. CR's analysis reveals that shoppers weren't
always given the best, lowest price. Make sure you ask.
-- Go with generics. Generics are copies of brand-name medications whose
patents have expired. The Food and Drug Administration (FDA) requires
that generics contain the same active ingredients in the same strength
as the brands they copy. In addition, a generic must be "bioequivalent"
to its corresponding brand, meaning that it delivers the same amount of
active ingredients into a person's bloodstream in the same amount of
time as the original brand. Read more about generics at
-- Leave the city and shop like a country mouse. CR found that some
grocery-store and independent drugstores had higher prices in urban
areas than rural areas. For example, CR shoppers priced a 30-day
supply of generic Actos at a pharmacy in Raleigh, N.C., for $203, while
another pharmacy in a rural area of the state sold it for just $37.
-- Get a refill for 90 days, not 30 days. Most pharmacies offer discounts
on a three-month supply.
-- Look for additional discounts. All chain and big-box drugstores now
offer discount generic-drug programs, with some selling hundreds of
generic drugs for $4 a month or $10 for a three-month supply. Just make
sure your drug is on the list. Offers vary and check the fine print.
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