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Medical Forum / Diseases and Disorders / Cancer / February 2007

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Shocking Discovery - Prescription Drug Cost

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Figgertoes - 18 Feb 2007 15:25 GMT
Long story, but something happened to get me to shop around for a
prescription drug.

I'll cut to the chase.  I learned that 4/5 of the drugs I take are cheaper
at Costco, paying on my own without using my insurance's plan at all, than
the COPAY through the insurance company's mail order pharmacy.  It gets
better.  For one drug, I am getting a whole year's worth at once & paying
less than half of my former copay (much greater savings on larger
quantities).  I will now call & find out the prices for larger quantities
of the others.

I read so much about consumer issues - CR, AARP Bulletin, WSJ, others - and
have NEVER seen ANYONE make this comparison.  You sure wouldn't expect it.  

I am going to get this info to CR & AARP so they can investigate on their
own.  

Imagine the implications for older people.  Maybe cheaper than Medicare
Part D.  Or maybe Medicare people could buy some drugs this way & avoid the
donut hole on the more expensive ones.  

This might help cancer patients who are also on maintenance plans for non-
cancer related conditions.  

You do not need to be a Costco member to receive these prices at their USA
pharmacies.  It's the law.

I own no Costco stock, I'm just a consumerism junkie.

Fig
Alex - 18 Feb 2007 16:20 GMT
> This might help cancer patients who are also on maintenance plans for non-
> cancer related conditions.
[quoted text clipped - 5 lines]
>
> Fig

First of all I am glad you are healthy enough that you didn't have to
worry about prescription costs. For those of us who are not that
lucky, I have always shopped around  to find the best to find the best
rates. For  my family Walmart has the cheapest Rx, better than Costco.
Also Walmart has a $4 prescription  rate for many generic drugs which
is cheaper than my co pay. In my local news this has given access to
many people who could not afford their prescriptions otherwise.  This
is why Walmart is a blessing to many working people and why the
company has been successful by responding to consumer demands.

The bad news that Costco and Walmart pharmacies are not open 7 days or
have extended hours.

My advice is to call pharmacies and ask their prices. That is what we
have done and saved money glad to hear that you didn't have this
financial need until now  but for some of us this is not.
Figgertoes - 19 Feb 2007 00:42 GMT
>> This might help cancer patients who are also on maintenance plans for
>> non- cancer related conditions.
[quoted text clipped - 8 lines]
> First of all I am glad you are healthy enough that you didn't have to
> worry about prescription costs.

Don't understand this. I think a lot of us prefer not to pay more than
necessary for prescription drugs.  Shopping around is a good idea, but I
wouldn't have ever thought a price not using my insurance could be less
than my copay, just never considered that was likely.

I bet a lot of people never bother to check, just assume the insurance
price is cheapest.

>For those of us who are not that
> lucky, I have always shopped around  to find the best to find the best
[quoted text clipped - 11 lines]
> have done and saved money glad to hear that you didn't have this
> financial need until now  but for some of us this is not.

You can easily find out all of Costco's & maybe others' prices online for
certain quantities.  I had to call to get others.  

There's no great financial need.  My company just changed to Aetna &
something I've taken for years isn't covered because it's available OTC.  
But twice the price of former copay.  So I looked up the prescription
price & it was less than half of my previous co-pay.  So would you rather
pay twice the price or half the price?  No-brainer for me!  That made me
wonder about my other precsriptions.  4 out of a total of 5 cost less -
far less - at Costco than my copay.

Costco has limited hours, but I can make it work & am buying a years'
worth at once.  Maybe limiting the hours is one way of keeping the drugs
inexpensive.  They also just close the pharmacy when they go to lunch.  

Fig
betsyb - 19 Feb 2007 01:19 GMT
Signature

Save the earth. It's the only planet with chocolate and Starbucks!!
BetsyB

>>> This might help cancer patients who are also on maintenance plans for
>>> non- cancer related conditions.
[quoted text clipped - 49 lines]
>
> Fig
AARP has been touting this  deal for over 4 years. I am surprised you gals
weren't aware of it. Before Medicare I had Teamster coverage and it was
wonderful. I had no idea where the nearest Costco is to me so I never
bothered.
But then I only take one RX.
Betsy
Figgertoes - 19 Feb 2007 13:50 GMT
"betsyb" <betsy958@TRASHoptonline.net> wrote in news:eratui01mn8
@news2.newsguy.com:

Betsy,

I'm am AARP member & read most of what I get.  They put out some really
good info.  I must have missed something.  What part have they been
touting, please?  About Costco in particular or about investigating prices
without utilizing your insurance?  

The more you take, the bigger deal it becomes.  I take 5 that I'll probably
be on for life - 3 of them twice daily.  But my blood pressure &
cholesterol & all are very, very good.  It's just stuff like thyroid & acid
reflux.

One thing I learned a long time ago about financial management is to take a
hard look at the recurring expenses & try to keep them as low as possible.  
A daily $5 Starbucks comes to $1825/year.  I have many friends who have
haircuts every 3 weeks (every 5 months for me if I think to do it - LOL) &
weekly manicures, massages.  Well, I like all of that too but I try not to
get into a habit.  Well, OK I get 3 newspapers a day, but I read them on
the train.  It's not that anything is bad or not worth it, I just try to be
conscious of what I've decided to spend.  The weekly lawn mowing - worth
every penny.

So the drug copay was only $100/qtr, but if I can save half, even if the
prices don't rise (ha), over a 20 year period, that's a savings of $4K!  
That will buy a few treats!

Fig
betsyb - 19 Feb 2007 14:03 GMT
Signature

Save the earth. It's the only planet with chocolate and Starbucks!!
BetsyB

> "betsyb" <betsy958@TRASHoptonline.net> wrote in news:eratui01mn8
> @news2.newsguy.com:
[quoted text clipped - 30 lines]
>
> Fig

It was written up in the back of the magazine that came around. Not real
sure of the year but I was still working and retired in 03.
csm7532@hotmail.com - 20 Feb 2007 16:30 GMT
<snip>
> Costco has limited hours, but I can make it work & am buying a years'
> worth at once.  Maybe limiting the hours is one way of keeping the drugs
> inexpensive.  They also just close the pharmacy when they go to lunch.

Fig, just curious---is your Costco pharmacist a Christian?

---
CSM
bj - 20 Feb 2007 17:57 GMT
> <snip>
>> Costco has limited hours, but I can make it work & am buying a years'
>> worth at once.  Maybe limiting the hours is one way of keeping the drugs
>> inexpensive.  They also just close the pharmacy when they go to lunch.
>
> Fig, just curious---is your Costco pharmacist a Christian?

Why does the religion of *any* pharmacist matter, unless it means they will
not fill your scrip &/or they will lecture you about it?
bj
(rapidly becoming not-a-Christian because they are getting
so.....intolerant)
csm7532@hotmail.com - 20 Feb 2007 19:01 GMT
> <csm7...@hotmail.com> wrote in message
>
[quoted text clipped - 12 lines]
> (rapidly becoming not-a-Christian because they are getting
> so.....intolerant)

You're making incorrect assumptions.  My question was to Fig, who may
well understand the nature of my wording, and even (dare I hope) get a
laugh out of it.  FTR, I'm not intolerant of the religions of others,
however silly and wrong they may be.

---
CSM
Figgertoes - 21 Feb 2007 03:52 GMT
>> <csm7...@hotmail.com> wrote in message
>>
[quoted text clipped - 21 lines]
> ---
> CSM

You mean b/c they're closed Sunday?  I think I'm having a blonde moment...
Fig
csm7532@hotmail.com - 21 Feb 2007 16:21 GMT
> csm7...@hotmail.com wrote innews:1171998070.396023.307410@t69g2000cwt.googlegroups.com:
>
[quoted text clipped - 25 lines]
>
> You mean b/c they're closed Sunday?  I think I'm having a blonde moment...

No.  IIRC, you're up North a bit, and I wondered if you went to the
Costco on Wadsworth at I-70.  The pharmacist there is Christian, a
nice guy whose religion is a total mystery to me.  I thought it would
be funny if we were going to the same pharmacy.  I just looked on
Costco's site, and it looks like they have quite a few locations
locally, so the probability isn't nearly as high as I thought.  I bet
if your pharmacist's name were Christian, you'd have known what I
meant, anyway.
If my hair were long enough, you'd see that I'm blond too!

---
CSM
Figgertoes - 21 Feb 2007 20:55 GMT
On Feb 21, 9:21 am, csm7...@hotmail.com wrote:

> > csm7...@hotmail.com wrote innews:1171998070.396023.307410@t69g2000cwt.googlegroups.com:
>
[quoted text clipped - 40 lines]
>
> - Show quoted text -

Nope, Park Meadows in Douglas, occasionally the one near Quincy &
WW..  Don't know the names.  Until now I only used the pharmacy for my
cat.  It did raise a titter when they asked Gaylord's DOB & I had to
say not sure, he's a cat.
Fig
csm7532@hotmail.com - 21 Feb 2007 23:27 GMT
> On Feb 21, 9:21 am, csm7...@hotmail.com wrote:
>
[quoted text clipped - 47 lines]
> cat.  It did raise a titter when they asked Gaylord's DOB & I had to
> say not sure, he's a cat.

LOL.  At least you know the sex!  We got a kitten, and I trusted my
farm-raised wife's assurance that it was female.  The vet disagreed.
It sounds like you're in the South part of town, so I must have
misremembered.  I blame the drain bamage from chemo.  I used to live
about half a mile N of County Line near Broadway (and some time ago
lived half a mile from Quincy, near 470), but moved to Applewood just
before getting my dx.  I went to the RMCC at Broadway and Mineral---
walking distance from my old house, but a :45 drive from the new.
Hopefully, I'm all done with them aside from the followup visits.  I'm
scheduled to have my port removed tomorrow!

---
CSM
Figgertoes - 22 Feb 2007 06:08 GMT
>> On Feb 21, 9:21 am, csm7...@hotmail.com wrote:
>>
[quoted text clipped - 64 lines]
> ---
> CSM

Well, happy port removal!  We talked about RMCC before & that I'm under
the coverd bridge that isn't really a bridge, Southbridge.  Socks had
gone to RMCC before it moved so close to us from further north on BW.  

Fair warning, Marie is having her February pie sale!

Fig
csm7532@hotmail.com - 22 Feb 2007 17:05 GMT
> csm7...@hotmail.com wrote innews:1172100437.739096.215790@l53g2000cwa.googlegroups.com:
>
[quoted text clipped - 72 lines]
>
> Fair warning, Marie is having her February pie sale!

I clearly remember the whole bridge bit now (and, IIRC, references to
Dr.s Link and McMahon), so I don't know why I was thinking you were in
the North part of town.  My memory has never been great, but it
clearly took a bit of a hit from the poisons.
I like Marie's brunch buffet, but I stay away from her pies.  Too many
calories, until I get back on the bike.

---
CSM
Figgertoes - 22 Feb 2007 19:45 GMT
On Feb 22, 10:05 am, csm7...@hotmail.com wrote:

> > csm7...@hotmail.com wrote innews:1172100437.739096.215790@l53g2000cwa.googlegroups.com:
>
[quoted text clipped - 84 lines]
>
> - Show quoted text -

Hang tough!  I have to drive by there almost every day.  We did sucumb
to one chocolate merangue - worth it!  Yum!  So I have no explanation
of why there are 2 empty MC pie plates in the car.

Fig
csm7532@hotmail.com - 22 Feb 2007 22:01 GMT
> On Feb 22, 10:05 am, csm7...@hotmail.com wrote:
>
[quoted text clipped - 90 lines]
> to one chocolate merangue - worth it!  Yum!  So I have no explanation
> of why there are 2 empty MC pie plates in the car.

LOL.  I'd stick with that story.

---
CSM
bj - 22 Feb 2007 01:50 GMT
>  Until now I only used the pharmacy for my cat.  It did raise a titter
> when they asked Gaylord's DOB & I had to say not sure, he's a cat.

I used to get my dog's meds at the Safeway pharmacy. Every time there was a
new pharmacist I went through the "I can't believe you're spending this much
money on meds for a DOG!"  (it came to about $50/month & I refilled every 2
months for 7 years.) I just replied that it was either that or a one-time
$25 for the shot of pink stuff & that would shut them up.
bj
Figgertoes - 21 Feb 2007 03:51 GMT
csm7532@hotmail.com wrote in news:1171989030.478309.87980
@v33g2000cwv.googlegroups.com:

> <snip>
>> Costco has limited hours, but I can make it work & am buying a years'
[quoted text clipped - 5 lines]
> ---
> CSM

Is this a joke?
Fig
csm7532@hotmail.com - 21 Feb 2007 16:25 GMT
> csm7...@hotmail.com wrote in news:1171989030.478309.87980
> @v33g2000cwv.googlegroups.com:
[quoted text clipped - 10 lines]
>
> Is this a joke?

Yep, pretty much.  See my response elsethread---the joke appears to
have gone flat.

---
CSM
jojo - 20 Feb 2007 21:13 GMT
> Long story, but something happened to get me to shop around for a
> prescription drug.
[quoted text clipped - 28 lines]
>
> Fig

I think that many (my self included) assume that the prescription insurance
providers mail in
large quantity is the cheapest route. I also recently discovered that not
only was in not the cheapest,
that I could save over half on my partners meds at Target. Here Target is
even lower than Costo.
No, I don't have target stock ;-)

jojo
ironjustice@aol.com - 20 Feb 2007 21:58 GMT
>>Figgertoes wrote:
I'll cut to the chase.  I learned that 4/5 of the drugs I take are
cheaper
at Costco, paying on my own without using my insurance's plan at all,
than
the COPAY through the insurance company's mail order pharmacy.  <<

Maybe you should become an advocate ..

Get the message .. out ..

Before more kids .. die .. because they cannot afford the drugs ..

<<snip>>
Kids with transplanted kidneys who lose their insurance have nine
times a greater chance of dying than those who don't
<<snip>>

Source: Saint Louis University Medical Center     Released: Mon 19-
Feb-2007, 20:20 ET
Printer-friendly Version

Organ Transplant Patients May Die When Insurance for Medicine Runs Out
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Medical News   Keywords
TRANSPLANT, KIDNEY, RENAL, MEDICARE, MEDICAID, TEENAGERS, CHILDREN,
DISENFRANCHISED, IMMUNOSUPPRESIVE, IMMUNOSUPPRESIVE, DRUGS, ANTI-
REJECTION, ORGAN
Contact Information

Available for logged-in reporters only
Description

A new study from Saint Louis University researchers shows that young
transplant patients who lose their federally provided insurance
coverage are more likely to stop taking necessary anti-rejection
drugs, which can increase the risk of losing the transplanted
organs.

Newswise - A new study from Saint Louis University researchers shows
that young transplant patients who lose their federally provided
insurance coverage are more likely to stop taking necessary anti-
rejection drugs, which can increase the risk of losing the
transplanted organs.

The study appears in the March issue of Pediatric Transplantation.

"Immunosuppressive drugs that prevent organ rejection are incredibly
expensive; sometimes more than $13,000 a year," says study author Mark
Schnitzler, Ph.D., associate professor in the departments of internal
medicine and community health at Saint Louis University. "Even for
families with insurance, the co-payments can be a huge financial
burden."

Most healthcare costs associated with transplants in the United States
- such as critical immunosuppressive drugs - are covered by Medicare
for between 36 and 44 months, after which point they are "cut off,"
Schnitzler says.

If families cannot afford medicine, it can mean losing the
transplanted organ or even death.

Young adults from the ages of 18 to 23 face the greatest risk, as
nearly a third of this age group lacks medical coverage. Even when
families do have coverage after a transplant, it runs out 36 to 44
months post-transplant or when the child reaches adulthood.

Schnitzler and his team studied the medical records of 1,001 children
who underwent kidney transplants between 1995 and 2001, half of whom
lost their health insurance. He says the results point to a need for
better and more comprehensive health insurance.

"Kids with transplanted kidneys who lose their insurance have nine
times a greater chance of dying than those who don't," he says. "It is
critical that we find a way to offer lifetime access to these children
and their families so that our society does not continue to
prematurely lose this promising pool of young adults."

For families trying to make some difficult decisions, Schnitzler
advises them to retain their insurance, as the cost of insurance is
more affordable in the long term than the expense of transplant
failure and hospital stays.

"Pediatric transplant recipients have every desire to become
independent and useful members of society. To achieve that goal, they
need to keep their transplants healthy, and immunosuppressive drugs
are essential to ensure that that happens."

Established in 1836, Saint Louis University School of Medicine has the
distinction of awarding the first medical degree west of the
Mississippi River. The school educates physicians and biomedical
scientists, conducts medical research, and provides health care on a
local, national and international level. Research at the school seeks
new cures and treatments in five key areas: cancer, liver disease,
heart/lung disease, aging and brain disease, and infectious disease.

--------------------------------------------------------------------------------

? 2007 Newswise.  All Rights Reserved

Who loves ya.
Tom

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