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Medical Forum / General / Pharmacy / February 2005

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Medicare Modernization

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Phillip - 23 Feb 2005 03:00 GMT
There is a disturbing provision in the Medicare Modernization law regarding
prescription coverage and freedom of choice.  It includes the "any willing
provider" clause which will let any pharmacy choose to participate in the
several plans that will become effective in 2006.  However, there is another
provision that will allow the plan sponsors to create "sub-networks" of
"preferred pharmacies" in which reduced co-payments and such will be
offered.  This will drive a lot of seniors away from the pharmacy of their
choice if their pharmacy happens to not be in the preferred network, in
effect, offering an illusion of choice.  Many appreciate the courtesy and
personal service offered by their independent community pharmacies and their
staff, and do not like the idea of being financially punished for using a
"non-preferred" pharmacy.

Whether you work for an independent pharmacy or not, or if you are a senior,
you should contact your U.S. Representatives and Senators and ask them to
amend the legislation before these plans take effect in January 2006.  You
can go to http://www.governmentguide.com and enter your ZIP Code to get the
names and contact information for your elected officials.  If you are
pharmacy personnel, I suggest contacting elected officials as well as your
state board of pharmacy and ask them to speak out against this.  Start an
in-store petition drive as well, as several independent pharmacies here
(North Carolina) are doing.  Feel free to let me know if you would like
further information about this, ideas for petitions, sample letters to use
in contacting Representatives and Senators, etc.  It's not just about
protecting and securing the business of independent pharmacies and small
chains, but also about protecting freedom of choice for our senior citizens.
Thanks!

Phillip
Repeating Rifle - 23 Feb 2005 06:34 GMT
> There is a disturbing provision in the Medicare Modernization law regarding
> prescription coverage and freedom of choice.  It includes the "any willing
[quoted text clipped - 25 lines]
>
> Phillip

I personally am willing and do pay a bit extra for services of a local
pharmacist. I also am willing to forgo that help if the penalty is too high.
Thus, saving 50% on the purchase of expensive drugs from Canada trumps the
personallized service of the local pharmacist.

By the way, I stopped quaking in my boots about Canadian drug safety when
our president said that they were unsafe. I have learned that he and I have
opposing opinions on almost everything.

If I were a pharmacist trying to make a living, I would bitch like hell to
him and Congress about leveling the market place.

Bill
Bob G. - 23 Feb 2005 17:53 GMT

>I personally am willing and do pay a bit extra for services of a local
>pharmacist. I also am willing to forgo that help if the penalty is too high.
[quoted text clipped - 9 lines]
>
>Bill
================
Bill I have to agree with you.... I am a semi retired Pharmacist and
honestly I myself do not have any problmes about the saftey of
Canadian drugs... BUT I have one hell of a problem with some States
setting up ways to force their own employees etc to use Canadian
Pharmacies....

We all know that Canada has Price Controls ... limiting what any drug
Manufacturer can sell their products for in Canada...    Seems to me
the Federal Government "could" or should just set the exact same
requirements here.... END OF PROBLEM....

I also feel that since the Manufacturers are limited in what they can
charge in Canada they just increase the prices they charge in this
counrty...  So the American "drug" user....lol...ends up paying the
fair price plus the an extra price so that the Manufacturers bottom
line stays the same...

You bet I get frosted when I loose a customer...but honestly I can not
blame any of them... I have only been retired for 6 years and I am now
starting to feel the effects of slight increases in the cost of
living.....

Bob Griffiths
Linda - 24 Feb 2005 13:00 GMT
Just out of curiousity- if you have questions about your medication, do
you call your Canadian pharmacist?
As a pharmacist in Texas, I am always used for information by people
who get their medications by mail-order or from Mexico
Repeating Rifle - 25 Feb 2005 01:55 GMT
> Just out of curiousity- if you have questions about your medication, do
> you call your Canadian pharmacist?
> As a pharmacist in Texas, I am always used for information by people
> who get their medications by mail-order or from Mexico

So far, that has not been a problem. I look up the drug on the internet. I
have had problems in that generics do not necessarily look like the original
or other generics. If I had such a problem, I would call the Canadian
pharmacy.

I am all for American pharmacists being able to compete with Candian
pharmacist. The fault lies in Washington, DC, not with the consumers.

Bill
Bob G. - 26 Feb 2005 00:14 GMT
>So far, that has not been a problem. I look up the drug on the internet. I
>have had problems in that generics do not necessarily look like the original
>or other generics. If I had such a problem, I would call the Canadian
>pharmacy.

Sometime in the distant past the color etc of the original product
(the Brand) was ruled ( by the Federal Courts)  to be part of their
patinet ...and later the color was ruled to be part of the Brands
trademark

Therefor the Generic drug has to be colored differently then the
original Brand... not really a problem  except with a 1000 Generic
suppliers you can get almost 1000 different colored "pills"  

MY bitch as a semi retired Pharmacist is that the chains switch
manufacturers every other order it seems...Generic Flexeril is
yellowish this month white the next...Generic Prozac is greenish this
month white the next....

Therefore I have to make a note to explain to Mrs Smith that the new
white pill is the same thig she got last month ...

Wish I could deal with 3rd Party issues as I can with Mrs Smith
however...

Bob Griffiths

>I am all for American pharmacists being able to compete with Candian
>pharmacist. The fault lies in Washington, DC, not with the consumers.
>
>Bill
 
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