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Medical Forum / General / Pharmacy / July 2004generic omeprazole - price
Hi all, Now that Mylan and Lek have come out with generic omeprazole - what is the price your pharmacies are able to buy it for, and at what level is insurance paying for it. I have to imagine there will be a MAC price soon? These other PPIs are just too expensive for my cash customers.... Thanks, Bob I notice that I can get Prilosec OTC (20mg) for a lot less than I am now paying for prescription generic omeprazole (20mg) even with a 50% reimbursement from my insurance on the generic. Projecting up from my 50% copay, the generic appears to be priced at $3/pill, whereas the Prilosec OTC is just a bit over $1/pill. Am I being ripped off by my insurance (BCBS of Oregon) or my pharmacy (Safeway) or is this just a temporary situation until enough people are hooked on the OTC drug? Dick Ballard ballardr@att.net >Now that Mylan and Lek have come out with generic omeprazole - what is the >price your pharmacies are able to buy it for, and at what level is insurance >paying for it. I have to imagine there will be a MAC price soon? These other >PPIs are just too expensive for my cash customers.... I saw it in Costco for 60 to 70 cents for a 20 mg tablet. > I notice that I can get Prilosec OTC (20mg) for a lot less than I am > now paying for prescription generic omeprazole (20mg) even with a 50% [quoted text clipped - 13 lines] > >paying for it. I have to imagine there will be a MAC price soon? These other > >PPIs are just too expensive for my cash customers.... I miscalculated - Prilosec OTC at Safeway is 60 cents per 20mg tablet in the 42 count package. Dick Ballard ballardr@att.net >I saw it in Costco for 60 to 70 cents for a 20 mg tablet. > [quoted text clipped - 7 lines] >> (Safeway) or is this just a temporary situation until enough people >> are hooked on the OTC drug? the rip off is from Merck Astra Zeneca not your pharmacy I am still paying 83.50/30 and that is just the cost of the drug, not overhead costs and professional fees jp rph Not that it matters much, but the OTC is a different form of omeprazole so it is not exactly like the rx formulation jp rph "Not that it matters much" ?? (I am not a pharmacist.) What does this mean? Is it still a delayed release form? Will it still have the same therapeutic effect? Is the side effect profile identical? IOW, will I, as a patient, ever know the difference? Dick Ballard ballardr@att.net >Not that it matters much, but the OTC is a different form of omeprazole >so it is not exactly like the rx formulation >jp rph > "Not that it matters much" ?? (I am not a pharmacist.) What does this > mean? Is it still a delayed release form? Will it still have the same [quoted text clipped - 3 lines] > Dick Ballard > ballardr@att.net Only your pocketbook will notice the difference. My wife purchased Canadian Prilosec (Called Losec up there) and it was a tablet, not a purple capsule.It worked just as well as Prilosec or maybe even better. Probably a Coca-Cola tastes the same in Japan or China as the United States? The bottle is somewhat different. . It is not a canadian vs american formulation It is a different form of the drug... not a different brand so there could be potential problems as noted in my other email >Only your pocketbook will notice the difference. My body notices the difference and I'm not the only one. I suspect that the time release mechanism doesn't work as well. I hate to say this- I'm a retail pharmacist and a confirmed generic user and recommender-I always scoff at those who say generics don't work for them, but I have noticed that the Prilosec brand (prescription and OTC) worked fine, but whenever I use the generic ($10.00 on my insurance card as opposed to $25.00 over the counter)-I wake up at night with reflux at least 4-5 times a week-as opposed to none with the brand. I am not sure what causes this problem-every other generic works. It can't be the release, because Prilosec works over 24 hours because the medication completely shuts down the acid producers in the stomach and it takes 24 hrs for your body to make new ones-not because of any release system. Once again-I'm confused! When will generic OTC omeprazole become available? I went into Walmart looking for the generic Walmart version and there was none there. So I just assume it hasn't come out yet, I wish it would though. My wife and son have taken with great success, the Canadian brand Losec. Losec works for them as well as the brand name Prilosec. It would be interesting for you to order some Losec and compare it verses Prilosec brand and the American generic. Maybe there is some problem with the way GE Prilosec is tested and the FDA should do the actual test themselves to make sure the drugs are indeed the same therapeutically.. > I hate to say this- I'm a retail pharmacist and a confirmed generic user and > recommender-I always scoff at those who say generics don't work for them, but I [quoted text clipped - 7 lines] > release system. > Once again-I'm confused! This was my comment. No, I don;t think there is any significant difference. It is always possible that someone could have an allergic reaction to one salt over anther but I have not heard of this happening. jp rph |
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