Rx for Pricey Drugs: Assistance Programs and Bargain Prices

Drugmakers and retail chains offer meds at bargain prices. But are they worth it?















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A study published in the American Journal of Public Health (AJPH) in 2008 found that the bulk of free samples were distributed to patients who already had insurance coverage and were more likely to be able to purchase a prescription of the drug.

Help from the Makers  In spring 2005, the industry group Pharmaceutical Research and Manufacturers of America (PhRMA) launched a service called the Partnership for Prescription Assistance (PPA), which provides information about hundreds of private and government programs that can help low-income patients fill prescriptions for little or no cost. According to Kaiser some 41 percent of the 1,659 adults surveyed reported having at least some difficulty paying for prescription drugs. PhRMA says that drugmakers give away $4 billion worth of prescription drugs annually through their assistance programs.

PPA is perhaps best known for its television ads featuring talk show host Montel Williams promoting "The Help Is Here Express," bright orange buses that stop in communities to provide assistance and information to people having a tough time paying for meds.

Since the PPA began, more than 5.5 million people across the country have signed up for one or more of the 475 participating programs, says PhRMA vice president, Ed Belkin. He notes that some drug company assistance programs have been around for more than 50 years, but many consumers do not know they exist or how to apply for the benefits.

"Clearly, in the wake of the economic downturn ... there are more and more people turning to the Partnership for Prescription Assistance, because these ... programs are a lifeline," Belkin says.

The PPA sponsors a toll-free number: 1 (888) 4-PPA-NOW (1-888-477-2669) and a Web site where people can check out programs and obtain applications. The programs each have different eligibility requirements.

Shopping for a Solution  Nearly 30 percent of Americans reported last year that they did not fill prescriptions because of cost, and 23 percent said they split pills or skipped doses to stretch out supplies, according to the Kaiser study.

But as retailers lower their prices, more people will be able to take the proper dosage of their meds, Wal-Mart spokesperson Christi Gallagher says.

She notes that the company's customers have saved more than $1 billion in drug costs since the chain lowered its generic drug prices three years ago. "Our customers are constantly telling us how much they appreciate the program," Gallagher says.



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  1. 1. pgtruspace 10:54 PM 2/13/09

    At some point the retail price of pharmaceuticals must be set so that the instiutional price to governmental and insurance payers can be determined. Almost all of retail trade is to Americans that pay their own bills, everyone else buys at large discount. But someone has to pay full retail to set the real price, the discount price. Discount sales are by far, most of the sales volume and profit. Give away of a few million$ is nothing per billion$ in sales. Ask any any dope pusher. Unfortunately people that pay their own bills are to poor to have insurance and to proud to be on the dole.

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  2. 2. jaiagreen 09:38 PM 2/16/09

    It's stupid to blame free antibiotic programs for doctors' prescribing practices. In fact, I suspect that such programs might help combat antibiotic resistance by making sure patients take the full dose. as opposed to a reduced dose that is more likely to select against only the most susceptible bugs.

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