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Try this easy way to save on
prescription drugs.
By Clark Howard
(Action News 2 WSB TV )
August 29, 2001 -- The fastest growing expense in
medicine is the cost of prescription drugs. What
can you do about it?
Well, you can take your prescriptions to Canada.
Iif you can't get there in person, you can go on
the Internet.
With web sites like this one you can order your
prescriptions for 30 to 70 percent less than you
pay at the drug store.
In Seattle, Washington, seniors board a bus bound
for Canada. They're destination: discount
prescription drugs. Now, metro Atlantan's can do
the same without the bus, thanks to the Internet.
Bill Hall found great deals on the Internet from a
company called canadameds.com. "Oh, I was
shocked," he said. "I just couldn't believe the
difference in prices. I figured something has to
be wrong.
No, the price is right. Canadian pharmacies are
selling medicines to Americans over the internet.
And the savings are huge!
For example, Vioxx, I pay on average here for 30
tablets, around $85. In canadameds, I pay $26.71
for the same thing. My wife's cholesterol medicine
is $141 dollars. It around $85. (For the) same
thing."
So how does it work? All you need is a
prescription from your doctor. You, then have to
fill out a medical history and waiver form. You
fax those forms along with your prescription. Give
a credit card number and you're done. Two weeks
later you get your medicines.
But you can only order a three-month supply each
time, due to U.S. Customs and FDA rules.
"This is what they call free enterprise," said
Brian Abrahams. Abrahams, like Bill, saves big
buying Candadian medicines. He's creating a
non-profit company called Medicines Cheaper.
"I want to help people get their drugs, and not
have to worry about paying their rent at the end
of the month," Abrahams said. "And I will help
them do that at no charge."
"Without this, we would be having a tough time,"
said Hall.
The savings mean a lot to Bill. He's retired and
on a fixed income.
"I'm saving about $2,800 a year," he said. "You
can't beat it by far."
Why are these prices so low? Because of a good
exchange rate between the Canadian and U.S.
dollar. And Canada has price controls, and we
don't."
back to top |

Bill on Online Drug Sales
Raises Hope, Fears |
By Benedict Carey and
Linda Marsas
Law: Patient advocates favor legislation to make
cheaper prescriptions from abroad easier to come
by, but some worry it would mean attracting
counterfeit sellers.
Stephen Arundel, a 50-year-old Minneapolis
executive, was paying $350 a month for a drug to
treat his chronic colon condition. This spring, he
saw a newspaper story about importing drugs over
the Internet.
"I'm not a computer guy," he said, "so I told my
14-year-old son to get on the Net and check it
out."
The result: Arundel is now paying $140 a month to
buy the same drug, Asacol, from an Internet site
called Canadameds.com. Drug prices are often lower
outside U.S. borders, because other countries
apply different price controls. "When I'm running
low, all I have to do is go online and hit refill,
and a bag of pills comes to my door," he said. The
savings are "dramatic"--about $2,500 a year.
If Congress passes a proposal allowing Americans
to import legal, FDA-approved prescription drugs
through the Internet or by mail-order, the ranks
of people like Arundel will swell, lawmakers say.
(The House approved a bill last week, and the
measure next goes to the Senate, where its fate is
uncertain.) According to the most recent estimate
by the Food and Drug Administration, in fact,
about 2 million parcels containing prescription
drugs enter the country every year, ranging from
growth hormones and steroids to garden variety
medications.
But while some patient advocates insist that the
practice is safe and invaluable to many Americans,
others say that the measure, if it becomes law,
would open the door to unscrupulous operators.
Drug purchases made over the Internet are very
difficult to monitor, and the business is
virtually unregulated.
"Consumers will be put at risk, because drug
re-importation would be a welcome mat for crooks
and frauds." said Rep. John Dingell (D-Michigan),
ranking member of the House Committee on Energy
and Commerce, in a statement released after the
House vote. The committee has oversight over
interstate commerce and has investigated online
pharmacies.
Americans "take drug quality for granted precisely
because we are well-regulated," said Lucinda
Maine, a spokeswoman for the American
Pharmaceutical Assn., a professional group for
pharmacists in Washington that has been skeptical
of import measures. The vast majority of drugs
approved for sale in the United States, purchased
from Canada and Western European countries, are
safe, advocates say.
"The drugs coming from Canada seem very clean, we
haven't heard of any problems," said Frederick
Mayer, a pharmacist near San Francisco who runs
the Pharmacists Planning Service, a nonprofit
group advocating for lower drug prices. "But there
are other countries, including Mexico and some
Asian countries, which just don't have the same
good manufacturing standards that we do here; we
worry about sloppiness and about counterfeiting.
" Already, more than 100,000 Americans die each
year as a result of adverse drug reactions,
according to some estimates, many from U.S.-made
products. Mayer thinks the growth of online
pharmacies will only increase that number. "A lot
of people, especially seniors, just don't know
what they're getting," he says. "Sure, we're
saving a lot of money, but what we really need to
do is talk to a pharmacist about the drugs."
When 2 million bogus birth control pills flooded
the U.S. market in the mid-1980s, for example, the
pills and the packaging duplicated that of
legitimate drug companies. But one product
contained so much extra hormone that it caused
excessive bleeding, while another had no active
ingredient, which resulted in unwanted
pregnancies.
The House measure encourages people to deal with
legitimate suppliers and include their doctor in
the process, to verify prescriptions.
Still, Bush administration officials worry that
drug traffickers could camouflage shipments of
contraband and escape detection by attaching a
phony label to the package. The Food and Drug
Administration and the Customs Service, which
oversee the importation of pharmaceuticals, don't
have the resources to check all of these packages.
In a letter to Congress, DEA officials noted that
the proposed legislation would place an "undue
burden" on these already overtaxed agencies.
But supporters of the bill said that, for some
patients, it may be worth the risk. "This shows
the lengths people will go to avoid paying high
prices for drugs in this country," said Amanda
McClosky, who studies drug pricing issues for
Families USA, a Washington-based patient advocacy
group. "We think it's important that the proposal
in Congress becomes law because, technically, many
of these people were illegally" importing the
drugs.
While the measure passed easily in the House, 324
to 101, legislative analysts believe it faces a
tougher test in the Senate.
But there's no lack of support among many people
who are fed up with paying high prices for drugs
used to treat their ailments. Karen Bergstrom, a
Minneapolis secretary in her 40s, buys stomach
medication for her mother over the Internet, also
from Canada. "It's about half the cost, and it's
very simple to do," she says. "My mom has some
drug benefit in her insurance, but it's very
confusing for an 83-year-old. It's confusing for
me. Doing it online is much easier."
back to top |

Canadian Web Drugstores Offer Deep Discounts,
Legal Quandaries |
Staff Reporter of
THE
WALL STREET JOURNAL
Harriet Joy White wanted to get rock-bottom
Canadian prices for her cholesterol-lowering
medication, but she was too far away to
conveniently hop a bus, as others have done.
Instead, she ordered from her home in Fort Myers,
Fla.
With a
few clicks of the mouse, the 73-year-old connected
to a Canadian pharmacy 1,400 miles away and, after
faxing her prescription, ordered a three-month
supply of Zocor for $220 -- about 20% less than
the cheapest U.S. price she could find.
"As a
senior citizen living on a retirement income,"
says the elated Mrs. White, "I think I should get
the best price I can."
While
politicians stand on their soapboxes and wail
about high prescription-drug prices in the U.S., a
growing number of Americans are quietly finding a
solution. By logging onto three different Web
sites owned and run by Canadian pharmacists and
entrepreneurs, U.S. residents are saving 20% to
50%, and occasionally more, on prescription drugs,
even after dispensing and shipping fees.
The
Internet is a far more convenient alternative than
the well-publicized bus trips to Canada organized
for seniors last year by sympathetic legislators.
Government controls in Canada help keep prices
low. Customers ordering from Canada also enjoy a
favorable exchange rate: about 66 U.S. cents per
Canadian dollar Wednesday.
Bargain Prices
Savings for drugs bought from Canadian
Pharmacy Link.com over the U.S.-based
Drugstore.com
|
Claritin |
46% |
|
Celebrex |
27 |
|
Glucophage |
25 |
|
Lipitor |
26 |
|
Prozac |
30 |
|
Tamoxifen |
64 |
Note: Canadian prices include US$5.95
shipping fee; U.S. offers free shipping;
figures are for 3-month supply. |
One
catch: Ordering drugs from Canada to save money is
technically illegal in the U.S., though
authorities so far have mostly looked the other
way. Under U.S. Food and Drug Administration
guidelines, citizens can import up to three months
of medicines for personal use -- but only if those
medicines are not available in the U.S.
The
FDA, however, is concerned mainly with policing
large commercial shipments and isn't able to seize
all, or even most, of the small parcels of
medication arriving for personal use. "We haven't
been going after individuals, because we don't
have the manpower," says Tom McGinnis, director of
pharmacy affairs at FDA headquarters in Rockville,
Md.
Canadian authorities, meanwhile, are considering
new rules that would make it harder for Internet
pharmacies based there to fill orders from the
U.S.
Demand
for Canadian imports has been fueled as
increasingly expensive drugs have hit the U.S.
market in recent years. Since Medicare doesn't
cover prescription drugs, only about a third of
U.S. seniors have full prescription-drug coverage,
according to University of Minnesota's Prime
Institute, a research group in Minneapolis
studying pharmaceutical-industry economics.
Another third have partial coverage, and the rest
have no coverage at all.
Last
year, Congress passed legislation that would allow
pharmacies and wholesalers to import drugs from
certain countries and resell them here. But last
month, implementation of the law was blocked by
the Clinton administration, which said the law's
many loopholes rendered it useless.
Meanwhile, TheCanadianDrugstore.com says it is
shipping 100 prescriptions daily to U.S.
customers, many of whom are uninsured seniors. The
Toronto business, started last fall by three
entrepreneurs, two of whom are pharmacists, is
already scrambling to secure larger office space
and hire more employees to fill orders. Co-owner
Billy Shawn, a Toronto businessman, says he has
gotten little sleep the past month. "If I go to
sleep," he says, "we'll get behind."
So
far, the number of prescriptions for Americans
filled by the two largest operations in Canada,
TheCanadianDrugstore and CanadaRX.net, is tiny in
comparison with the roughly three billion
prescriptions filled in the U.S. each year.
However, if orders from Canada continue to grow,
they could upset the pharmaceutical industry's
pricing system that charges higher prices in the
U.S. to recoup discounts offered elsewhere, and to
help fund research.
Jeff
Trewhitt, a spokesman for the Pharmaceutical
Research and Manufacturers of America, Washington,
D.C., says the growth of such online businesses
"just underscores the urgency" of reforming
Medicare so that it covers prescription drugs.
If
Congress doesn't pass new legislation to legalize
importation from Canada, consumers will continue
to find loopholes, says Stephen W. Schondelmeyer,
a professor of pharmaceutical economics at the
University of Minnesota, Minneapolis. "You can't
keep them down on the farm once they've been to
Paris -- or Quebec in this case," says Mr.
Schondelmeyer, who is also director of the Prime
Institute.
In
addition to cheaper prices on brand-name drugs,
the Canadian Internet sites allow U.S. citizens to
get generic versions not yet available in this
country. George Richards, 56 years old, of Glen
Ellyn, Ill., says his local pharmacy charges $224
for 90 Prozac pills. But through the internet
, he
ordered a generic equivalent of the antidepressant
for less than $70. "If this is illegal," he says,
"the law is stupid."
A
spokesperson for Eli Lilly & Co., Indianapolis,
the maker of Prozac, says the Canadian sites are
"obviously violating our patent-protection laws"
and warns there's no guarantee of the quality of
the drugs.
After
hearing about CanadaRX from a happy customer,
Janice Long, an elder advocate at the Marlborough,
Mass., Council on Aging, started helping her
clients log onto its site. Since June, Ms. Long
says she has helped 20 seniors get discounts
collectively worth $14,000 a year. "This has been
a godsend for us," says 74-year-old Marlborough
resident Eleanor Lacouture, who cut her family's
monthly bill for four prescription drugs to about
$100 a month from $239 with Ms. Long's help.
In
Canada, authorities have begun looking at the
practices of the Web sites. However, each of the
three says it operates within Canada's laws, which
allow pharmacies to fill only prescriptions signed
by Canadian doctors. CanadianDrugstore has a local
doctor review the U.S. prescription and write a
new version.
CanadaRX mails medications to the patients' U.S.
doctors. The Web site's owner, Hamilton, Ontario,
pharmacist John Lubelski, says what it is doing is
legal. Mr. McGinnis of the FDA, however, says U.S.
doctors who receive such shipments are probably
breaking the law. He says it depends on a complex
legal interpretation of whether the doctor is
acting as a pharmacy under the terms of the law.
The
Ontario College of Pharmacy, the regulatory body
for pharmacies in Ontario, says it's looking into
CanadaRX, which is run out of Mr. Lubelski's
Hamilton-based Kohler's Drugstore. Other
pharmacies work with the site as well, but Mr.
Lubelski declines to name them.
A
committee of the Manitoba Pharmaceutical
Association recently recommended adopting a
standard that could make it tougher for Internet
pharmacies to fill orders from the U.S. Some say
the standard could be interpreted as barring
Internet pharmacies from filling prescriptions
originally written by U.S. doctors but signed by
Canadian doctors who never saw the U.S. patient.
back to top |

Lauzen looks north for
prescriptions |
By Mike Norbut
AURORA - Right now, Edward and Alice Oliva spend
about $250 a month for prescription medication.
With prices constantly on the rise, the drugs
aren't getting any cheaper for the Sugar Grove
senior citizens.
"They're going up all the time," Edward Oliva
said. "We don't see a reason for it, either."
"In fact, we were thinking about driving up to
Canada to buy them," Alice Oliva said. If a
program suggested by state sen. Chris Lauzen takes
root, the couple won't have to make that drive
after all.
Lauzen, R-Aurora has established a pilot program
for people who feel they pay too much for their
medication. The program would allow them to send
their prescriptions to a Canadian pharmacy, which
many times would be able to fill orders at a
markedly reduced rate. "I've read about people
taking busloads across to Canada." Lauzen said.
"But we're six or eight hours away here, so that's
not going to work. Eventually, there's got to be a
better way."
The program will start with about 25 participants,
how will place their orders through Lauzen's
office. Their prescriptions will be faxed to the
pharmacy in Canada, and the drugs will then be
shipped to Shafer's;s Galena Pharmacy in Aurora.
The program will be open to anyone who has
substantial prescription drug bills every month,
Lauzen said, although he expects most of the
particpants would be seniors. As far as he knows,
this type of program is not being tested anywhere
else.
Lauzen said they were starting with a small number
of people "to shake the bugs out," but, if it were
successful, he expected there would be more people
willing to help expand it.
"We don't want to create unrealistic expectations
right now, "he said. To even think that way is
like celebrating before you've won. When no one is
trying something like this, it makes you think
there must be problems out there.
Lauzen is looking for volunteers to participate.
To sign up, call the senator's office at (630)
264-2334.
An initial meeting will be held June 2. Because of
the fees attached to the drugs, participants are
encouraged to order all the medications they
require at one time.
On paper, the plan looks like a can't-miss
opportunity for people who have to pay a lot for
their medication out of their own pockets. Federal
law allows for the reimportation of drugs -
products that are shipped to other countries by
American manufacturers and then sold back to
American consumers - for personal consumption,
provided they are approved by the Food and Drug
Administration, Lauzen said.
Many well-known, FDA-approved medications have
drastically different prices in the United States
and Canada. For example, 90 doses of Actos, a Type
II diabetes drug, costs nearly $425 in the Unites
States vs. about $290 in Canada, according to a
list provided by Lauzen's office. Meanwhile, 90
doses of Casodex, a drug to treat prostate cancer,
costs almost $1,000 in the United states, while
costing about $420 in Canada. "If we send it
across the border and if it comes back, even in
its original wrapper, that's great." Lauzen said.
"I think that would be ideal."
Canadian law, meanwhile requires a physician to
review each patient's case, meaning the concerns
some people have about receiving tainted drugs
because of an unregulated environment can be eased
to some extent, according to Bill Murrin, a Geneva
resident and volunteer who has researched the idea
for Lauzen.
Even with physician's fees, shipping charges and
the pharmacy's dispensing fee, the Canadian prices
are substantially cheaper, Lauzen said. "There are
restrictions in other countries," Murrin said.
"But the view of most people is, let the market
economy dictate the price."
Contact Mike Norbut at (630) 844-5829
mnorbut@scn1.com
back to top |

ONLINE Rx |
Overseas sources can slash the cost of drugs, but
experts prescribe healthy doses of caution Healthy
Living: Your Tuesday guide to medicine and health
care
Even proponents of online overseas pharmacies tell
horror stories of elderly patients receiving
ineffective drugs for arthritis or women becoming
pregnant after ordering birth control pills that
turned out to be fake. Overseas Internet
pharmacies offer prescription drugs at dirt-cheap
prices, but medication from questionable sources
can be ineffective or downright harmful. It could
also be illegal.
Patients ''could find the cheapest drug made by
some bathtub operation located in a country
without the same regulations as here or Europe,
and they'll get an inferior product," said Andrew
Canada, a pharmacist for Global RX, an
international online pharmacy based in North
Carolina.
But advocates for affordable drugs say that
reputable international pharmacies can safely save
consumers a bundle, even when shipping charges are
included.
Access to medication from other countries gained
notice in July when the U.S. House passed a bill
to legalize the reimportation of U.S.-manufactured
drugs. The Senate is expected to consider a
corresponding bill in September.
Patients, doctors, foreign pharmacists and
legislators are trying to sort out what's legal
and what's not. As a result, many people who think
they are importing drugs approved by the U.S. Food
and Drug Administration are actually breaking the
law.
Up to 2 million packages containing prescription
drugs enter the United States through the mail
every year, many of them as Internet purchases,
according to the FDA. The FDA and the Customs
Service intercept packages that appear to contain
unapproved medications and send letters to the
intended recipients. But many packages aren't
checked.
"The purpose of the legislation (that passed the
House) is to get the FDA to stop sending letters
to people and frightening them," said U.S. Rep.
Bernard Sanders, an independent from Vermont and a
supporter of the House bill.
Unless that bill becomes law, it is illegal to
import drugs that were originally manufactured in
the United States. But it is legal to import
foreign-made generic drugs that are approved by
the FDA. The FDA inspects approximately 1,200
applications for foreign foods, drugs and devices
every year. Approved drugs are listed in the FDA's
Orange Book, available online at
http://www.fda.gov/cder/orange/default.htm.
The most frequently imported drugs are those used
to treat asthma, depression, heart disease and
diabetes, according to Pharmacists Planning
Service, a nonprofit organization advocating lower
drug prices.
The FDA warns that those who buy drugs from
foreign online sources risk getting fake,
unapproved, outdated or substandard products, with
little or no quality control.
In contrast, U.S. pharmaceutical companies must
adhere to rigorous FDA standards, which can raise
the costs of drugs. Manufacturers must conduct
clinical trials to show new drugs' safety. They
also must demonstrate quality control and describe
how, where and under what conditions the drugs
will be manufactured.
Consumer advocates advise Internet drug buyers to
stick to sites in countries with the same
pharmaceutical standards as the United States,
such as Canada and European Union nations.
The cheapest drugs may not be the best deals if
they come from unsafe sources, Global RX
pharmacist Canada noted. Some online pharmacies
may sell counterfeit drugs as if they were made in
the United States.
"If you buy from the United Kingdom or Switzerland
or Italy, it will probably be a good drug and
you'll save 50 percent," Canada said.
"You'll save 75 or 80 percent from a questionable
operation," he said.
Darren Jorgenson, a pharmacist responsible for
U.S. business with Canadameds.com, a Canadian
online pharmacy, said there is virtually no
difference between the drugs his company sells and
those made in the United States. ''It's not like
you walk into Canada and suddenly there are
backroom pharmacies," Jorgenson said. Reputable
online pharmacies ensure that the drugs prescribed
are proper for the patient, pharmacist Canada
said.
To screen for interactions and incompatibility,
online sites should ask patients for information
such as their weight, allergies, health history
and any other drugs the patient may be taking.
"It's absolutely critical," Canada said.
"Otherwise, they're just pushing pills."
Drug abuse is an additional concern. Some sites
require customers to mail or fax prescriptions
written by a physician, but others don't require
doctors' approval. A number of sites advertise
that they'll sell drugs without a prescription.
The FDA advises consumers to determine a
pharmacy's legitimacy by whether it requires and
verifies prescriptions.
No matter how professional their sites may look,
all online pharmacies require careful
examination.
For instance, 4 Corners Pharmacy posts drugs'
generic and commercial names, manufacturers'
inserts and photographs of packaging. But unlike
many online pharmacies, 4 Corners does not require
prescriptions or health forms, nor does the site
tell where the pharmacy is located. When
questioned, representatives will say only that the
company is in a country in the South Pacific.
But despite the risks, many Americans are buying
drugs at significantly reduced prices from online
overseas pharmacies.
More are likely to do so if the Senate legislation
passes.
"To someone who can afford it, it may be too much
trouble to use a foreign country," Jorgenson said.
"But I get calls from people who aren't taking
their medication because they can't afford it."
Illustration of buying unknown prescription drugs
over the internet. / BRIAN WILLIAMSON / Staff
PRICE SHOPPING
Here's how various retailers, including Internet
sites that require prescriptions, fared on the
costs of some common prescription medications. The
legal status of importing drugs from these sites
is a gray area that would be resolved by the bill
awaiting approval in the Senate. Prices are per
usual daily dosage.
Pharmacy................ Country....Zyrtec /Celebrex
/Glucophage
Eckerd Drugs (store).... U.S.......
$2.46....$5.27.... $1.92
Cyberpharmacy.cc........ U.S.........1.68....
4.62......1.42
Canadameds.com.......... Canada......0.59....
1.90......0.32
thecanadiandrugstore.com Canada......1.17....
3.05......0.84
pharmacie-pradier.com....Switzerland 0.55....
0.41......1.31
pharmaworld.com..........Switzerland 0.54....
1.56......0.40
BUYING ONLINE: DO'S AND
DON'TS With common sense
and simple precautions, buyers can identify
reputable foreign pharmacies offering drugs to
U.S. consumers. Here are some tips from the Food
and Drug Administration on buying medications
online. The FDA discourages importing drugs from
other countries.
Don't buy from sites that offer to sell a
prescription drug without a prescription. The
pharmacist should verify each prescription before
dispensing the medication.
Don't do business with sites that have no access
to a registered pharmacist to answer questions.
Beware of sites that advertise a "new cure" for a
serious disorder or a quick cure-all for a wide
range of ailments. Steer clear of sites that
include undocumented case histories claiming
amazing results. Talk to your health care
professional before using any medication for the
first time. When looking for a pharmacy site,
apply the same standards you would use for any
place of business. Choose sites with easy-to-find,
easy-to-understand privacy and security policies.
Don't provide any personally identifiable
information (Social Security number, credit card
number or health history) unless you are confident
the site will protect them.
Avoid sites that do not identify whom you're
dealing with and do not provide a U.S. address and
telephone number to contact if there is a
problem.
back to top |

For Price Break on Drugs,
Congress Looks to Canada |
WASHINGTON, Sept. 8 —
Congress is taking steps to allow imports of
prescription drugs from Canada, in the hope of
giving American consumers access to lower-priced
medicines.
The Food and Drug Administration and drug
companies oppose the legislation, but many
lawmakers said they know of no serious safety
hazards with Canadian imports.
"It would be very hard for anyone to make a
credible case that there is a risk in importing
drugs from Canada," said Senator Byron L. Dorgan,
Democrat of North Dakota, who is leading efforts
to relax restrictions on such imports.
A law adopted last year allowed pharmacists, drug
wholesalers and distributors to import low-priced
prescription drugs from 26 countries including
Canada, Japan, Israel and members of the European
Union.
But the law gave broad discretion to the secretary
of health and human services. The Bush
administration and the Clinton administration both
refused to issue rules to carry out the law. They
said they could not certify that the import plan
would be safe and would save money for consumers.
In an interview, Mr. Dorgan said, "We are
narrowing the bill this year to focus on imports
from Canada as a first step."
The broader proposal was included in a spending
bill approved last year by votes of 86 to 8 in the
Senate and 340 to 175 in the House. A measure
dealing just with Canada could pass even more
easily, Mr. Dorgan and other lawmakers said.
In July, by a vote of 324 to 101, the House
approved a bill that would make it easier for
people to import low-cost prescription drugs for
their own use. Mr. Dorgan plans to offer his
proposal on the Senate floor this month.
Proposals to allow drug imports appeared
unexpectedly on the House floor last year without
much study or analysis by the committees that
usually handle health care legislation.
The idea has attracted serious attention in recent
weeks as the federal budget surplus has shrunk,
making it more difficult for Congress to add drug
benefits to Medicare, the federal health program
for the elderly and the disabled.
Senators James M. Jeffords, independent of
Vermont, and Debbie Stabenow, Democrat of
Michigan, are working closely with Mr. Dorgan to
push legislation through the Senate.
Drug costs were one of the top issues in Ms.
Stabenow's campaign last year. She organized bus
trips to Canada for Michigan voters who wanted to
buy prescription drugs at the lower prices
available there. Prescription drugs are subject to
price controls in Canada, as in many industrial
countries.
The bill Mr. Dorgan and his colleagues are
drafting, like the one enacted last year, says
that imported drugs must comply with all the
safety and labeling requirements that apply to
drugs made and distributed in the United States.
Each batch of imported drugs would have to be
tested for purity, to make sure it was not
adulterated or misbranded.
Stephen L. Giroux of Middleport, N.Y., a
pharmacist who owns three drugstores about 40
miles from the Canadian border, said, "I would be
totally confident and comfortable buying products
from Canadian suppliers."
At a Senate hearing this week, William K. Hubbard,
senior associate commissioner of the Food and Drug
Administration, said he "would have a relatively
high degree of confidence" in drugs purchased in
Canada. But he said that large-scale imports from
Canada would pose immense challenges to the F.D.A.
Drug manufacturers and distributors said they now
had virtually complete control over the custody of
prescription drugs, from the factory floor to the
retail pharmacy. But after drugs leave the United
States, they said, they could not be sure of the
conditions under which the drugs are stored and
handled.
Canada has a sophisticated system for regulating
drugs. But Mr. Hubbard said he could not give
assurances about the safety of products imported
from Canada because he did not know how the drug
distribution system worked there.
"Once a drug goes into the Canadian market, it's
outside F.D.A. jurisdiction," Mr. Hubbard said,
adding that "all sorts of malevolent things" could
happen to drugs there.
Senator Dorgan said he considers the drug-import
bill a tool to "put pressure on drug companies to
lower their prices."
Congressional aides who have visited Canada and
studied the pharmaceutical market there said it
was unrealistic to think that the United States
could solve its problems by giving United States
consumers access to the Canadian market.
Canada has a population of 31 million, compared
with the United States' population of 285 million.
Alan Sager, a professor at the Boston University
School of Public Health, said drug makers could
try to thwart Mr. Dorgan's bill by limiting the
supply of drugs available in Canada for export to
the United States.
Drug companies would, in effect, be competing with
themselves if they sold large amounts of drugs in
Canada, only to see the products shipped to the
United States for sale here at discount prices.
Mary R. Grealy, president of the Health Care
Leadership Council, a coalition of chief
executives from large health care companies, said
Canada could become "a trans-shipment point" for
counterfeit drugs being sent to the United States
from third-world countries. "You don't know where
drugs in Canada came from," she said. "They could
have been made or stored in third-world countries
with no regulation at all."
Federal law says that a prescription drug made in
the United States and exported may not be imported
to the United States except by the manufacturer.
The law, adopted in 1988, sought to end a "gray
market" for drugs that were counterfeit,
adulterated or too old to be used safely.
The 1988 law, drafted by Representative John D.
Dingell, Democrat of Michigan, was widely seen as
a consumer protection measure. Congressional
investigators had documented many cases in which
counterfeit drugs, including birth control pills,
had been imported.
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HOUSE VOTES TO PROTECT
PERSONAL PRESCRIPTION MAIL ORDER |
From Foreign Countries
What follows is part of an article published in
'The Washington Post', Tuesday, July 11, 2000.
"House Blocks Drug Import Curbs"
Amid growing public resentment of high
prescription drug prices, the House voted
overwhelmingly yesterday to prevent the government
from discouraging the purchasing of drugs in
Canada or other countries where the medicines are
cheaper....The FDA sometimes sends warning letters
to those caught doing it.
The [Food and Drug Admin] gives its employees
discretion to permit import of drugs that violate
its restrictions so long as they are intended for
personal use.
The House approved 363 to 12, an amendment to an
FDA appropriations bill that would prevent the
agency from enforcing the importation ban.... A
second amendment, approved 370 to 12, would bar
the agency from sending warning letters."
When this is actually signed into law it may
affect the way you do business as it effectively
removes most import restrictions as long as the
drugs are "intended for personal use."
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Drug re-importation makes
sense to seniors |
| |
WASHINGTON (CNN) --
Charlotte Walton, 66, was one of dozens of seniors
who used to travel by bus to Canada to buy her
prescription drugs at a fraction of the cost.
"There, I saved half the price of what I would
have paid here in the United States," Walton
said.
A congressional amendment passed by the Senate on
Wednesday will allow Walton's local pharmacist to
re-import her prescriptions from Canada at the
cheaper price the Canadian government negotiates
for its national health care patients.
ALSO
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Walton says the bill will help many seniors who
are having trouble paying for their
prescriptions.
"My husband worked five years past his retirement
to put a few bucks away so we could live
comfortably," she said, "but that isn't going to
last long with the price of drugs they have right
now."
But the man who organized the bus trips that
helped Walton get cheaper medications, John Marvin
of the National Council of Senior Citizens, is
skeptical the drug companies will go along with
the measure.
"I just don't think that they are prepared to give
up the profits that the American market
represents," he said.
Marvin said there are several ways for drug
companies to get around the bill.
"One way is to clearly limit the amount of drugs
going into Canada," Marvin said. "A second way is
to require FDA (Food and Drug Administration)
inspections of all the drugs being re-imported
into this country, even though they are being made
in this country."
Republican lawmakers defended the bill, saying
they have closed as many loopholes as they
possibly can.
"The drug companies don't like this bill, and the
reason they don't like this bill is they think
it's going to be effective," said Sen. Slade
Gorton of Washington.
But Clinton Administration officials say the only
way to guarantee seniors the relief they need is
to allow them to band together under Medicare to
negotiate with drug companies for the same kinds
of discounts insurance companies and the Canadian
government have.
Charlotte Walton says she's never understood why
she and other seniors have paid so much more.
"It makes me angry, and I've heard a lot comments
on it that other people feel the same way," she
said. "Why can't we get it?"
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