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  1. ***Drug Discount Coupons, Rebates and Loyalty Programs- This is money from Big Pharma. Take It!!!

    October 25, 2011 by ehaas21

    Don’t buy prescription drugs from cheap online drugstores.  Many of these places are unlicensed, and let’s face it, you really don’t know what you’re actually getting from an internet drug provider.  Stick with the safety of your neighborhood drug store.  There are other ways to afford your medications.  Here you’ll find a regularly updated list of drug manufacturer discounts.  The old method of giving samples to doctors has been replaced for the most part by prescription coupons which your pharmacist processes like insurance.  Many products go a step further by offering ongoing savings which you register for; some are vouchers you have to print for each fill or refill, even others are rebates you print and mail in with your pharmacy receipt.  Personally I think the whole process should be illegal, and legitimate pricing should prevail, but hey, if they exist, you should use them.  Of course, restrictions do apply; most discount programs cannot be used with Tricare, Medicare D plans, Medicaid, or any insurance for Massachusetts residents.  If you know of a prescription drug discount which isn’t listed here, please send me a link with the comments form and I will add it to this page. IF YOUR MEDICATION IS NOT COVERED, OR YOU ARE UNINSURED, START WITH THIS FREE PHARMACY DISCOUNT CARD:  EVERYONE IS ELIGIBLE.  EVEN YOUR PETS.  

    A quick bit about drug pricing.  You can use a drug price “tool” to find prices for the drug you’re searching.  Mind you, this is the non-insurance price which is available to anyone using a discount card.  It’s a little clunky, so wait a minute before hitting “enter” after typing the drug name.  A drop-down menu will appear showing the various dosing options.   It takes a second,, so wait, then choose the actual drug you want to price.  Hope this helps:  DRUG PRICE FINDER

    eHEALTHINSURANCE: If you’re looking to buy health insurance, ehealthinsurance is a great place to start.  You can fill out a single form and receive quotes to compare plans of all types from over 180 different insurance companies.  Suze Orman even recommends ehealthinsurance.  (and yes, I am listed as an affiliate for ehealthinsurance.  Is it a bad thing that I’m trying to make a little money with this site?)

    MANUFACTURER DISCOUNTS LISTED ALPHABETICALLY  BY PRODUCT NAME:

    Abilify- Sign up for the “me+” program and receive a voucher for a 2 week trial of abilify, or a$50 savings if you’re already taking abilify.

    Aciphex- So the Aciphex (rabeprazole) people are getting desperate.  There is now a savings program that can save up to $55 per month on aciphex prescriptions.  Patients are still responsible to pay a minimum of $20 per prescription, but hey, the website does have a nice “savings calculator” to show how much you will pay (and save) in case you can’t do the math.  They’ve even upped the ante with a 14 tablet trial voucher.  Aciphex has never been a big hit in the acid reflux game, so this new promotion signals the end of it’s patent (in this observer’s opinion).  For those unfortunate people trying to buy this without insurance, my better pick is to ask the doctor to change you to prescription Protonix.  The generic can be had for dirt cheap as pantoprazole with a free savings card. That’s my advice; take it or leave it.

    Actonel – The Actonel discount Card given at Doctor’s office only (copay reduction to $50 per month).  Again, you have to get an actual Actonel discount card from the doctor, you unfortunately can’t download one from the website.  Wow!  Just ask for generic Fosamax instead.  That’s Alendronate which is pretty damn cheap these days with a discount card…

    Actos- Printable Actos $50 rebate savings coupon (many restrictions apply).  If you take Actos, hey; fifty bucks is fifty bucks!  Print your Actos voucher now! Sorry folks, this one’s discontinued

    ActoPlusMet- Just like the Actos program, the ActoPlus Met program is a mail-in rebate which saves up to $50 per fill of ActoPlusMet (It says the program expires 3/31/2011, but these are often extended).  Post a comment if you find this works, doesn’t work, changes or anything.  Please comment!!!  It’s hard to keep these things up. Sorry folks, this one’s discontinued.

    Advair and Advair HFA- Get one free Advair or Advair HFA inhaler (you have to register as someone who hasn’t used advair before).  For any registration, you will receive (you can also download and print) a savings card for ongoing advair discounts.  They’ve changed this Advair program a few times, so I’m not going to say how much the savings are.  You can also print a $10 advair savings voucher without signing up.

    Aggrenox- The Aggrenox “smart steps” program says it saves you up to $20 on your Aggrenox prescription.  Details are a little foggy on the Aggrenox website, but check it out.  If you use the Aggrenox coupon program, please post a comment about it so I’ll have more details to pass on to others.  I’m trying to make this an “interactive” site.

    Aloquin gel- The Aloquin people offer a printable $20 rebate form.  Yes you have to mail this one in, but hey, it’s twenty bucks, and Aloquin is expensive.  Hopefully your insurance covers this one.  Otherwise use this free drug discount card and send in for your $20 Aloquin rebate.

    Alphagan P- There is a $20 printable rebate voucher available for your Alphagan P prescription.  The signup page says “one rebate per customer”, so I’m not sure if that means you can only use it one time, or if you can only sign up one time for this Alphagan P coupon.  My advice is to send it in for every Alphagan P prescription you purchase and let them worry about the terms.  Remember, you only receive rebates if you mail them in, and this is true for Alphagan P too.

    Alvesco- This new player on the asthma maintenance drug scene, Alvesco (ciclesonide 6.1gm inhaler) offers a $75 instant rebate card.  The Alvesco coupon can be used once a month for up to 12 consecutive months and is valid for both insured patients, and those without insurance.  The Alvesco discount can reduce copays to $0, and is downloadable and printable from the Alvesco website.

    Ambien Cr- The Ambien and Ambien CR promotion has been discontinued.  Generic Ambien(zolpidem) and Ambien CR (zolpidem controlled release) are now both available.  Download a free prescription savings card if you don’t have insurance, of if your plan doesn’t cover it.  These days, 30 regular zolpidem tablets shouldn’t cost more than $10 with a drug discount card.

    Amitiza- With the Amitiza coupon savings program,  you can save $35 on your next 12 Amitiza prescriptions.  It’s still expensive, but the savings voucher helps.

    Amrix- With the Amrix copay reduction card,  you pay no more than $10 per fill of Amrix.  Amrix is pretty expensive, so this is a great coupon.  Sorry folks, the Amrix discount has been discontinued since the generic is now available.  **Of course, generic cyclobenzaprine (short acting) is really cheap if you don’t have insurance.

    Androgel- Now called the Androgel “Restoration Program”, register to save up to $600 per year on Androgel with registration. That breaks down to a $50 savings per fill of Androgel, so it’s best to get only 30 days at a time to maximize this discount.

    Aplenzin- Savings program has been discontinued on Aplenzin.  This is another long acting form of bupropion.  Ask your doctor for generic Welbutrin XL instead, and use a free pharmacy card if you don’t have insurance.  This alternative will cost under $50 per month without insurance.

    Apidra & Apidra Solostar-  Sign up for the ACCESS program to save on your Apidra and Apidra Solostar prescriptions.  The Apidra ACCESS program says that you can get your first prescription for $4, and the next 11 refills for $20.  There is a $100 maximum savings per Apidra fill, but that is still pretty generous.  It is not apparent if you can use this without insurance or not.  For those buying Apidra and Apidra Solostar without insurance, I recommend downloading a free pharmacy savings card to use as a primary discount (it’s not insurance), then have the pharmacist apply the Apidra disount (which should reduce your cost at least $100).

    Asmanex- You can get a free trial voucher for asmanex, as well as print out a $10 savings coupon.  The $10 Asmanex coupon is only good for 1 use, but can be repeated (by printing a new Asmanex coupon) every 30 days.

    Astepro- Astepro now offers a opay reduction down to $25 per prescription fill of Astepro.  Sorry, this one apparently doesn’t help the uninsured.

    Atripla- Copay reduction of up to $200 per month on Atripla.  There are other assistance programs available here for Atripla depending upon the situation.  Each patient must call, you can’t apparently register online here.

    Avandia- Discount no longer available due to FDA action on Avandia.

    Avinza- This is a downloadable (printable) coupon for $30 off of your Avinza prescription.  There is a sign up form for this Avinza saver, and that’s all I know, since I haven’t seen one of these used.  Details on the Avinza voucher are not given, so I’m not sure if it’s reuseable, or if it’s available to download for each prescription (since Avinza is a form of morphine sulfate, you have to get a new prescription every time).  Good luck with this; if Avinza is the one for you, I hope you have insurance, but $30 off your copay certainly helps.

    Avodart- Avodart offers $15 savings on up to 12 refills of 30 tablets of Avodart for up to 12 months Sorry folks, the Avodart discount has been discontinued.  Ask your doctor if generic Proscar (finasteride) might be a viable alternative if you can’t afford your Avodart prescription.

    Axert- Axert offers a 2 tablet trial voucher, and register to receive 3 copay reductions to $10 (maximum savings of $25 per fill of Axert).  For those without insurance, ask your doctor if generic Imitrex (sumatriptan) will work instead of Axert.  It’s significantly cheaper, especially if you use a free pharmacy discount card to buy sumatriptan.

    Axona- There is a 20% savings card available for Axona (caprylidene), just look for the clickable “savings card coupon” pictured on the Axona main page.  Details are vague, but if you take this medical food product, you’ll probably want it.  As a “medical food”, Axona is often not covered by prescription insurance, your pharmacy can tell you if your insurance denies payment when you fill your prescription.

    Benicar & Benicar/HCT- The Benicar people are offering what appears to be a $25 discount on your Benicar or Benicar/Hct prescription.  Enroll in the “right fit” program, and you can get a prescription savings card good for $25 per month on your Benicar or Benicar/Hct prescription (I say this, because it’s vague on the website, but you have to sign up to actually know).  If you take this, and like several customers I’ve talked to, you had to stop taking the nice, cheap generic competitor (Losartan/Hctz), usually because of a problem with cough, then the Benicar “right fit program” is for you.

    Benzaclin- Pay “no more than $20 on you Benzaclin prescription”.  Okay, the reality is this will save you up to $25 on your Benzaclin prescription.  Still not too shabby.  While there’s still no generic for Benzaclin, (benzoyl peroxide/clindamycin combo), there is still it’s predecessor.  Before Benzaclin became the dermatologist golden boy, there was, and still is Benzamycin (benzoyl peroxide/erythromycin combo).  If you don’t have insurance, and are paying through the nose (or skin as it may be), ask Dr. Derm (atologist), if you can’t try generic Benzamycin instead of Benzaclin.  It worked great for kids in the 90′s, and everyone else until the patent ran out, and they had to come up with Benzaclin to replace it…  For those uninsured people buying either of these, I recommend downloading a free pharmacy discount card first, then try the discount (or just the discount card for the generic). The savings, especially on generic Benzamycin can be significant.

    Betaseron- Betaseron patient assistance program (offers up to a $0 copay for Betaseron if qualified)

    Beyaz- Thanks Bayer for clogging the birth control market even more with Beyaz!  Anyway, with this program, You can get your Beyaz prescription for only $25 per month, or $75 for 3 months!  The program can be used even if you don’t have insurance, and can be used indefinitely until it terminates from the manufacturer.  Even better, Bayer is offering this program for not ontly Beyaz, but Natazia and Safyral also.

    Boniva- Boniva offers a free one month trial, additional offers and reminders are promised with signup of this Boniva program, but details are vague.  Thanks Sally Field for using Boniva!  I vote for using generic Fosamax weekly (alendronate) instead.

    Caduet- Caduet offers a savings card which saves up to $100 per month for up to 12 months.  Patients are responsible to pay at least $20 per month for their Caduet prescription with the coupon card.

    Canasa- The CanasaCare loyalty card can be used on purchases of Canasa tablets and suppositories.  The Canasa coupon can save up to $20 per prescription fill of 30 or more tablets or suppositories.  This Canasa voucher can be used a total of 12 times, for a total savings of  up to $240.  You are responsible for the first $40 on each Canasa prescription before the savings are applied.

    Carac- You can download a printable $30 savings coupon for your Carac (fluorouracil) prescription.  Each Carac voucher is good only one time, but you can probably download a new coupon for each Carac refill.  Just remember to clear the cookies in your browser, or you might print the same one each time.

    Chantix- The printable Chantix (varenicline) coupon saves you $30 on your Chantix prescription.  It works whether you have insurance or not!  This is pretty expensive stuff, but let’s be honest, buying Chantix and quitting smoking is still cheaper than buying cigarettes.  Of course, if you don’t have insurance ($30 off your copay with a coupon is nice), or if it’s not covered, I always recommend you use a free prescription discount card first, then apply the Chantix coupon.  Beware though, when you print the Chantix voucher, you should just print the first page; otherwise get ready for 10 pages of the full Chantix package insert. There’s even a help line if you want to call: Call 1-877-CHANTIX.  Don’t forget to register for the GETQUIT® plan and receive free support resources to help you quit smoking while using chantix (varenicline).  If Chantix is still out of your price range, there are still plenty generic versions of Wellbutrin and Zyban.  Both are long acting versions of the antidepressant bupropion.  While Wellbutrin and Zyban  are not really the same thing as Chantix, they have helped smokers quit for over 10 years now.  Bupropion was the original quit smoking drug and can be had for a pretty reasonable price if you use a discount card.  Just a thought.

    Cialis- Cialis offers a free trial coupon.  You can get either 30 days of daily Cialis therapy, or 3 of the 36 hour Cialis tablets with this voucher.  You can also register for a second free trial of Cialis  if “not completely satisfied”

    Cipro- Cipro or ciprofloxacin as it is given as a generic drug  these days is pretty cheap.  If you don’t have insurance, please download a free pharmacy disount card, and I’m sure you’ll like the price.  If your doctor prescribed levaquin, ($15 savings available) then please ask if ciprofloxacin won’t work instead.  Another cheap choice is Zithromax (azithromycin) which has been cheap for years as a generic.

    Clarinex- The Clarinex site offers a $25 printable voucher to save on a single fill of Clarinex.  You can use up to one coupon every 30 days, but you must print a new Clarinex voucher each time.  This could be pretty big, since a lot of insurance plans will be dropping coverage of Allegra now that the Otc is available.

    Colcrys- Okay, so the dogs at URL pharma have decided to have a little bit of a heart.  After patenting legend drug colchicine which has been cheaply available for years, and pumping up the price significantly, they have revamped their savings program for colcrys.   In addition to a printable savings voucher, there are now several discount programs, and assistance programs for low income patients that need colcrys.  Check the Colcrys company page and see which applies to you.  Since this is now the ONLY approved colchicine tablet in the U.S. right now, at least you can get a coupon for a 7 tablet trial of Colcrys, and for most patients, a copay card to reduce your cost of Colcrys to $15 per month for 12 months.  Don’t forget to read the included press release describing how Colcrys has come to the rescue to protect you from “unsafe” and unapproved colchicine.  Thanks URL pharma for saving us all from cheaply available colchicine!

    Combivir- Register for the Combivir “My Support Card” to save up to $100 per month on Combivir therapy

    Concerta- The Concerta discount has been discontinued.  For questions of comments, contact Ortho-McNeil-Janssen Pharmaceuticals at 1-888-440-7903.  If you are uninsured, you may qualify for free or discounted medication through Access2Wellness.  Of course the reason for this is that Watson pharmaceuticals has a deal to market “authorized generic Concerta”.  This means that for now, the generic version (METHYLPHENIDATE HCL ER TABLET) is actually the exact same product as original concerta.  They are being manufactured at the same plant and have the same markings.  Get these and save about 20-25% versus branded concerta. Of course if you’re stuck buying these without insurance, use the free pharmacy discount card.

    Coreg CR- Coreg CR offers a $120 savings program ($10 per month discount on Coreg CR for 12 months)

    Cozaar- Cozaar generic is now available as Losartan.  No further manufacturer discounts are available for Cozaar.  This goes for Hyzaar also, but both have gotten pretty cheap.  Download a free ENOVA pharmacy discount card for this if you don’t have insurance.

    Crestor- Crestor offers a free one month trial voucher (sign up for the Crestor support program and receive other unknown discounts).  Cresto is still at the top of the high cost list for statin therapy.  For those without insurance, I recommend you ask your doctor for pravastatin or simvastatin instead, and download a free pharmacy discount card.  You’ll save a bundle.

    Cymbalta- Cymbalta offers a one time coupon voucher for 30 free capsules of Cymbalta.  Basically this is a trial of Cymbalta.  This one is expensive. Hopefully you have insurance and it covers this.  Otherwise check out the Lilly’s (cymbalta’s manufacturer) patient assistance programs.  There is also now the Cymbalta Promise Program which claims to offer a 60 day money back guarantee if you aren’t satisfied with Cymbalta.

    Daytrana- The only transdermal ADHD medication on the market that I know of, Daytrana (methylphenidate) does have a savings program.  This printable savings coupon comes two ways:  for insured and cash paying patients, you can get $60 off of 3 Daytrana prescriptions.  For those who live in Massachusetts, or who receive Medicaid, Tricare, or any other federally funded prescription program, you can receive up to 30 free Daytrana patches.

    Depakote/ER/Depakote Sprinkle Capsules- There is a printable coupon to save up to  $75 off of either brand name Depakote, Depakote ER, and Depakote sprinkle capsules.  There is a different card for patients with insurance (you are responsible to pay at least $5 for your prescription), and for those without insurance.  The Depakote coupon is reusuable, and can be used up to 2 times a month.  While it is still cheaper for those without insurance to buy generic Depakote (divalproex sodium) with a discount card, this helps level the playing field, especially for those who find better results with the brand name product.

    Detrol LA- Detrol LA offers $20 rebate -restrictions apply for the Detrol LA rebate, check out the fine print

    Dexilant- Dexilant **previously called Kapidex** offers a $55 savings coupon.  You must enroll, but savings are ongoing for a 30-day supply of Dexilant  every 30 days. (the name was changed from Kapidex to Dexilant to avoid errors from similar “sounding” drugs).  For insured customers, this can bring monthly cost to $0 if the plan covers Dexilant, but for those without insurance, the cheapest product would be generic Protonix (pantoprazole).  If you can’t afford Dexilant ask the doctor about using an alternative.  With a drug discount card, generic protonix should cost as little as $14 for 30 tablets.

    Diovan & Diovan/Hct- Enroll in the Diovan “Bp Success Zone program” (BP stands for Blood Pressure).  Sign up and receive  a free 30 day trial voucher for either Diovan or Diovan/HCT, and $20 per month off your copay on Diovan and Diovan HCT for 12 months.  You can receive a free Blood Pressure monitor too (up to a $40 value)…  My best advice is to ask you doctor about switching to generic Cozaar (losartan), or Hyzaar (losartan/hydrochlorothiazide).  If you don’t have insurance, this switch will cost you less than $20 per month.

    Duragesic- Save $50 discount on brand name Duragesic patches-  You may repeat the discount for each Duragesic prescription, but you need to print a new coupon each time (on most plans it is still cheaper to use generic fentanyl patches).  Download a free Enova prescription savings card if you don’t have insurance, of if your plan doesn’t cover it.

    Effexor XR- The EffexorXR copay commitment card saves up to $50 per prescription fill.  Minimum out of pocket cost with the Effexor XR card is $4.  Even with the generic version of EffexorXR on the market, this program is still running.  Combine this with a prescription discount card if your insurance doesn’t cover this, and it becomes pretty affordable.

    Embeda (morphine sulfate extended release)- Embeda offers a $60 discount for up to 6 uses*** Prescriber is supposed to set up this one**  Sorry, you can’t just get an Embedda discount online…

    Emend- The Emend patient assistance program has expired as of this writing.  Check the current link to the Merck sponsored ACT program found on www.needymeds.org, or ask your prescriber for assistance with Emend therapy.

    Enablex- The Enablex program has been discontinued

    Enbrel- Enbrel offers a program that provides up to $4,000 of assistance per patient for each 6-month period. For patients with moderate to severe plaque psoriasis, who are first starting ENBREL and prescribed 50 mg twice-weekly dosing, program provides an additional $2,000 per patient for the first 3 months of ENBREL therapy only.  Patient is responsible for costs above these amounts.

    Epivir- Register for the Epivir “My Support Card” to save up to $100 per month on Epivir

    Epzicom- Register for the Epzicom “My Support Card” to save up to $100 per month on Epzicom

    Evamist- The Evamist $10 coupon rebate program can be used up to 10 times for $100 savings on Evamist.  Includes tools and reminders upon signup with the Evamist program.

    Flector Patch- Register for a $30 savings coupon for Flector patches.  The Flector voucher is downloadable and can be printed at home, however details are not given regarding how often the Flector coupon can be used.  Hey, it’s $30 so if you’re prescribed the Flector patch, use this coupon.

    Focalin XR- Focalin XR offers $60 per month savings for 12 months of Focalin XR therapy.  Ask your doctor also for a 30 day trial card for Focalin XR.

    Frova- You can download and print a savings voucher worth $35 off of your Frova (frovatriptan) prescription.  The Frova offer doesn’t require registration, and can be used up to 12 times for your Frova prescription for up to 12 months.  The nice thing about the Frova $35 coupon is that it can be used by people without insurance as well as people who use it toward their copay.  If you don’t have insurance though,  generic imitrex (sumatriptan) purchased with a discount card is still your cheapest option for migraine treatment in the “triptan” class.

    Gardasil- With the Gardasil rebate program, you can save up to $130 from your out-of-pocket cost for each Gardasil injection (it’s a 2 shot series).  Terms and limits do apply, so read this one carefully.  Currently, the offer can save up to $130 with a minimum out-of-pocket cost of $30.  You have a window of 120 days to apply for the rebate, so pay attention to this one.  For a 3 shot series of Gardasil, this one can really add up!

    Gleevec- Gleevac has various copay assistance programs based on diagnosis for use of Gleevac.

    Humalog Pen- Humalog website allows you to receive 5 humalog quickpens free of charge.

    Humira- Humira patient access program.  Various factors are involved here; I processed one humira discount recently that reduced a customer’s copay on Humira from $774 to $5 for one month, and her savings continue for up to 12 fills of Humira.

    Intuniv- The Intune with Intuniv program offers a savings & support program for patients age 6-17 years of age.  The website is vague as to whether you receive a 30 tablet voucher, or a14 day trial voucher for Intuniv.  Let me know how this works out upon registration of this program.

    Isentress- You can download and print a free Isentress Multi-Use savings coupon.  The Isentress coupon can save you up to $400 per month, and can be used up to 12 times.  Even with insurance, this drug is often expensive; this is a lot of savings in one shot.  Get it now, especially if you are taking multiple drugs (Isentress is often used with Truvada).

    Kapidex- **Drug has been renamed Dexilant due to safety concerns** Save up to $55 per month

    Kapvay- This new non-stimulant treatment for ADHD, Kapvay (clonidine extended release tablets) offers a printable coupon voucher to save $50 off of your first Kapvay prescription, and $25 for the next 5 fills of Kapvay.

    Lamictal and Lamictal ODT- Save $40 per fill of Lamictal.  From the Lamictal launch page, choose the box for your disease type an look for the Lamictal savings link. Sorry folks, this one’s been discontinued.

    Lantus Solostar- There is a one time printable coupon for $25 off your prescription for Lantus Solostar.  Unfortunately, this is a one-time deal, and it is only good for Lantus Solostar prescriptions, and not for a plain vial of Lantus (sorry pet owners).  The manufacturer of Lantus, (they also make Apidra), also has a patient assistance program available for those who can’t afford their Lantus prescription.  The Sanofi Patient Assistance Programs are based on household income, but can provide free or discounted medication including Lantus.  If you are otherwise purchasing Lantus or Lantus Solostar without insurance, (this includes Lantus for your cat or dog), sign up for a free ENOVA pharmacy discount card to reduce the cost on this drug.

    Levaquin- Download a printable $15 Levaquin savings coupon.  Levaquin is expensive even with insurance in most cases.  No registration is required.  Just download and print this Levaquin savings voucher and save $15 with or without insurance. So we now have a generic version of Levaquin (levofloxacin) available.  The savings coupon has been discontinued, but it really isn’t necessary anymore.  Just use the free pharmacy card if you don’t have insurance, and if you are insured, this should now be pretty cheap.

    Levitra- The Levitra 3 free Levitra tablet offer has expired.  I kept the Levitra website link so you can check to see if any new offers appear.  In the meantime, if you have to buy Levitra without insurance,  you can download a free Enova pharmacy discount card for some decent savings.

    Lexiva- Register for the Lexiva “My Support Card” to save up to $100 per month on Lexiva

    Lipitor- With the Lipitor $4 copay card, you can receive up to $50 savings per month down to a minimum copay of $4.  The Lipitor $4 copay card does require registration, and takes 4-6 weeks to receive by mail.  It can be used 12 times per year, and since generic Lipitor (atorvastatin) will be available by the end of 2011, you should register now.

    Livalo- The new kid on the block for lowering cholesterol, Livalo, offers two ways to save.  The first is a free 30 tablet trial voucher, and additionally, a copay savings card good for 11 months of treatment.  These are seperate discount cards, but both can be printed from the Livalo website.  The Livalo copay card saves up to $120 per month with a minimum out of pocket cost of $25.  That’s not bad!

    Loestrin Fe 24- Loestrin Fe 24 savings card is designed to limit copay to $24.  You need to get this Loestrin Fe 24 card from your doctor though, or call 1-866-395-8367 to ask to enroll.

    Lovaza- The Lovaza program allows you to save $20 on each of 12 fills for Lovaza.  This is still expensive, and personally I question how much better Lovaza really is compared to regular fish oil capsules.  That’s up to your doctor to decide.

    Lovenox- The Lovenox program has been discontinued.  Generic Lovenox (enoxaparin)  is now available.  There is still manufacturer support for Lovenox so check the website for instructions, since assistance will vary.

    Lunesta- Get a 7 night free trial of Lunesta, and up to $50 monthly savings for 12 months on Lunesta.

    Maxalt and Maxalt MLT- The manufacturers of Maxalt and Maxalt MLT offer several programs to help migraine sufferers.  The first is a one time trial voucher good for 3 tablets of either Maxalt or Maxalt MLT (for first time users- insert little white lie here).  The second is a $20 copay discount which can be used up to 3 times (remember a copay discount means that the pharmacy has to transmit a claim to another party first.  If you don’t have insurance, I always suggest you TRY to use a prescription discount card in place of this.  Then ask the pharmacy to bill the Maxalt discount voucher).  The third is called the MAXBACK program, which promises to refund your out of pocket expenses for Maxalt “if you are not completely satisfied”; of course you need to read the fine print, because “terms and conditions apply”.  Lastly, the manufacturer, Merck, offers a patient assistance programs for uninsured patients who cannot afford Maxalt or Maxalt MLT;  the link is there on the Maxalt site also.  Hope this one is not too much of a headache…

    Metrogel 1%- The Metrogel copay card program saves up to $80 per fill.  Patient is responsible for $20 out of pocket expense on Metrogel.  For insured patients only.

    Moxatag- The Moxatag program has changed.  Now you register for Moxatag rebates, but the amount isn’t listed.???

    Nasacort- The Nasacort savings program is discontinued.  Ask the doctor for generic Flonase (fluticasone) instead of Nasacort and save a bundle anyway.  If you don’t have insurance, I definitely recommend the switch to fluticasone.  Get a free pharmacy discount card while you’re at it for real savings.

    Nasonex-Nasonex voucher saves $15 off each prescription (limit 1 per month, you must print a new voucher each time from the Nasonex website).  Nasonex is still very expensive, so for those without insurance, I recommend asking the doctor for generic Flonase (fluticasone) instead.  Then buy it with a free pharmacy discount card and you’ll save a bundle.

    Natazia- Thanks Bayer for clogging the birth control market even more with Natazia!  Anyway, with this program, You can get your Natazia prescription for only $25 per month, or $75 for 3 months!  The program can be used even if you don’t have insurance, and can be used indefinitely until it terminates from the manufacturer.  Even better, Bayer is offering this program for not ontly Natazia, but Beyaz and Safyral also.

    Nexium-Called the Purple Plus Savings card, this Nexium coupon voucher saves up to $50 per month.  Patients are responsible to pay the first $25 of their Nexium prescription for each fill.  While Nexium is the most popular drug in it’s class, I always recommend asking your doctor if using omeprazole (prilosec) in a comparable dose is an option.  You can generally expect to pay $4-12 per month for omeprazole (prilosec) therapy versus several hundred dollars (without insurance) for Nexium.  If you do go with omeprazole (prilosec), ask for a prescription as this is actually cheaper than buying it over-the-counter, and it will be covered with your FSA or HSA only as a prescription.

    Novolog- Novolog rebate program saves you up to $25.  You must register for details on this Novolog coupon program.

    Nucynta & Nucynta ER-  There is a savings program, but you have to get this one from your doctor.  The program advertises that you can pay no more than a $25 copay with the card (that you get from your doctor).  This looks like it is only for people with insurance, but no details are given.

    Nuvaring- Save $15 on each prescription fill of Nuvaring for up to 6 times.  That’s a total savings of $90 on your Nuvaring prescription.

    Nuvigil- Get your prior-authorizations ready.  Insurance companies hate paying for both Nuvigil and Provigil since both cost as much as a down payment for a car.  However, the nice folks at Cephalon are now offering a 14 day trial voucher and a monthly $50 savings coupon for Nuvigil (sorry, they aren’t offering anything for Provigil, though there is a patient assistance program available for both Provigil and Nuvigil).  If you take Nuvigil, you will definitely need this discount.

    Omnaris- The Omnaris nasal spray Relief Is Here Program can save up to $50 per fill of Omnaris.  The card can be used up to 12 times.  That’s up to a $600 savings per year on your Omnaris prescription.  Patients are responsible to pay at least $11 per fill out of pocket for Omnaris.  Registration is required, and if you don’t want to enroll online, a phone number is available.  I still say your best bet is generic Flonase (fluticasone), which can be had as a generic for cheap.

    Opana & Opana ER- Now only covering Opana ER, the $25 savings card(you pay at least the first $20) can be used up to 12 times for Opana ER.  There is also an Opana patient assistance program from Endo, the manufacturer, but I don’t have details. The program requires you to have insurance, or “another third party” that will be billed first for your Opana ER.  If you don’t have insurance, sign up for the free pharmacy discount card.  Use this as the primary biller, then have the pharmacist bill the Opana ER card.  I haven’t tried it, but it should work.  If you are not using ER, and plain Opana, you must have a free pharmacy discount card if you don’t have insurance.

    Oracea- The Oracea care card offers a maximum out of pocket payment of $25 per fill of Oracea.

    Ortho Tri-Cyclen Lo- Download a $15 printable coupon for your Ortho Tri-Cyclen Lo prescription.  The Ortho Tri-Cyclen Lo website says one coupon per patient per offer whatever that means.  Maybe you can print more than one Ortho Tri-Cyclen Lo coupon.  I’ m not sure, you’ll have to try it.

    Pataday- Pataday offers a printable rebate voucher worth $10 per prescription of Pataday eye drops.  With the coupon, this Makes Pataday a better deal than regular Patanol eye drops, with the benefit of only having to use it once a day.

    Pexeva- This new formulation of Paxil (paroxetine HCL), called Pexeva (paroxetine mesylate), promises to have fewer side effects, and proposes to be more helpful for social anxiety.  If this is the case, and you are finding better success with Pexeva, than nice cheap paroxetine HCL, then there is a coupon for you.  You can download a voucher (no signup required) for your Pexeva prescription good for up to $50 off your out of pocket costs.  This is good for people with insurance and those without.  You can use this $50 savings coupon for each fill, but you have to print out a new one each time.

    Pradaxa-  So you’re tired of blood tests to maintain your warfarin therapy?  Well, now there’s Pradaxa, at a king’s price, but there’s hope; a discount that is.  Here’s the deal:

    • If you are a commercially insured patient, pay no more than $30 with a maximum benefit of $100 per monthly prescription of Pradaxa over a 12-month period.
    • If you are covered by a government-funded insurance (such as Medicare or Medicaid), or are cash paying, or live in the state of Massachusetts, you are eligible for one FREE 30-day supply of PRADAXA.


     

     

    Proair- Patient assistance available for eligible patients under the Teva Assistance Program

    Propecia- The Propecia coupon savings program is complex to say the least.  I’m going to write a full article about this one.  For now, sign up (check the box that you haven’t used Propecia yet or you won’t get it).  and enroll.  Download a free Enova prescription savings card even if you have insurance because I’ve never seen a plan that covers Propecia.  See if you can get a discount with the Enova card, then use the Propecia savings coupon.  I can’t promise you can do both, but you can sure try.  The only other thing you can try is to get your doctor to give you a prescription for 5mg finasteride tablets and quarter them.  Most prescribers don’t like to do this, since the dosing is not very accurate compared to using Propecia.

    Proventil HFA Inhaler- Printable Proventil HFA inhaler coupon voucher saves $15 on each proventil prescription per 30 day period up to 6 times.  No registration is required for this Proventil HFA discount coupon.  This is currently the only albuterol inhaler manufacturer offering a discount coupon.  If you are buying without insurance, download a free pharmacy discount card to save on your albuterol prescription (in this case Proventil HFA), then ask the pharmacist to apply your $15 Proventil HFA voucher.

    Relpax- The Relpax program has been revamped, and now reduces cost for a single prescription down to as little as $10.  You can download and print a Relpax copay card and save a maximum of $100 per month with or without insurance (see restrictions).  I had a customer use one without insurance; I gave her our store discount, then billed the Relpax card, and she actually paid only $10!!!!!  These types of discounts don’t happen often, especially on expensive medicine like Relpax (eletriptan).  In this case, it was actually cheaper than generic Imitrex (sumatriptan) would have been with a discount savings card. Download a printable $15 savings coupon for Relpax.  You have to download a new coupon voucher for each fill of Relpax, but otherwise, you can use this each time you refill your Relpax.

    Requip XL- Save up to $40 for up to 6 fills of Requip XL.  After that, I suggest you try short acting Relpax (eletriptan).  The non-XL version IS available as a generic, and is pretty inexpensive (unlike Requip XL which is out of sight).  Sorry, this program has been discontinued.

    Restasis- Restasis offers two ways to save on your prescription.  One is a $20 rebate offer, and the other is something called the “my tears my rewards” program.  Enroll in the Restasis program and receive an information kit with a card that saves $15 on each 30 day fill, and $45 off of a 90 day fill of restates.  The program mentions other savings, including rewards at CVS, Target and Barnes & Noble.  Seems a little excessive for a prescription loyalty program.  How about a happy meal too???

    Retin-A micro- Okay, so the newest version of Retin-A (retinoin) is out and of course, it’s very expensive.  Of course, also, the dermatologists just love this one.  So at least the great Retin-A people offer a rebate which promises to reduce your out-of pocket expense to $20.  That’s great since it normally costs almost $150 for a 50gm pump jar.  Unfortunately the Retin-A micro gel site is lacking on details.  Retin-A is often NOT covered by insurance.  So of course, if you find yourself buying Retin-A microgel, or any version or tretinoin without insurance, you should download a free pharmacy discount card first.

    Rozerem- Sorry, the 7-day trial program for Rozerem has been discontinued.  Download a free Enova prescription savings card if you don’t have insurance, of if your plan doesn’t cover Rozerem.  Better yet, try generic Ambien, or cut the caffeine, and try a glass of milk before bed.

    Safyral- Thanks Bayer for clogging the birth control market even more!  Anyway, with this program, You can get your Safyral prescription for only $25 per month, or $75 for 3 months!  The program can be used even if you don’t have insurance, and can be used indefinitely until it terminates from the manufacturer.  Even better, Bayer is offering this program for not ontly Safyral, but Natazia and Beyaz also.

    Seasonique- Enroll in the program and receive a coupon voucher to save $50 off your first pack of Seasonique, and $25 off your second pack of Seasonique.  That’s $75 off 6 months of Seasonique therapy

    Seroquel XR- You can register and download a voucher for 30 free tablets (of a single strength) of Seroquel XR.  Sorry, there are no other savings for Seroquel.  This is only for the Seroquel XR formulation; there is no current offer for regular Seroquel.  Make sure you register as a “new” patient.  The Seroquel XR coupon offer isn’t valid for Refills.

    Singulair- Singulair users can get a one-time printable savings voucher.  The Singulair coupon is valid for a $20 savings of Singulair.  This can only be used once and Singulair is expensive.  Hey it’s twenty bucks!

    Strattera- Get a free 30 day trial of Strattera.  The site has a different section for children and for adults.  This can be a little tricky to find on the Strattera site, but it is here.  Just choose the child or adult section, and look for the 30 day free trial link.  You can print the free 30 day Strattera voucher right there.  No information (except the age of the person printing).  Unfortunately, there are no maintenance discounts offered.  If you have trouble affording Strattera, check out the Lilly Cares Program.  Download a free prescription savings card if you don’t have insurance, of if your plan doesn’t cover it.

    Suboxone Film- This offer is for Suboxone Film treatment, NOT regular Suboxone.  The program offers a coupon voucher for up to $45 off of Suboxone Film treatment every 30 days.  While the previous Suboxone Film offer was for $75 off per month (sorry folks, they lure you in with a good deal, then raise the price), the current program runs through the end of September 2011.

    Symbicort- Get your first Symbicort inhaler for free (okay, it’s only $75 off if you self-pay-meaning you don’t have insurance), and then pay a maximum of $25 out of pocket for up to 11 refills of Symbicort (again, it’s actually only with insurance;  it’s $75 off if self-pay).  If you’re stuck buying Symbicort without insurance (sorry, this is expensive), I recommend downloading a free ENOVA pharmacy discount card.  Use this first, then ask your pharmacist to bill the Symbicort coupon voucher.

    Synthroid- I can’t believe I didn’t know about this one.  A Synthroid discount???  A neighbor actually told me about the synthroid savings program.  Details aren’t available, but please comment about it if you find real details.  I’m “told” you can save “$50″ per month on Synthroid (I read somewhere else that it only saves $10 per 90 tablets).  They call this the “TrueBalance” program, and it offers refill reminders, and other tips.  Just note though, 90% of my customers successfully use generic levothyroxine (sometimes labeled L-thyroxine sodium), but if your doctor is stubborn, or you’re hard to manage, this Synthroid program is definitely the way to go.  Luckily, in my pharmacy, we use the same manufacturer for levothyroxine (l-thyroxine sodium) to substitute Synthroid prescriptions, but this might not always be the case.  If you have a close relationship with your pharmacy, then I recommend trying the generic Synthroid switch, but if you are a pharmacy “hopper” or treat prescriptions like dry cleaning, then you should stay with branded Synthroid (and sign up for the Synthroid savings coupon).  Your call.

    Tarceva- There are various levels of copay assistance for Tarceva and help for the uninsured.  It’s really too complex to list all the options for Tarceva discounts here, but if you take Tarceva, this is worth checking out.

    Testim- Testim has something called the “Level Up Program” which offers a savings voucher for up to $40 per month on Testim prescriptions for 12 months.  It isn’t clear if this is valid for non-insured patients using Testim (the ones who need the discount most), but give it a shot, and please comment about using the Testim program.

    Tradjenta- Tradjenta patients can download and print a savings card to save up to $150 per month on their Tradjenta prescription (can you tell that this is already overpriced).  The Tradjenta program requires a minimum out of pocket payment of $10 per month.

    Treximet- Treximet offers a printable Treximet coupon voucher which saves $50 on your first Treximet prescription.

    Trilipix- Trilipix offers a printable Trilipix $15 mail-in rebate voucher for each fill of Trilipix.

    Truvada- The Truvada Co-pay Assistance Program can save you up to $200 per month for 12 months.  In many cases, this means your out-of-pocket cost for Truvada may be $0.  You have to get the card from your prescriber though.  You can’t get it online.  Sorry, so call your doctor, and ask for one.  If they aren’t familiar with it, tell them to check out the Truvada website; www.Truvada.com.  I have a customer who otherwise pays $115 per month.  With this program, that will drop to $zero.  How about that?

    Uroxatral- Uroxatral savings are no longer available.  The Uroxatral website does offer tools to help manage BPH.  Ask your doctor if Flomax (available as generic Tamsulosin) might work for you instead.

    Ventolin HfA Inhaler- Coupon discontinued.  Uninsured can apply for assistance through GSK for you program.  Download a free Enova prescription savings card if you don’t have insurance, of if your plan doesn’t cover it. Also, ask if your doctor if you can use Proventil HFA instead.  this is the only albuterol inhaler which currently offers a discount coupon.

    Veramyst- Veramyst offers a printable coupon voucher for $25 off your Veramyst prescription and refills up to 6 times per year.  You must print a new Veramyst coupon each time.  As for the whole Veramyst (fluticasone furoate) versus Flonase (fluticasone   propionate) debate, see my post on that one.

    Vesicare- Unspecified savings on your first fill of Vesicare, or a single refill with enrollment in the Vesicare coupon voucher program.

    Vimovo- Vimovo is a new combination of 2 current drugs, Nexium (esomeprazole) and Naproxen.  This release hints to me that Nexium might be losing it’s pattent in the near future.  In any case, there is a savings card for Vimovo, which claims to save up to $75 per month for up to 12 months.  There is a minimum out-of-pocket cost of $10 per month.  Given the price of Vimovo, I’d recommend that for uninsured patients, a switch to plain Naproxen given in conjunction with a different PPI like generic Protonix (pantoprazole) would be a much more cost-effective option.

    Vytorin- Get a free 30 day trial of Vytorin with this coupon voucher.  Just download the Vytorin coupon, no registration is required.  Unfortunately, no ongoing discounts for Vytorin are offered. You’re on your own after that.  Remember, Vytorin is a combination of Zetia (ezetimibe; no generic yet), and Simvastatin (zocor brand).  If you can’t afford it, ask your doctor if maybe you can have a go at plain simvastatin.  Just a thought.

    Vyvanse- Enroll in the Vyvanse coupon voucher program to save 50% off your Vyvanse copay for up to 12 months. The Vyvanse program now includes an assistance application for unemployed and uninsured patients to receive free medication.

    Yasmin- Sorry folks, this discount has been discontinued for Yasmin.  Thanks Bayer, but generic “Ocella” has been around for a while.  Anyway, with this program, You can get your first fill of Yasmin for only $5, and refills for only $25.  The program requires you to have insurance, or “another third party” that will be billed first for your Yasmin.  If you don’t have insurance, sign up for the free Enova pharmacy card.  Use this as the primary biller, then have the pharmacist bill the bayer Yasmin card.  I haven’t tried it, but it should work.  My advice, just skip it and get the generic Ocella.

    Xalatan- The Xalatan “Vision Matters” program has beefed up, and now offers up to $50 savings with a minimum out of pocket cost of $4 for up to 11 fills in a 12 month period.   By the way, generic Xalatan (latanoprost) drops are now available.  So bigger savings are here if you don’t have insurance.

    Xopenex and Xopenex HFA- There are 2 ways to save on Xopenex.  The first is a $15 savings coupon for Xopenex HFA.  The details aren’t clear here, and you do have to register, but It doesn’t say whether this voucher is reusable or not.  If you find out, please post a comment.  The second is the Xopenex Breathe For Less savings card.  It says that you will save $50 for up to 12 prescription fills of Xopenex inhalation solution.  Does this one work for the HFA inhaler?  Again, if you find out, please post a comment.  Xopenex is a great choice, especially for children, as it does not have the stimulant affect associated with regular albuterol inhalation products.

    Yaz- Thanks AGAIN Bayer, but generic “Gianvi” has been around almost as long as Ocella for Yasmin.  Anyway, with this program, You can get your first fill of Yaz for only $5, and refills for only $25.  The program requires you to have insurance, or “another third party” that will be billed first for your Yasmin.  If you don’t have insurance, sign up for the free Enova pharmacy card.  Use this as the primary biller, then have the pharmacist bill the bayer Yaz card.  I haven’t tried it, but it should work.  My advice, just skip it and get the generic Gianvi.

    Zetia- Free 30 day supply of Zetia (ezetimibe) with this coupon voucher program.  Just download the Zetia coupon.  no registration is required.  Sorry, there are no ongoing discounts for zetia after that though.  Good luck with this.

    Zomig- This printable coupon voucher saves up to $35 on prescriptions for zomig, zomig-zmt and zomig nasal spray.  You can use the zomig coupon up to 6 times over a 12 month period (only once every 30 days though).  Headache sufferers need this one.  Of course, generic imitrex (sumatriptan) is always your cheapest option if it works for you.

    Zovirax cream- This is a printable coupon good for up to $35 off of a prescription for zovirax cream.  Patients still pay a minimum of $15 out of pocket.  There is a separate coupon available for zovirax ointment with the same terms.  For some reason they call this one a zovirax rebate, but don’t worry, it is really a coupon voucher you can take to the pharmacy.

    Patient Assistance Programs:

    AstraZeneca- AZ&ME program

    Glaxo Smith Kline- GSKforyou

    Johnson & Johnson- J & J calls this the Access 2 Wellness program.  While this program has a pretty short list of medications that are covered (Johnson & Johnson isn’t too big in the branded prescription drug business for retail these days), they do list a pretty substantial list of other programs.  According to the website, their program specialists can help you find the right program for you.

    Novartis Patient Assistance

    Partnership for Prescription Assistance- Helps uninsured Americans with free or low cost meds.  This is the one Montel Williams promotes.

    Pfizer programs- includes the Pfizer maintain program for newly unemployed patients and Pfizer Helpful Answers

    Teva Assistance Program

    Eric Haas endorses this message

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  2. The Gianvi & Yaz coupon myth. Savings on Beyaz, Natazia, and Safyral do exist…

    October 11, 2011 by ehaas21

    I’ve been noticing that one big search term that brings people to this site is “Gianvi”.  If you’re searching for this, then you already know that Gianvi is an oral contraceptive, and you might also know that this a generic substitute for Bayer pharmaceuticals’ drug “Yaz”.  Well, if you’re looking for a manufacturer coupon for either of these products, I have to break it to you; there isn’t one.  As a generic, Gianvi is still pretty expensive.  The average price for 28 tablets of Gianvi is around $75, while the price for a pack of Yaz is around $100.  If you’re forced to purchase these without the benefit of insurance, you can use a discount drug card.  With this discount card the price of Gianvi drops to roughly $58, and the price of Yaz to $86 per pack of 28 tablets (as of this writing).

    Bayer does still offer manufacturer discounts with it’s “Bayer Savings Card“.  This card reduces the cost of Bayer’s currently exclusive oral contraceptive products to just $25 per month.  The card can be used for either Beyaz, Natazia, or Safyral.  Talk to your doctor if you feel that one of these might be an alternative for you instead of Gianvi or Yaz.  Hope this helps…

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  3. Where Oh Where Has My Adderall Gone??? Or Adderall XR As It May Be…

    October 9, 2011 by ehaas21

    Adderall XR and its generic

    Image via Wikipedia

    Image via Wikipedia

    Since I last updated this article, there have been several updates regarding the availability of mixed-salt amphetamine products (commonly known as Adderall).  While the exploding popularity and prescribing of ADHD drugs have directly contributed to the ongoing shortages, there is finally an official listing of the short-acting tablet formulations showing that it is unavailable.  Originally the extended-release capsule versions (Adderall XR and it’s equivalent generics) were only affected; that was about a year ago.  In recent months, I have been finding it a struggle to keep the immediate-release tablets (short-acting) in stock.  My most trusted resource has been the ASPH (American Society of Health Systems Pharmacists) website, which I find a more streamlined, and user friendly resource than the actual FDA website.  Well, finally, there is a listing of immediate-release tablet shortages.  Looks like this one is going to last a while.  As it turns out, if you search a bit, there has been a bit of finger-pointing going on in regard to the reason for these shortages.  Manufacturers are claiming that the DEA (Drug Enforcement Agency) has not allowed sufficient raw material to be released for production (that’s right, DEA actuall DOES have to control the movement of the base ingredients for narcotic-class substances; GO FIGURE); DEA however maintains that they are in fact keeping up with requests for increased material usage when it’s requested.  It looks like this is a “he said, she said” situation.  Regardless of the reason, the shortage is continuing to drag on, and both caregivers and patients will have to get creative and cope.  My advice is to check with your local pharmacy to see what is available about 24 hours before heading to the doctor for your prescriber.  You might have to try doing half, or quarter splitting higher dose tablets if they are available, or doubling and tripling low strength tablets to obtain your effective dose depending on availability.  Don’t forget, these are what we in the industry call C-II (c2) prescriptions, and the laws that apply are very strict; that means, pharmacists can’t exchange strengths or quantities, and you can’t phone or fax the doctor to get a new or changed prescription.  That’s right, you have to go to the office and get a written prescription each time, and no changes can be made without obtaining a new “written” prescription.  It’s difficult, believe me, I understand.  Anyway, I hope this helps, confusing and frustrating as it still is.  Here are the links to the ASHP drug shortage pages for each formulation:

    short-acting tablets: http://www.ashp.org/DrugShortages/Current/Bulletin.aspx?id=836

    extended-release capsules: http://www.ashp.org/DrugShortages/Current/Bulletin.aspx?id=577

     

     

    Here’s the original article:

    Okay, so I though it was time to talk about a few things on the ADHD treatment front.  First off, I became aware today that there is no longer a free trial of Concerta (methylphenidate extended release tablets) available for download from the manufacturer website.  You might check with the doctor to see if there are any prescriber-issued coupons still available, but as of today, the Concerta website offers nothing.  This still leaves Daytrana (methylphenidate extended release transdermal system) with a manufacturer coupon, and of course, all the generic versions of Ritalin (methylphenidate) available at a reasonable price (except for Ritalin LA capsules-no generic yet).  This includes immetiate release and extended release versions of methylphenidate.  Focalin XR and Vyvanse offer discounts, as well as Intuniv, Kapvay, and Strattera.  Check out my master discount page for discounts on these.  Don’t forget that Wellbutrin(bupropion), and Wellbutrin SR & XL have long been available as relatively affordable generics if you’re looking at non-stimulant treatments.

    In Adderall (amphetamine mixed salts) news, the shortage of generic Adderall XR continues, with mixed messages about possible release dates.  Check out the ASHP page on drug shortages for more information.  Of course, the brand name Adderall XR continues to be available from Shire pharmaceuticals.  Hope you can afford that one; go figure.  Hope all of this helps.

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  4. Relpax (eletriptan) copay card

    October 9, 2011 by ehaas21

    The Head Ache

    "The Headache"

    Relpax-  For migraine sufferers there is a new winner for the cheapest in-class prescription. The Relpax program has been revamped, and now reduces the cost for a single prescription down to as little as $10.  You can download and print a Relpax copay card and save a maximum of $100 per month with or without insurance (see restrictions).  I had a customer use one without insurance; I gave her our store discount, then billed the Relpax card, and she actually paid only $10!!!!!  These types of discounts don’t happen often, especially on expensive medicine like Relpax (eletriptan).  In this case, it was actually cheaper than generic Imitrex (sumatriptan) would have been with a discount savings card.  The old program was merely a $15 savings: Download a printable $15 savings coupon for Relpax.  You have to download a new coupon voucher for each fill of Relpax, but otherwise, you can use this each time you refill your Relpax.

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  5. A Little Thing About Drug Patents

    August 5, 2011 by ehaas21

    Fda

    Image via Wikipedia

    I talk a lot here about the benefits of generic drugs compared to brand name drugs here on my blog, and in doing so, I pretty loosely use the term “patent” to describe how manufacturers retain exclusive rights to market a drug.  I thought it might be time to correct myself and share a little bit about the world of marketing exclusivity.  In truth, it isn’t really just a U.S. patent that allows the original drug manufacturer to retain exclusive marketing and distribution rights here in the United States.  There are actually two legal devices that cover this:  the drug patent, and exclusivity granted by the Food and Drug Administration (FDA).  The best place to find information about this is on the FDA website.  Here you will find a consumer information page discussing both patents and exclusivity, and how they are used and determined.  While an actual patent is good for 20 years, exclusivity is generally only granted for 7 years for most drugs.  When I refer to a drug patent, I’m really usually referring to the exclusivity granted for sales and marketing by the FDA.  Of course this whole process is much more involved.  ”A pharmaceutical company typically leverages both strategies to keep competitors at bay, as stated by Dennis Fernandez in his publication “Strategic Balancing of Patent and FDA Approval….” A patent protects the intellectual property from the time of invention, whereas exclusivity adds additional years past the FDA approval. Together they can open a window of protection of more than 23 years”  This would help explain why Viagra (one of my favorite “patents” to bash on), which was approved in March of 1998, is still protected from generic competition today.  The official list of approved drugs, both brand and generic is called the Orange Book.  You can search drug products, and see their patent expiration date. I know this is pretty confusing stuff,  just like Medicare, but at least the tools are there for everyone to see.  There you have it, I said it…

    Read more: Patent Vs. Exclusivity | eHow.com http://www.ehow.com/facts_6223338_patent-vs_-exclusivity.html#ixzz1UAeYDmjf

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  6. For a manly problem, Erectile Dysfunction drugs might make you a sissy when you have to pay for them

    July 10, 2011 by ehaas21

    viagra is a commercial produced medicine conta...

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    I was a pharmacy intern when Viagra (sildenafil) was launched by Pfizer in the late 90′s.  This was truly a revolution for both the drug industry, and for the age old problem of erectile dysfunction (ED).  Before then, few spoke about it, and even fewer knew about it.  Finally, an answer had arrived, and this shameful problem was taken out of the closet.  It’s been well over a decade, and since then, Viagra and it’s competitors have generated billions of dollars in sales.  While the patent for Viagra still holds strong, it’s obvious that it’s time is running out.  The price per tablet has steadily increased, and most recently is selling for roughly $20 per tablet.  This is a clear sign that Pfizer is sweating it’s patent expiration, though I cannot find a definite expiration date for the drug’s patent.  Viagra’s competitors, Cialis and Levitra both sell for a similar price.

    Most insurance plans cover at least one of these treatments, though you will often find a multitude of restrictions.  First and foremost, you are usually limited to an average of 6 tablets per month, though plans vary as they always do, and some allow even fewer.  Next, it is not unusual to encounter an insurance preference for only one of the big three ED (erectile dysfunction) treatments; this is where your insurance company has what I like to call a kickback deal with the manufacturer.  That’s right, I said it…  KICKBACK!  Most insurance companies get rebates from the drug manufacturer they negotiate with to prefer one drug over another.  As I always say, health insurance is an extremely complex animal.  Last but not least, there is the ugly “PRIOR AUTHORIZATION” required restriction.  A prior authorization basically means that your doctor, or whoever prescribed your drug has to submit paperwork to prove that you need this one particular drug.  Don’t yell at the pharmacist here, we’re just middle men, and are at the mercy of both the prescribing physician (who has to initiate the prior authorization request to your insurance company, but doesn’t usually know this when writing the prescription), and the insurance company (who ultimately decides whether or not to help pay for your prescription).

    As far as ordering cheap generic versions of these drugs over the internet; DON’T!  Viagra, Levitra and Cialis are the most counterfited drugs on the planet.  Even if www.shadydrugstore.com promises only the highest quality, and perhaps even a brand name drug, these outfits are fly-by-night at best.  Most internet pharmacies claiming to sell Viagra without a prescription operate outside of the U.S. and are unlicensed.  I even had a classmate from college contact me a few years back offering to “partner” with me on his own offshore internet based “Viagra pharmacy”.  This was back in 2002.  His drugs were coming from India, and he somehow had enlisted a U.S. physician who would “prescribe” the drugs (I wonder if that doctor still has a license!).  Needless to say, I politely said no to the deal.  Last time I checked, this classmate of mine was living somewhere in South America.  Should I go on?  Furthermore, if you’re lucky, you might get functional tablets, more likely, you’ll get a placebo pill, but there have been reports of dangerous compounds in some of these cheap drug fakes.  Okay, you’ve been warned.  If you really need ED treatment, you’re going to have to man-up, see your doctor, and pay for it.  Aside from that, there are still a few manufacturer discounts available.  Check the drug websites, or find them on my big drug discount page.

     

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  7. Update On ADHD Drugs, Manufacturer Offers And Shortages (Adderall XR)

    May 3, 2011 by ehaas21

    A container of Adderall XR

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    Okay, so I though it was time to talk about a few things on the ADHD treatment front.  First off, I became aware today that there is no longer a free trial of Concerta (methylphenidate extended release tablets) available for download from the manufacturer website.  You might check with the doctor to see if there are any prescriber-issued coupons still available, but as of today, the Concerta website offers nothing.  This still leaves Daytrana (methylphenidate extended release transdermal system) with a manufacturer coupon, and of course, all the generic versions of Ritalin (methylphenidate) available at a reasonable price (except for Ritalin LA capsules-no generic yet).  This includes immetiate release and extended release versions of methylphenidate.  Focalin XR and Vyvanse offer discounts, as well as Intuniv, Kapvay, and Strattera.  Check out my master discount page for discounts on these.  Don’t forget that Wellbutrin(bupropion), and Wellbutrin SR & XL have long been available as relatively affordable generics if you’re looking at non-stimulant treatments.

    In Adderall (amphetamine mixed salts) news, the shortage of generic Adderall XR continues, with mixed messages about possible release dates.  Check out the ASHP page on drug shortages for more information.  Of course, the brand name Adderall XR continues to be available from Shire pharmaceuticals.  Hope you can afford that one; go figure.  Hope all of this helps.

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  8. Update on generic Maxzide, Dyazide and other shortages

    April 27, 2011 by ehaas21

    Picture taken by myself of my Adderall prescri...

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    One of the most maddening problems I’ve been encountering lately are shortages of common Generic medications.  The most recent and hard-hitting one has been the unavailability of generic Maxzide and Dyazide (triamterene/hydrochlorothiazide ).  For the Maxzide version, this is only true of the 37.5/25 mg tablets.  The release date is somewhere between late April and late May of 2011, though there is no explanation given for this shortage.  In my practice, the “fix” is to obtain a new order from prescribers for triamterene/hydrochlorthiazide (abbreviated HCTZ) in the 75/50 mg strength and have patients split them in half to obtain the correct dose.  This shortage comes on the heels of another shortage of generic Medrol dosepacks (methylprednisolone), and generic Adderall.  While the methylprednisolone problem seems to have quickly resolved, generic Adderall (amphetamine mixed salts) has been ongoing for months.  Am I the only one who is wondering what has happened to our prescription drug supply chain?  Please post a comment if you have any answers.  A bulletin on the ASHP website is about the only thing I can find regarding the triamterene/hydrochlorothiazide shortage.

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  9. Does the nose really know? Veramyst vs. Flonase: the Fluticasone face-off

    April 7, 2011 by ehaas21

    So it’s allergy season (or cold season as it could be), and your doctor gives you a prescription for relief from your nasal symptoms (think of Rudolph the reindeer here).  You stop at the drugstore (hopefully not a pharmacy machine that tells you to come back in 3 hours), and you find that your copay for your prescribed Veramyst (fluticasone furoate) is $50, $75, $120….  What to do????   Rethink the necessity of this prescription and ask the pharmacist to fax you doctor for a change of therapy (drug that is).  Let’s look closely at this one;  the people who make Veramyst (fluticasone furoate), also make Flonase (fluticasone propionate).  Just a few years ago, Flonase was a blockbuster sinus allergy drug for the people at Glaxo Smith-Kline (GSK for short).  Guess what??  Flonase lost it’s patent, and the average person stopped paying a top dollar copay, or $125 per month for Flonase, and started buying generic fluticasone propionate.  By the way, these people were very happy.  Unfortunately, the poor Big Pharma boys at GSK had lost a big revenue stream, and had to come up with a plan;  new (okay not so new) drug…  Veramyst (fluticasone furoate)!!!!!  This is “highly improved”, and has a nice new package.  In all truth, this is NOT the SAME drug, but, it is similar enough.  It is a different chemical salt (in this case, this doesn’t mean much at all).   This is really a fresh paint job; old drug in a new skin.  Don’t fall for this nonsense.  If you are fortunate to have fantastic insurance which covers this “me too” drug at a low copay, then great, but if you are like everyone else, then ask for a switch to generic flonase.  Most insurance plans prefer generic flonase, and I think this is reasonable.  If you don’t have insurance, then you definitely need to find a good reason why Veramyst is better than generic Flonase (fluticasone propionate).   The savings voucher for Veramist can help, but seriously, your best bang for the buck is generic flonase.  I even found a discussion board for drug reps where they rip on the lame “upgrade” of Veramyst.  Get some relief from your sinus problems and save a bundle.  Ask your doctor why you can’t use generic Flonase instead of Veramyst.  If you don’t have insurance, download a free pharmacy discount card and I promise you’ll like the price.

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  10. Yes, Virginia. There IS a Synthroid discount!!!!!!!!!

    March 30, 2011 by ehaas21

    Synthroid- I can’t believe I didn’t know about this one.  A Synthroid discount???  A neighbor actually told me about the synthroid savings program.  Details aren’t available, but please comment about it if you find real details.  I’m “told” you can save “$50″ per month on Synthroid (I read somewhere else that it only saves $10 per 90 tablets).  They call this the “TrueBalance” program, and it offers refill reminders, and other tips.  Just note though, 90% of my customers successfully use generic levothyroxine (sometimes labeled L-thyroxine sodium), but if your doctor is stubborn, or you’re hard to manage, this Synthroid program is definitely the way to go.  Luckily, in my pharmacy, we use the same manufacturer for levothyroxine (l-thyroxine sodium) to substitute Synthroid prescriptions, but this might not always be the case.  If you have a close relationship with your pharmacy, then I recommend trying the generic Synthroid switch, but if you are a pharmacy “hopper” or treat prescriptions like dry cleaning, then you should stay with branded Synthroid (and sign up for the Synthroid savings coupon).  Your call.

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