Author Topic: Open enrollment: researching prescription drug prices  (Read 3204 times)

Thegoblinchief

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Open enrollment: researching prescription drug prices
« on: October 24, 2014, 07:15:26 AM »
My wife and I each take one prescription currently. We're probably going to make the switch to a HDHP with HSA this year, but I want to do due diligence in comparing costs.

What are the best US stores/mail order places to research drug prices?

If it matters, they are generics

-Escitalopram (gen Lexapro)
-Paroxetine (gen Paxil)

It pains my Mustache to admit it, but I've never shopped around for drug prices and just paid the $10 co-pay every month.

Thx.

Splendid

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Re: Open enrollment: researching prescription drug prices
« Reply #1 on: October 24, 2014, 02:00:30 PM »
Check out goodrx.com. It will compare a lot of the pharmacies your area, plus tell if there's any coupons.

In the past, I've just called the pharmacies in the area and asked them how much a cash customer pays for x prescription. A lot of them have discounts for cash customers. Can be a little tedious though. 

La Bibliotecaria Feroz

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Re: Open enrollment: researching prescription drug prices
« Reply #2 on: October 24, 2014, 02:16:59 PM »
Make sure to ask the Costco pharmacy. They charged $20 less for my asthma medicine than I paid elsewhere even with one of those discount cards.

Dicey

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Re: Open enrollment: researching prescription drug prices
« Reply #3 on: October 24, 2014, 03:11:55 PM »
What frugalparagon said, plus this: Anyone can shop Costco pharmacies, no membership required. Just tell them at the door and they'll let you in without a hassle. There are some limitations on forms of payment, but I believe any debit card or AMEX is accepted.

MayDay

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Re: Open enrollment: researching prescription drug prices
« Reply #4 on: October 24, 2014, 03:17:55 PM »
Our HD plan includes partnership with an online/mail order pharmacy. We have found the best prices with them. Ours is called express script. I compared to Costco among others and Costco lost.

We do not have to use the mail order at all, and coverage is about the same for temporary meds. If you are on something for longer than 30 days though, the coverage and prices are significantly better with express script.

Prepube

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Re: Open enrollment: researching prescription drug prices
« Reply #5 on: October 24, 2014, 05:07:48 PM »
"A month supply of generic Lexapro cost $7 a month at Costco"-- this from a news article comparing costs.  I usually buy my meds through Kaiser (my healthcare provider), and they are cheaper there than they were when I was buying from the local grocery market pharmacy.  There is a lot of variation in drug prices out there.  I was paying full price for years (I just recently tried switching away from my HSA due to our age) and some places would charge me 10 for a drug that another would charge 5 for.  Must shop around, but since prices are not usually published, I find it to be a real pain in the ass to shop for the best prices, and I just went to the closest pharmacy instead.  Not very mustachian, but life's too short...     

astvilla

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Re: Open enrollment: researching prescription drug prices
« Reply #6 on: October 24, 2014, 06:03:52 PM »
A lot of pharmacies actually have their own generic drug program that requires no insurance. Usually it's 3.99/month supply, 9.99/3 months. If you came to my pharmacy you'd get 9.99/3 months on the paroxetine, not sure about the lexapro, that's usually more expensive.

Avoid CVS/Walgreens/Rite Aid. I feel sorry for the suckers who go there because it's actually pretty expensive, especially their OTC items, you're better off at a supermarket or Walmart/Costco. Problem w/Costco is they have huge quantities and maybe you don't need that much, don't fall into temptation.

If you go on your state's Board of Pharmacy website, they usually have a service where pharmacies in your area have to report the drug price for every drug to the state Board, you can look by zip code and find the cheapest in your area. Generally, independents are most expensive, then your 3 big chains, then supermarkets/big box stores being cheapest. Some will be more expensive/cheaper than others.

I know 1 supermarket offering free diabetic medication (metformin, glimeperide, etc) if you're on their generic drug plan. Some question the legality but it's out there.

Call pharmacies for price, but you'll get variation and often the cash price of drug. Look at generic drug prices and compare to insurance. Actually quite often it's better to get the drug uninsured than pay the copay your insurance offers.

As a pharmacist, I say, please don't go to that 3 red letter company, they are truly evil and often unethical, I feel sorry for those that work for that company. The conditions are terrible there and stress too high. The problem w/Express Scripts is that yes it's cheaper w/mail order maybe for now but if once it becomes a retail drug monopoly and drive pharmacies out of business, do not complain about jacked up prices because you helped to bring business to them! I have seen medications on the shelf go from 10 to 1000 a bottle, simply because there was problems with manufacturing and only 1 company could make it, thus raising prices on everyone, including insurers. Save money now, but long run for future generations, screw them over later, don't go to them unless you're really struggling financially.