| Starting in 2006, no plans that are qualified | | | | supply plus three refills. This will get you |
| to work with a health savings account may | | | | a year's worth of drugs, with only one |
| cover prescription drugs as an insured | | | | shipping fee.One company that has good prices |
| benefit until after the deductible is met. So | | | | is Save Now Discount Pharmacy. They have a |
| for HSA owners, one of your biggest health | | | | 'no insurance' business model, and have been |
| expenses could be for prescription drugs. | | | | able to reduce their prices by eliminating |
| Here are some ways to reduce those | | | | the cost of dealing with insurance companies. |
| costs.GenericsA report was published this | | | | They also post prices online, so it's easy to |
| week by Express Scripts Inc., a pharmacy | | | | compare. Unfortunately, they are only |
| benefit manager, indicating that increased | | | | licensed in 13 states at present, but they |
| use of generic drugs would save consumers $24 | | | | will apparently be expanding soon. You can |
| billion in 2005. Generic drugs cost an | | | | check them out at Prescription DrugsThe city |
| average of $60 less per month, than brand | | | | of Boston, the city of San Francisco, the |
| name drugs.A report was published this week | | | | state of Wisconsin, and the State of |
| by Express Scripts Inc., a pharmacy benefit | | | | Minnesota all use a company called Total |
| manager, indicating that increased use of | | | | Pharmacy Care to give their citizens access |
| generic drugs would save consumers $24 | | | | to international mail-order |
| billion in 2005. Generic drugs cost an | | | | pharmaceuticals.Officially, re-importation of |
| average of $60 less per month, than brand | | | | prescription drugs by anyone other than the |
| name drugs.It is important to understand that | | | | drug's manufacturer is a violation of federal |
| brand name drugs often have little or no | | | | law. But FDA enforcement guidelines allow |
| benefit over older generic versions. A prime | | | | agents to exercise discretion for drugs |
| example is Prilosec, a heartburn medication | | | | imported for personal use. According to the |
| whose patent was scheduled to expire in April | | | | guidelines, "FDA personnel may consider a |
| of 2001. Prilosec consists of two "isomers", | | | | more permissive policy" in cases where an |
| a right-hand version and a left hand version. | | | | individual seeks to import no more than a |
| Studies showed an 87% success rate for this | | | | three month supply of a product that does not |
| drug. AstraZeneca, the manufacturer, decided | | | | appear to pose an unreasonable risk, if the |
| to offer a newly patented single isomer | | | | individual affirms in writing that it is for |
| version called Nexium, which showed only | | | | personal use and provides the name and |
| fractionally better results with a 90% | | | | address of the U.S. doctor supervising their |
| success rate.A $500 million marketing | | | | treatment.Advocacy groups cite these |
| campaign ensued, aimed at both physicians and | | | | guidelines as proof that re-importation is |
| consumers, to convince them that Nexium is | | | | legal. But in a February 2003 letter, the |
| "state-of-the-art". AstraZeneca now sells | | | | FDA's Associate Commissioner, Thomas Hubbard, |
| over $3 billion worth of pills annually, at | | | | said the guidelines have been misinterpreted. |
| $120 per box. This is a drug that is | | | | They were meant to allow FDA agents |
| essentially only a repackaged version | | | | discretion in allowing U.S. citizens access |
| Prilosec, which sells for about $20 per | | | | to medicines for serious conditions that were |
| box.When your doctor is prescribing a drug, | | | | unavailable or hard to find in the states, |
| make sure to ask him if there is any benefit | | | | not to allow international comparison price |
| to taking a brand name over a generic, and | | | | shopping.Nevertheless, thousands of U.S. |
| let it be known that you'll be paying for the | | | | citizens have found they can save money by |
| prescription out of your own pocket.Drug | | | | buying their drugs from outside the country. |
| Discount ProgramsPharmaceutical prices are a | | | | Drug price comparisons from several countries |
| lot like hospital prices - very few people | | | | (Canada is not always the cheapest!) can be |
| actually pay the listed retail price. There | | | | found at Keep in mind that since this |
| are numerous drug discount cards available on | | | | importation is technically illegal (though |
| the market, which provide savings that | | | | rarely enforced), it may not be proper to use |
| average 15% to 40% below retail at | | | | your HSA to pay for prescriptions purchased |
| participating pharmacies. Typically, most of | | | | this way. Talk to your accountant if you |
| the chain pharmacies (CVS, Eckerd, Walmart, | | | | decide to go this route.Avoiding Prescription |
| Kroger, Costco, etc.) participate in these | | | | DrugsThe people who spend the least on |
| plans.Many insurance companies include | | | | prescription drugs are those who rarely take |
| discount cards as an additional benefit that | | | | them. The need to take an antibiotic for an |
| comes with their coverage. Because these | | | | acute infection may seem fairly expensive, |
| cards are not considered to be insurance, | | | | but it is nothing compared to the cost of |
| they can be offered with an HSA-qualified | | | | taking a medication for the rest of your |
| plan. Insurance companies that provide Rx | | | | life. Unfortunately, by age 45 over half of |
| discount cards with their HSA plans include | | | | all Americans are on a regular prescription |
| American Medical Security, Anthem Blue Cross | | | | medication, and by age 65 nearly half are on |
| Blue Shield, Assurant, Golden Rule, Imerica, | | | | three or more prescriptions during any given |
| Unicare, and World. We also know of one HSA | | | | month. Most of this is entirely |
| administrator - - that provides a drug | | | | preventable.Some of the biggest selling drugs |
| discount program to people who use | | | | are to treat elevated cholesterol, |
| them.Stand-alone drug discount plans are also | | | | hypertension, and acid reflux. A paper |
| available to anyone with access to the | | | | published this year in the American Journal |
| internet. We've found the average cost of | | | | of Clinical Nutrition entitled Origins and |
| these discount plans to be around $7 or $8 a | | | | evolution of the western diet: Health |
| month. HSA for America has secured for its | | | | implications for the 21st century, explains |
| members (and readers of this newsletter) a | | | | how these and other common health issues did |
| free discount Rx card through a company | | | | not exist for our hunter-gatherer ancestors, |
| called Drug Card America. To enroll online, | | | | and how diet is the root cause of so many of |
| simply visit: 9c22-d335be23527c}. You may | | | | the health problems people in our culture |
| want this card in addition to any other | | | | experience.The author is Dr. Loren Cordain, |
| cards, since the card that offers the best | | | | one of my professors at Colorado State |
| deal usually varies, depending on the drug.If | | | | University. In a nutshell, he shows why the |
| you're looking for a plan that has co-pays | | | | healthiest diet is one based on fruits, |
| for prescription drugs rather than only | | | | vegetables, fish, and lean meat. Foods to be |
| discounts, American Health Care Options | | | | avoided or limited include added sugars, |
| offers a four-tiered prescription card | | | | shortening and other processed vegetable |
| program where you pay $10, $20, $50, or a | | | | oils, grains, and legumes. These are all |
| special discount price for generic and brand | | | | foods that did not exist in our diet prior to |
| name drugs. You can check the tier of any | | | | about 10,000 years ago, and are thus foods |
| drug you're interested in, and apply online | | | | that we are not genetically adapted to |
| at The cost of this plan is $19.95 per month | | | | eat.Remember that all qualified expenses, |
| for an individual, or $29.95 for a | | | | including prescription drugs, can be paid for |
| family.Mail OrderIf the need for a | | | | tax-free, from your HSA. If you've still got |
| prescription is not urgent, or if you are on | | | | a traditional health insurance policy and |
| long-term medication, mail order is almost | | | | would like to investigate a health savings |
| always a less expensive way to buy | | | | account, please visit us at HSA for America |
| prescription drugs. It is generally cheaper | | | | and we'll be happy to help you.By Wiley P |
| to get a 90-day supply because of a volume | | | | Long - President, HSA for America. At HSA for |
| discount. I recommend asking your physician | | | | America, we makes it easy to learn about and |
| to write the prescription for a 3-monthly | | | | set up health savings accounts. |