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    Feature Article
    Rx For Saving At Money On Drugs: Shop Around

    Consumers in Georgia, Florida and Alabama may be able to cut their prescription drug bills by more than one-third by shopping around, according to a survey of pharmacies released this week.

    The nonprofit Center for Florida Consumers conducted the August price survey of 201 pharmacies, including 67 in Georgia.

    The prices of four drugs were studied: Claritin, an allergy medicine; Paxil, an antidepressant; Zocor, a medication to reduce cholesterol; and Prilosec, a stomach medication used to treat acid reflux.

    Across Georgia, prices varied as much as $33.37 for a month's supply of Claritin, $27.26 for Paxil, $38 for Zocor and $50.98 for Prilosec, the survey found.

    Many Americans in private managed care plans pay a set co-pay for prescriptions, so shopping around wouldn't give them a break. But price variability can be a crucial issue for seniors.

    Medicare, the federal program for Americans 65 and older and the disabled, does not cover prescriptions. Many seniors pay full retail prices, often forking over hundreds of dollars a month for medications.

    Martha Eaves, 83, of Conyers, Ga., who's chairwoman of the Georgia Council on Aging, said she pays about $250 per month for her seven prescriptions. ``Many consumers shop around for food prices, but they don't think to call around about drugs,'' she said. ``I've never done it either.''

    The council was among organizations in three states that are releasing the study's findings.

    More than 20 states have enacted some type of pharmacy-assistance law, including programs to help seniors and the uninsured buy prescription drugs. Recent federal legislative proposals would relax prohibitions against importing prescription drugs from other countries, where prices tend to be lower.

    ``There are folks who can't afford prescriptions,'' said Michelle Rehwinkel, executive director of the Center for Florida Consumers. ``They skimp on one prescription one month, and one another month. Sometimes they skimp on food (to afford prescriptions).''

    By shopping around for prices, she said, ``consumers can take matters into their own hands, as the battle rages in Congress.''

    Prescription drug use and costs have jumped sharply for senior citizens in the past eight years and will continue to do so in the next decade, according to a recent study by Families USA, a health advocacy group. The pharmaceutical industry, though, points out that while drug costs are climbing, innovative new drugs are keeping seniors from needing more expensive medical care, such as surgery and hospitalizations.

    ``This is going to be a bigger and bigger issue,'' said Lew Yeouze of consulting firm William M. Mercer. ``There's not a quick fix. There are wonderful (drug) treatments coming along, but they'll be expensive. It will be a political issue, because not everyone can afford them.''

    Besides Medicare beneficiaries, many consumers who have traditional insurance also pay full price for medications, as do the millions of Americans who have no insurance. ``The people who can least afford (prescriptions) often pay the most,'' said Yeouze.

    There are several reasons for price differentials among pharmacies, experts say. Georgia Rep. Ron Stephens (R-Garden City), a pharmacist at the independent Quick Rx Drug there, said many pharmacies offer low prices on the four drugs studied in order to bring consumers in the door. Other drugs may get bigger markups at the same pharmacy, Stephens added.

    Prices for drugs can vary even within a chain of pharmacies. Prices also can depend on the competition in a particular neighborhood, experts say.

    Stephens said, ``The whole issue comes down to competition - not only price but service,'' such as quick turn-around times in filling prescriptions.



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