U.S. Internet pharmacy sites are a mixed bag. On the plus side, prices overall are lower than at standard pharmacies — from 10 percent to 50 percent depending on the drug. In addition, the sites offer privacy and convenience versus driving, parking and waiting in line.
Many chain drugstores, like Costco, Kmart or CVS, have online pharmacies that sometimes offer even lower prices than their brick-and-mortar outlets. (Some stores will match this discount if asked.)
Even William Hubbard, associate commissioner for the FDA, has stated, "Prescription drugs sales over the Internet can provide tremendous benefits to consumers."
But there's a downside. Many online pharmacies have sprung up like mushrooms in the night and should be scrutinized before you bite. Particularly prevalent are pharmacies that specialize in "lifestyle" medications such as sexual enhancement, hair growth, herpes, smoking cessation and weight loss. Most of these pharmacies will write you a prescription sight unseen, as a way to "save you embarrassment."
"Steer clear" of online prescriptions and sites that don't require prescriptions, advise both the FDA and American Medical Association. The AMA says online prescribing doesn't provide "minimum standards of care," which include examining a patient, discussing the prescription and following up to see how things went.
In addition, these sites often don't list a physical address, just an e-mail address, making it difficult to track them down if you have problems. Sites that don't require prescriptions usually are foreign-based, and the drug quality may be compromised.
PharmacyChecker.com, an Internet site that evaluates online pharmacies, estimates that of the 300 to 400 sites now in business, about half are located in the United States, and about half aren't properly licensed (see "Warnings and Guidelines," below).
But if you take time to check out a site carefully, following the guidelines below, reputable online pharmacies can provide real savings in money, time and effort.
Warnings and guidelines
PharmacyChecker.com surveyed 12 sites in April and evaluated how well they fulfilled these five key criteria for a good site:
Beware of additional fees, such as high shipping charges, and medical, order and account set-up fees.
The National Association of Boards of Pharmacy (NABP) offers companies that meet its strict standards (and pay a fee) a Verified Internet Pharmacy Practice Sites (VIPPS) seal of approval to display on the site. So far, only 12 sites have applied for the seal and are listed at www.nabp.org. NABP isn't a government agency.
Dorothy Lois Harris, 66, of Dunlap, Tenn., and her husband, Mack, scrimp by on Social Security, Medicare and their small ministerial annuities. Found in 1999 to have hyperkalemic periodic paralysis, Dorothy is battling the Teachers Insurance and Annuity Association for disability pay but hasn't seen a penny yet.
Dorothy spends $505 every three months at Drugstore.com for prescriptions and over-the-counter supplements to help her heart, pain, hormones and the intermittent paralysis that leaves her incapacitated for days, weeks and sometimes months at a time. Mack also takes $450 in medication every three months following heart bypass surgery.
After comparing online prices at Rite Aid, CVS and Wal-Mart, Harris chose Drugstore.com, where she estimates she saves from 25 percent to 33 percent over her local drugstore. Although she knows she could save even more in Canada, she worries about getting exactly the same drugs. Her online savings outstrip either of the two discount drug cards she carries — Save Rx and Together Rx — but she's still nervous about the future.
"I fear that our ability to buy needed medications is coming to an end. Our income shrinks each year and all our costs are quickly going up."
|Online Prices Versus Retail Outlets|
500 mg, 100 pills
(high blood pressure)
240 mg, 30 pills
100 mg, 30 pills
10 mg, 45 pills
1Prices based on same brand, dosage and number of pills. Per-pill prices have been rounded off.
2Prices based on Arizona retail outlets.