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Ashyukun (Robert)
Ashyukun (Robert) GRM+ Memberand UltraDork
8/28/18 3:29 p.m.

So, a good ways back I remember seeing a discussion about getting cheaper prescription drugs from up North with at least one member having had a doctor who had actually recommended a few places that they trusted. I should have bookmarked it but didn't because I'm now in a position where that info would be helpful. Anyone have any experiences/suggestions?

People can message me directly about it if you don't want to post in the thread...

spitfirebill
spitfirebill MegaDork
8/28/18 6:25 p.m.

I don’t recall the name of the pharmacy, but my urologist gave me a flyer for  a Canadian pharmacy and a script for Cialis after my prostatectomy.  He said it was a lot cheaper and the real deal.  I never ordered because I didn’t need it.  

Ashyukun (Robert)
Ashyukun (Robert) GRM+ Memberand UltraDork
8/29/18 7:53 a.m.
spitfirebill said:

I don’t recall the name of the pharmacy, but my urologist gave me a flyer for  a Canadian pharmacy and a script for Cialis after my prostatectomy.  He said it was a lot cheaper and the real deal.  I never ordered because I didn’t need it.  

Wish you still had that flier- searching for Canadian pharmacies comes up with plenty of results, it's just difficult figuring which are legit and which are not...

spitfirebill
spitfirebill MegaDork
8/29/18 2:05 p.m.

I will look in my records box.    

Ashyukun (Robert)
Ashyukun (Robert) GRM+ Memberand UltraDork
8/30/18 8:20 a.m.

In reply to spitfirebill :

Thanks, I appreciate it!

Appleseed
Appleseed MegaDork
8/30/18 11:04 a.m.

Myself as well. Insulin ain't cheap.

californiamilleghia
californiamilleghia Reader
8/30/18 11:07 a.m.

I would also be interested , 

this is one of those times when the "do a Google search" can get you in trouble , 

Too many scams  ,

spitfirebill
spitfirebill MegaDork
8/30/18 11:43 a.m.
Ashyukun (Robert) said:

In reply to spitfirebill :

Thanks, I appreciate it!

Well I looked last night.  My wife "helped" me out this summer by cleaning up the box I keep old medical record stuff in, so its gone.  Sorry. 

Ashyukun (Robert)
Ashyukun (Robert) GRM+ Memberand UltraDork
8/30/18 2:07 p.m.

In reply to spitfirebill :

Thanks for looking- I'll report back if I'm able to track any reliable info down elsewhere since there are others interested as well!

spitfirebill
spitfirebill MegaDork
8/30/18 3:18 p.m.

In reply to Ashyukun (Robert) :

I thought I was supposed to have another visit to the urologist this summer, but they have not called with an appointment.  I hard to call and rat yourself ou to them.  But if I go in, I'll ask for another of the flyers.  Doc was real adamant that I not have ED.  It would hurt his score.          

Streetwiseguy
Streetwiseguy MegaDork
3/25/20 1:10 p.m.

Costcos generally have a pharmacy.

ThurdFerguson
ThurdFerguson Reader
3/25/20 1:47 p.m.

VirgieLan reminded me of Tyler Childers:

https://www.youtube.com/watch?v=vFL5QcYDnmw

 

 

 

Dr. Hess
Dr. Hess MegaDork
3/25/20 1:49 p.m.
VirgieLan said:

As far as I know this a usual strategy of a doctor, to tell you a better place to buy a drug, he will have a % from the sold amount

Spammer in training, how do I get a % from the sold amount?  Besides being completely illegal in THE UNITED STATES OF AMERICA, just curious.

 

Shadeux
Shadeux GRM+ Memberand HalfDork
3/25/20 2:06 p.m.

Look for a local business. I've got an "order Canadian drugs" place here in town. My stuff actually comes from India. Whatever. It's sure cheaper.

Side note: My India script is filled in a fair sized town in the middle of India. Amazingly enough, I've since gone to that town for unrelated reasons. I thought that was cool.

Toebra
Toebra Dork
3/25/20 4:50 p.m.
VirgieLan said:

As far as I know this a usual strategy of a doctor, to tell you a better place to buy a drug, he will have a % from the sold amount

If you know of a doctor doing this, you can probably get their license revoked,

damn, fell for the spambot

frenchyd
frenchyd PowerDork
3/25/20 4:59 p.m.

In reply to Shadeux :

Not Just Canada but also Mexico and many other countries have drugs massively cheaper than America. In fact America is the only civilized country that forbids the government from getting the lowest price on drugs.  
Yes it's scary buying drugs from Foreign countries but my Southern California friends know which drug stores to shop at and wind up saving a lot.  
I used to buy from Canada but now that I'm on Medicare  only rarely is my co-pay less than I can buy it outright from Canada.  
The governor Of Minnesota used to recommend Canadian Pharmacies. So the potential savings are real. 

Toebra
Toebra Dork
3/25/20 6:49 p.m.

Not even going to get into why things are the way they are.

ChrisLS8
ChrisLS8 Reader
3/25/20 7:08 p.m.

I get my Modafinil from India.....totally have a script

Curtis73
Curtis73 GRM+ Memberand MegaDork
3/25/20 8:18 p.m.

Be aware of what you're getting.  My ex wife was a Pharmacist until she went back to get her Master's with the goal of getting a Doctorate in Clinical Phamacology.  As of 6 years ago, she was researching this very thing, but much may have changed.

From wiki:

The U.S. Food and Drug Administration (FDA) requires generics to be identical to or within an acceptable bioequivalent range of their brand-name counterparts, with respect to pharmacokinetic and pharmacodynamic properties.[3] (The FDA's use of the word "identical" is a legal interpretation, not literal.)

This has been a thing in the US for a while.  Generic drugs can be the exact same thing as the brand, or they can be bioequivalent... meaning they have the same pharmakinetic result in the body.  What this means is that comparing something like Zoloft to its generic Sertraline is like comparing Jack Daniels to Evan Williams.  They are both whiskey with 40% ABV, so 4 shots of either one will get you equally drunk, but we all have that one friend who says that Evan Williams gives them a headache or a worse hangover.  Even though the active ingredient in that case is identical, the other stuff with it might make other effects different. 

In some cases, though, the generic doesn't have to be the exact compound as the brand as long as it has proven clinically to cause the "identical" result.  As wiki noted above, it doesn't have to actually be identical in the literal sense, it has to have proven itself effective in the same trends of chemical result.  If you give Zoloft to 1000 people in a clinical trial, and Sertraline to 1000 people in a trial, and both test groups showed an average of 40% improved selected serotonin re-uptake inhibition, you can call it Sertraline even if the compound is different.

I said all of that to say this:  India and Mexico don't adhere to those rules.  If you use a prescription to get medication from any other country, legally it is supposed to conform to US rules.  If they are allowed to sell Acetominophen as Ibuprofen over there and you ask for Ibuprofen... they're supposed to not send you Acetominophen labeled as Ibuprofen.  Legal there, not cool here.  Where things get hazy is, how many Indian and Mexican pharmacies know US law, and even if they do... do they care?

If you don't use a prescription to get foreign drugs, they aren't bound by those rules.

So, what I'm saying is... buying the brand here in the US is a slam dunk, but expensive.  Buying with a script from Mexico or India is a crap shoot.  You might be getting the brand, the generic, or whatever bioequivalency laws they conform with in India or Mexico.  Buying with a script from Canada is also a slam dunk.  I would try to source the brand in this order of comfort:  Canada, India, then Mexico as a last resort.

 

frenchyd
frenchyd PowerDork
3/25/20 8:29 p.m.

In reply to Curtis73 :

One of the HMO's we subscribed to years ago offered a great incentive to use Hospitals in India for elective surgery.  They researched the country and found the ones with the best record( (and it had to exceed American records) 

Then they would fly you first class there and back plus put your spouse up at  the nicest hotel nearby all expenses paid. 
In addition you could elect several extra days of tourism or a nice check. 
Friends and co-workers all had glowing reports on things from knee replacements,  back surgery, Dental implants etc. 

frenchyd
frenchyd PowerDork
3/25/20 8:41 p.m.

In reply to Curtis73 :

You are obviously correct with regard generic.  
 Often though insurance won't give you the brand name  even with the Doctors insistence or you have to pay the difference out of pocket  

When my friend's wife was dying from cancer Mexican drugs were 100% covered with no co-pays and sometimes bonus pills. 30 extra with a 90 day supply etc. Yes,  they took his insurance.  

Or the same thing in San Diego  could cost him More than $100 extra. 


He asked at the border before he bought on the Tijuana  side and it was legal as long as covered by a doctors prescription. 

I prefer to use a local source but price insulin in America, Then Canada, Mexico, Bahama's etc. 

Curtis73
Curtis73 GRM+ Memberand MegaDork
3/25/20 9:00 p.m.

Truth.  Insulin is one of those that is pretty universally the same thing.

And I could talk for a very long time about how health insurance in the US is a mess... but I won't.

Curtis73
Curtis73 GRM+ Memberand MegaDork
3/25/20 9:06 p.m.
frenchyd said:

In reply to Curtis73 :

One of the HMO's we subscribed to years ago offered a great incentive to use Hospitals in India for elective surgery.  They researched the country and found the ones with the best record( (and it had to exceed American records) 

Then they would fly you first class there and back plus put your spouse up at  the nicest hotel nearby all expenses paid. 
In addition you could elect several extra days of tourism or a nice check. 
Friends and co-workers all had glowing reports on things from knee replacements,  back surgery, Dental implants etc. 

Very true.  India and Serbia rank way up there.  My transgender cousin had his surgery done in Serbia.  Three surgeries, plane tickets for him and his wife, renting an apartment, and all the rehab/recovery with a total of a dozen follow-up appointments cost less than a single surgery in the US.

Toebra
Toebra Dork
3/25/20 11:27 p.m.

One thing I will say.  Best doctor I ever knew would never let his patients have generic coumadin.

iceracer
iceracer MegaDork
3/26/20 2:17 p.m.

My eliquis by bistol-myers-sqib is made in Ireland and purchased through my local pharmacy.

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