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Saving on Medicine Costs

 

We all benefit from the wide choice of effective medicines available today to treat ADHD. Even a decade ago our choices were limited to two or three, mostly short acting preparations requiring multiple doses during the day. Thankfully, today we have a dozen or more formulations to select from. Many of these are sustained-release dosage forms that usually require taking the dose once a day.

However, this success comes with some increase in cost. Many factors contribute to the cost of new medicines:

Newer medicines cost a great deal to research and develop. The costs of evaluating effectiveness and safety are higher today than in the past due strict government regulation and scrutiny. Once a new drug is approved for use, the manufacturer has a patent for several years during which time the company has exclusive rights to the distribution of the product. Naturally they seek to recoup these developmental costs.

Fortunately several options are available which can significantly reduce the cost of medications:

Use Generics when appropriate.

Generic drugs are those which are chemically identical to a brand-name product. In general, generics which have outlived the original patent can be produced for less cost than the brand-name counterpart. While appropriate much of the time, generic substitution is not always the best move. Even when drugs are chemically identical, there can be differences in the way they are handled by the body. For example, he generic may be in a pill form the patient cannot swallow, or that tastes so badly that he will not take it. In my experience, there is functional equivalency between the generic and non-generic forms of the stimulants used to treat ADHD. However, there is the occasional child in which the effectiveness of the medication differs between generic and non-generic forms. In these patients, subtle differences in adsorption of the drug from the gastrointestinal tract probably accounts for the differences.

Discuss the possible use of generics with your physician. If he or she agrees that a generic is worth a try, then you may well manage real savings on costs. I would suggest you pick one form of the drug, generic or non-generic, and stick with it over time to avoid confusion.

Do comparison shopping.
Prescription prices vary considerably from one pharmacy to another. Do compare prices and services. But in making comparisons, consider factors important to you. Does the pharmacy have after-hours service? Does it deliver? Does it have a credit policy or does it file insurance?

Consider a mail-order pharmacy.
Many insurance plans now provide an option on drugs where you can buy from a mail-order pharmacy at significant savings. Many of these will provide up to a month supply for a flat fee that is much less than what you would pay at the pharmacy window. This type of service is quite appropriate for ADHD where the patient may require long-term medication.

Ask only for what you need.
Some people feel that their visit to the doctor is a waste if they do not come away with a prescription. Let the doctor know that you are open to his suggestions on how you might save on medication. Let him know that if a medicine is not necessary, you are not pushing for it. If medication is necessary, more is not necessarily better. The least dose that accomplishes the functional goals is best. A cooperative working relationship between doctor, parent, and child will open the door to the best medical care with the least possible bite on the budget.

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