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Newsjock

(11,733 posts)
Fri Mar 6, 2015, 12:33 AM Mar 2015

Cold-sore cream: $34 in Canada, $2,532 in U.S.

Source: Los Angeles Times

Jim Makichuk bought a 5-gram tube of Zovirax, a prescription cold-sore cream, a few years ago in Canada for $34.65. That was the over-the-counter price; no insurance involved. He recently purchased a fresh 5-gram tube from a Kaiser Permanente pharmacy in Los Angeles. It cost him $95, or nearly three times as much as the Canadian price — with insurance.

But that's not what raised Makichuk's eyebrows. What surprised him was a report Kaiser sent him on prescriptions he filled in January. There was the tube of Zovirax, and there was the $95 payment Makichuk made. And beside that was a listing for what Kaiser paid for the cream: $2,532.80.

... Laurie Little, a Valeant spokeswoman, said the cost of the cream "takes into account many factors, the cost of the active and inactive ingredients, the manufacturing process, the packaging and its related process, as well as the distribution and a myriad of other expenses."

... As for why the Zovirax cream available in Canada is so cheap, that's simple: It's manufactured in Britain, not the U.S., and British law requires that drug prices be reasonable. So does Canadian law.

Read more: http://www.latimes.com/business/la-fi-lazarus-20150306-column.html

52 replies = new reply since forum marked as read
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Cold-sore cream: $34 in Canada, $2,532 in U.S. (Original Post) Newsjock Mar 2015 OP
This right here: one_voice Mar 2015 #1
Exactly! City Lights Mar 2015 #34
/\_/\_This right here_/\_/\ Scuba Mar 2015 #36
Because of the enormous amount of $$$$ involved the only way out kacekwl Mar 2015 #40
Present and accounted for.... Systematic Chaos Mar 2015 #44
I'm asthmatic - LiberalElite Mar 2015 #47
Yeah, this is definitely a problem. Americans are gouged on pharmaceuticals. Liberal Veteran Mar 2015 #2
we're gouged on everything when it comes to healthcare, and it's because our government is Doctor_J Mar 2015 #3
The Game is Rigged folks ... wake the 'F' up. YOHABLO Mar 2015 #4
In Canada Thespian2 Mar 2015 #5
I'm extremely happy that Health-Care Companies don't sell food. BlueJazz Mar 2015 #6
Just wait until the only water you can get is bottled erronis Mar 2015 #28
Americans, please! Tie yourselves into a pretzel if you must to explain... RufusTFirefly Mar 2015 #7
See, the president is playing 12-D chess, and we can't let the criminal be the enemy of the good Doctor_J Mar 2015 #39
Hectic... Oubaas Mar 2015 #8
If you can find it...... Fuddnik Mar 2015 #18
We're #1! We're #1! Orrex Mar 2015 #9
Realizing you're being somewhat <sarcastic> erronis Mar 2015 #29
in people being fkd over, yes absolutely. nt LiberalElite Mar 2015 #48
Message auto-removed Name removed Mar 2015 #10
Really? Why do you say that? AllyCat Mar 2015 #15
Sorry, but it's accurate. Fuddnik Mar 2015 #16
Message auto-removed Name removed Mar 2015 #19
Oh, you're leaving parts out... jmowreader Mar 2015 #20
There is no balm in Gilead n/t Scootaloo Mar 2015 #25
Scoot beat me to it dolphinsandtuna Mar 2015 #43
I understand the sentiment but crim son Mar 2015 #17
You're right - it's not healthcare, it's taking care of the healthcare privateers erronis Mar 2015 #31
No, it isn't by a long shot Aerows Mar 2015 #23
One of my doctors is French - LiberalElite Mar 2015 #49
I hope it improves for you, LE Aerows Mar 2015 #50
Yeah, our drugs are stupidly expensive! AngryDem001 Mar 2015 #11
OHIP is my provincial Health Insurance Plan riverbendviewgal Mar 2015 #12
a 2g tube is £5.59 from a major high street chemist, here in the UK. Spider Jerusalem Mar 2015 #13
I buy Advair at about the same prices as my insurance pays in the US Jim Beard Mar 2015 #14
The MIC: adieu Mar 2015 #21
Or, as I've been told the MIPC erronis Mar 2015 #32
We are so SCREWED vkkv Mar 2015 #22
I was rather surprised Aerows Mar 2015 #24
That one prescription probably landed him in the Part D doughnut hole. hedda_foil Mar 2015 #26
Thank you Richard Nixon for this completely fucked up Health Insurance racket you created! Rex Mar 2015 #27
A warm, wet, tea bag works better. Tierra_y_Libertad Mar 2015 #30
At first tingle start taking L-lysine & vitamin c a couple tomes a day. Most times that prevents it peacebird Mar 2015 #37
Price controls actually work in medicine... JCMach1 Mar 2015 #33
The pharmaceutical industry is a criminal enterprise. DeSwiss Mar 2015 #35
High priced meds ?? bleedinglib Mar 2015 #38
Generics have gotten ridiculous on some meds. I paid $8 (no insurance) for generic Fioricet.... Liberal Veteran Mar 2015 #51
WTF blkmusclmachine Mar 2015 #41
May I recommend Abreva? It's OTC, effective, and quite affordable. US drug companies.... Hekate Mar 2015 #42
K & R mountain grammy Mar 2015 #45
Unfortunatly price fingrin Mar 2015 #46
Maybe that's why Obama promised a public insurance option nationalize the fed Mar 2015 #52

one_voice

(20,043 posts)
1. This right here:
Fri Mar 6, 2015, 12:37 AM
Mar 2015
As for why the Zovirax cream available in Canada is so cheap, that's simple: It's manufactured in Britain, not the U.S., and British law requires that drug prices be reasonable. So does Canadian law.

If there's a take-away from Makichuk's story, it's that America's healthcare system is designed to maximize cash flow for its corporate players and that there are few safeguards to keep costs down
.

kacekwl

(7,017 posts)
40. Because of the enormous amount of $$$$ involved the only way out
Fri Mar 6, 2015, 06:37 PM
Mar 2015

of this nonsense is some sort of revolt by the people who the game is rigged against , us.

LiberalElite

(14,691 posts)
47. I'm asthmatic -
Fri Mar 6, 2015, 11:57 PM
Mar 2015

have ok health insurance through my employer. The inhaler I use was supposed to go off patent a couple years ago. I followed this news for some time, looking forward to being able to get a generic. No such luck. Big Pharma did whatever they had to do and - there's still no generic for my prescribed inhaler. I can afford the co-pay but that's not the point. I could be getting the same goddamn drug for much less. But then who's more important in this country, the actual human person or the corporate person?

Liberal Veteran

(22,239 posts)
2. Yeah, this is definitely a problem. Americans are gouged on pharmaceuticals.
Fri Mar 6, 2015, 12:54 AM
Mar 2015

I was looking at the prices of a generic equivalent of a popular HIV combo (Atripla) that is sold overseas.

1 month supply of Viraday in India = $62
1 month supply of Atripla in US = $2200

Same ingredients. 3548% more expensive here.

Of course there are some patent issues involved and it is considered a generic, but even in the US, if it were generic, it would probably cost over 1000 a month.

This is yet another place in our health care system that needs to be looked at.

 

Doctor_J

(36,392 posts)
3. we're gouged on everything when it comes to healthcare, and it's because our government is
Fri Mar 6, 2015, 01:15 AM
Mar 2015

as corrupt as the old USSR.

 

BlueJazz

(25,348 posts)
6. I'm extremely happy that Health-Care Companies don't sell food.
Fri Mar 6, 2015, 01:24 AM
Mar 2015

Bread- $50.00
"takes into account many factors, the cost of the active and inactive ingredients, the manufacturing process, the packaging and its related process, as well as the distribution and a myriad of other expenses."

erronis

(15,296 posts)
28. Just wait until the only water you can get is bottled
Fri Mar 6, 2015, 04:18 PM
Mar 2015

And sold via prescription.

Of course, if you are living in the US Southwest/West, your costs will be 500% more because of shipping and "evaporation".

RufusTFirefly

(8,812 posts)
7. Americans, please! Tie yourselves into a pretzel if you must to explain...
Fri Mar 6, 2015, 01:37 AM
Mar 2015

... why you're not being f#@ked in the ass by the pharmaceutical industry.

The rest of the world realizes it all too well and finds it more than pathetic that you don't admit it and, more importantly, that you don't confront it.

But then, America is the home of senators who believe that snowballs disprove the existence of global climate change.

 

Doctor_J

(36,392 posts)
39. See, the president is playing 12-D chess, and we can't let the criminal be the enemy of the good
Fri Mar 6, 2015, 06:11 PM
Mar 2015

and this is all Liebermann's fault. And...Osama bin Laden!

Oubaas

(131 posts)
8. Hectic...
Fri Mar 6, 2015, 01:39 AM
Mar 2015

...and whatever you do, don't get bit by a venomous snake. You won't like it when you see what they charge for a shot of antivenin.

Fuddnik

(8,846 posts)
18. If you can find it......
Fri Mar 6, 2015, 02:46 AM
Mar 2015

A couple of years ago Phizer bought out the pharmaceutical manufacturer who made the majority of anti-venin, decided it was unprofitable and ceased production. They also laid off 16,000 employees.

They keep tabs on all the anti-venin in hospitals, around the country. During a big hurricane clean-up, it was discovered that Louisiana had zero doses of coral snake anti-venin. Florida had two, ......

erronis

(15,296 posts)
29. Realizing you're being somewhat <sarcastic>
Fri Mar 6, 2015, 04:22 PM
Mar 2015

I hope...

I get so tired of people arguing with me about how US healthcare is obviously better than Canadian since "everyone" in Canada comes across the border to get their major needs taken care of.

Anecdotal Evidence is about the only evidence that most US will accept. We can show them charts and tables of data going back 20 years, but it doesn't compete with what Molly from up the road told us.

Response to Newsjock (Original post)

Fuddnik

(8,846 posts)
16. Sorry, but it's accurate.
Fri Mar 6, 2015, 02:38 AM
Mar 2015

Do you see all the nice new commercials on TV for Hep C treatments?

In the US, the treatment lasts for 180 days. One pill a day. Each pill costs $1,000. $180,000 total treatment.

The company re-priced it around the world. Egypt? 180 day treatment costs $900, or $.50 per pill. And it's the only halfway effective treatment on the market. The drug supplier bought out the manufacturer for a billion dollars. Then gouges everyone to death.

Nader named it correctly. "America's pay or die healthcare system".

Response to Fuddnik (Reply #16)

jmowreader

(50,559 posts)
20. Oh, you're leaving parts out...
Fri Mar 6, 2015, 03:00 AM
Mar 2015

The company that makes those pills makes two different ones.

The first is Sovaldi. It costs $1000/pill, is taken for either 12 or 24 weeks depending on the variety of Hep C you have, and is taken in conjunction with one or two other drugs. (Go to http://www.gilead.com and learn more.)

The other is Harvoni, which is Sovaldi PLUS the other drug it needs to work. This is even more than Sovaldi (which is priced at highway robbery levels already) and is taken for as many weeks.

And is it just me, or is there a certain creepiness about a company that makes a drug to treat a disease a lot of fundies think is "God's punishment for sin" naming itself after the country "The Handmaid's Tale" is set in?

 

dolphinsandtuna

(231 posts)
43. Scoot beat me to it
Fri Mar 6, 2015, 07:06 PM
Mar 2015

no balm on Gilead indeed.

Is there no balm in Gilead; is there no physician there? why then is not the health of the daughter of my people recovered?

crim son

(27,464 posts)
17. I understand the sentiment but
Fri Mar 6, 2015, 02:39 AM
Mar 2015

half my family is Canadian, living in Canada, and there is no question that the situation described in the article is not terribly unusual. No matter where you stand politically there are some aspects of human existence that should not be exploited for profit, wouldn't you agree? We are not monsters. The American health care system's priority is not healthcare!

 

Aerows

(39,961 posts)
23. No, it isn't by a long shot
Fri Mar 6, 2015, 03:21 AM
Mar 2015

Americans are getting pharmaceuticals from Canada that are produced in Australia and the UK because they have price controls. 1/5 the price. I am dead serious.

It's the difference between 200/month and 40/month.

Our health care system, those who enable the price gouging and our entire medical infrastructure is abysmal. No one would want to give up their health care to live here.

 

Aerows

(39,961 posts)
50. I hope it improves for you, LE
Sat Mar 7, 2015, 12:11 AM
Mar 2015

I live in the US, have a job with insurance coverage, but the prescription I require (Zoloft 100mg) Is still $200 a month.

I have two choices - get robbed at the drug store, or get robbed because you literally cannot go off Zoloft easy.

So I'm soaked for 200 a month that I can't quit.

I'm between a rock and a hard place, and I know for a fact that 200/month isn't what it is in a civilized country.

It's not even a street drug, an antibiotic, but I've been on it for so long, I'll be physically, mentally and emotionally messed up without it.

AngryDem001

(684 posts)
11. Yeah, our drugs are stupidly expensive!
Fri Mar 6, 2015, 01:49 AM
Mar 2015

But we have the number 1 military in the world!

USA! USA! USA! USA!

riverbendviewgal

(4,253 posts)
12. OHIP is my provincial Health Insurance Plan
Fri Mar 6, 2015, 01:56 AM
Mar 2015

I am a senior I pay $100 total per year for my prescription drugs. It is true our provinces negotiate the cost of drugs with the pharmaceutical companies.

I love my health care system. No bills ever.

 

Spider Jerusalem

(21,786 posts)
13. a 2g tube is £5.59 from a major high street chemist, here in the UK.
Fri Mar 6, 2015, 02:07 AM
Mar 2015

If you buy online it's as cheap as £2.99, so with the exchange rate, less than ten bucks for five grams. And that's if you don't have a prescription; prescriptions are free on the NHS (at least in Wales, Scotland and Northern Ireland).

 

Jim Beard

(2,535 posts)
14. I buy Advair at about the same prices as my insurance pays in the US
Fri Mar 6, 2015, 02:15 AM
Mar 2015

I buy it from the UK through Canada and can buy the rest of my meds on my Medicare part D without going into the doughnut hole.

 

adieu

(1,009 posts)
21. The MIC:
Fri Mar 6, 2015, 03:00 AM
Mar 2015

Military Industrial Complex or the Medical Industrial Complex. Both exploit the fear of death to charge exorbitant amounts. Both must be controlled. The Military one should be disbanded and anyone caught manufacturing items that are primarily designed to be weapons should be tried for treason. The Medical one should be nationalized and funded through taxes. Use the NIH and other national health research centers to lead in creating medical solutions. We know already that for-profit pharmas have no interest in providing solutions. They either look for easy wins (drugs that solve irrelevant cases, such as shaking leg syndrome) or they provide long-term "care" with their drug, basically forcing the user to be on the drug forever.

erronis

(15,296 posts)
32. Or, as I've been told the MIPC
Fri Mar 6, 2015, 04:27 PM
Mar 2015

At one point before Eisenhower's warning about the corporatism taking over government, he wanted to name it the Military Industrial Political Complex (MIPC) but was warned by aides that this would not go over well with the "P" group.

 

vkkv

(3,384 posts)
22. We are so SCREWED
Fri Mar 6, 2015, 03:12 AM
Mar 2015

over by corporations it is sickening.

Oh right, healthy people aren't profitable.









 

Aerows

(39,961 posts)
24. I was rather surprised
Fri Mar 6, 2015, 03:27 AM
Mar 2015

when I found out my rabies treatment - a deadly as hell disease that everyone in the world recognizes you DO NOT want in your community - totaled, wait for it,

$19,282.00 because I live in the US. For six shots. After the business in the emergency room that was painful, but not anything past a painful as hell injection in the wound site, it was a series of five additional shots.

Dwell on that.

 

Rex

(65,616 posts)
27. Thank you Richard Nixon for this completely fucked up Health Insurance racket you created!
Fri Mar 6, 2015, 11:33 AM
Mar 2015

Leave it to a crook.

JCMach1

(27,559 posts)
33. Price controls actually work in medicine...
Fri Mar 6, 2015, 04:30 PM
Mar 2015

I saw that in a completely free market otherwise system in the UAE. Most drugs were 1/2 to 1/100th the price of the same meds in the USA.

Americans are ripped off at every level of the medical racket.

 

DeSwiss

(27,137 posts)
35. The pharmaceutical industry is a criminal enterprise.
Fri Mar 6, 2015, 04:36 PM
Mar 2015
- All it's employees and directors should be treated as such.

And no bail.

K&R

bleedinglib

(212 posts)
38. High priced meds ??
Fri Mar 6, 2015, 06:00 PM
Mar 2015

I used to buy the expensive stuff for my cold sores until I discovered that a 99 cent bottle of hydrogen peroxide worked even better !!
In my little town of about 4500 we have 5 pharmacies. I pay $5.00 for my meds with my Medicare supplement & the drug companies charges Medicare $120.00 for a prescription that used too cost $15.99 without Insurance !!
This drug plan written by the drugsters & signed into law by bush is a total rip off of the American taxpayer !!

Liberal Veteran

(22,239 posts)
51. Generics have gotten ridiculous on some meds. I paid $8 (no insurance) for generic Fioricet....
Sat Mar 7, 2015, 12:16 AM
Mar 2015

....and a month later, the same prescription was suddenly $70.

I heard the reason was because they had to reformulate it for less acetaminophen, but going from 325mg of acetaminophen to 300mg hardly seems like a reason for such a massive spike in prices. The butalbital and caffeine part stayed the same, but putting less tylenol in it made the price go up that much? I call bullshit.

Hekate

(90,714 posts)
42. May I recommend Abreva? It's OTC, effective, and quite affordable. US drug companies....
Fri Mar 6, 2015, 06:58 PM
Mar 2015

...are still begging for Uncle Sam to regulate the hell out of them. I wish Uncle Sam would do just that.

nationalize the fed

(2,169 posts)
52. Maybe that's why Obama promised a public insurance option
Sat Mar 7, 2015, 12:21 AM
Mar 2015

He didn't campaign on Single Payer but he did promise a most important thing- a check on insurance ripoff



The average insurance CEO makes over a million dollars a month- and customers are served up by law- a law passed by a Democratic Administration- (D) House, (D) Senate and (D) President. It's astounding. And it was a right wing plan to begin with.
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