Generic Prozac: Capsules or Tablets?

Generic Prozac: Capsules or Tablets?

Fluoxetine (aka generic Prozac) will continue represent a significant share of the global market for antidepressants, which is expected to exceed $18 billion by 2024.

Whenever I get frustrated with the pharmaceutical industry and its absurd pricing games, I remember that it gave us Prozac.

Prozac (fluoxetine) is a safe, effective drug that has given millions of patients relief from symptoms of major depression, obsessive-compulsive disorder, panic disorder, and other debilitating conditions. It is on the World Health Organization’s List of Essential Medicines, remains among the most prescribed medications in the United States with more than 23 million scripts written annually (at last count), and since it went generic in 2001 it is routinely affordable.

Setting aside for now the fact that the price for one version of generic Prozac increased 879% in 2019…

What is wrong with this picture?

Save Money on Generic Prozac (fluoxetine)

There is no difference in therapeutic benefit when choosing between the tablet and the capsule.

Why are the tablets more expensive? I couldn’t tell you, but I guarantee that most prescribing caregivers are not aware of the price variance. Write 3 x 20mg capsules to equal the 60mg tablet, and you have saved your patient (or her employer) ~96% on their meds.

A salve for depression, indeed.

Cheers,

Paul S. Bradley, Scripta

Paul S. Bradley, MD

ScripTips is a free service provided to physicians and other caregivers by Dr. Paul S. Bradley, Chief Medical Officer of Scripta Insights. Information contained herein is for informational purposes only and not intended as a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. As set forth in the Terms of Use of this site, we do not recommend or endorse any specific prescription drug or pharmacy that may be mentioned herein. Reliance on any information provided by us, our affiliates, employees or others is solely at your own risk.

DUEXIS: The Cost of Convenience

DUEXIS: The Cost of Convenience

Did you know:

Back in 2011, Horizon Pharma introduced a new, nonsteroidal anti-inflammatory drug with built-in stomach protection: DUEXIS.

DUEXIS is ibuprofin (generic Motrin) 800mg plus famotidine (generic Pepcid) 26.6mg in one convenient tablet. It’s meant to be dosed three times a day. The retail cost for a month’s worth of pills was $154 four years ago. Today, it’s $2736 per month.

Separately, of course, both ibuprofen and famotidine are on the $4 plans. So, let’s do some quick math.

$4 + $4 = $154

So what’s the cost of convenience? $2728.

Paul S. Bradley, Scripta

ScripTips is a free service provided to physicians and other caregivers by Dr. Paul S. Bradley. Prescription savings drive patient compliance, and Scripta helps make sure your patients are getting “The Best Meds at the Best Price.”

Old made new again (AGAIN)!

Old made new again (AGAIN)!

Did you know:

Generic Paxil – paroxitine hydrochloride – has been available on the $4 plans for some time.

We now have Pexeva, which is paroxitine mesylate.

What’s the difference? Clinically, I am not sure. The NIH, via Pub Med Health, groups it all as paroxitine. The patent on Pexeva, however, says you can’t substitute one for the other at the drugstore.

I can tell you the difference in price (which is getting worse, not better): Pexeva (paroxitine mesylate) is about $5196/year, while paroxitine hydrochloride (Paxil) is $40!

Don’t fall for the shell game,

Paul S. Bradley, Scripta

ScripTips is a free service provided to physicians and other caregivers by Dr. Paul S. Bradley. Prescription savings drive patient compliance, and Scripta helps make sure your patients are getting “The Best Meds at the Best Price.”

 

Generic Zyprexa is Here

Generic Zyprexa is Here

Did you know:

Generic Zyprexa is here.

30 tabs of branded Zyprexa 20mg is $606. 30 tabs of the generic is only $15 (updated prices as of March 2018) at www.healthwarehouse.com!

Not as fantastic a difference as when it first went generic – we track these things over time and are indeed seeing the generic exert some pressure on the price of the branded medication. Regardless, there’s no way your company should be paying for a brand-name when there are equivalent alternatives.

Write it right,

Paul S. Bradley, Scripta

ScripTips is a free service provided to physicians and other caregivers by Dr. Paul S. Bradley. Prescription savings drive patient compliance, and Scripta helps make sure your patients are getting “The Best Meds at the Best Price.”

What is a steroid worth?

What is a steroid worth?

Did you know:

Prednisone is available on the $4 plans. Thirty tabs is just $4, and ninety tabs is $10.

Orapred ODT (prednisolone), on the other hand, is about $140 for 90 tabs (15mg or 30mg).

There is, of course, a small clinical difference between prednisone and prednisolone, but the difference in price is not quite so insignificant.

Cost affects compliance,

ScripTips is a free service provided to physicians and other caregivers by Dr. Paul S. Bradley. Prescription savings drive patient compliance, and Scripta helps make sure your patients are getting “The Best Meds at the Best Price.”

We have a new sleep agent: Silenor

We have a new sleep agent: Silenor

Check it out:

What’s old is new again!

Silenor is available in 3mg and 6mg tablets. The retail cost is about $446 per month for 30 tablets. Of course, Silenor is doxepin. Doxepin 10mg (generic) costs about $9 for 30 tablets.

I’ll let you do the math.

Write it right,

Paul S. Bradley, Scripta

ScripTips is a free service provided to physicians and other caregivers by Dr. Paul S. Bradley. Prescription savings drive patient compliance, and Scripta helps make sure your patients are getting “The Best Meds at the Best Price.”