Medicare Signup End 2006

The nation's 43 million seniors and disabled eligible for Medicare have until Sunday to choose a prescription drug plan, called Part D, for 2007. Those already enrolled who do nothing will be automatically enrolled in the same plan in January.

With so many plans to choose from, and with every person's situation different in terms of monthly drug costs and income, people need to examine their choices closely, especially since they'll be stuck with the plan they choose until 2008.

And because co-pays, deductibles, premiums and even formularies — the lists of drugs covered under the plan — have changed since Part D began last year, staying with the same plan may not be the best way to save money, experts said.

In fact, of the hundreds of seniors surveyed this fall, only five found the best deal by staying in the same plan. Surveys indicate that most seniors will stay with what they already have. Only 5 percent of enrollees said they will change plans, according to a November survey by the Kaiser Family Foundation. Some 36 percent of those surveyed said it was simply too much trouble to choose another plan. Fourteen percent said they didn't know they could switch to another plan, according to the survey. Even the 78 percent who said they were satisfied with their current plan may not have realized that their plan costs and benefits could change in January.

Insurers were required by law to notify enrollees of changes to Part D benefits by Oct. 31, but the Bush administration last week notified Congress that some insurers did not notify members in time. Some members of Congress are now considering extending the enrollment deadline past the first of the year to those who did not receive the new information, the New York Times reported Wednesday.

Although median premiums will fall slightly in California overall, most beneficiaries already enrolled in drug plans will actually see premium increases, according to a California HealthCare Foundation examination of Part D in the state.
Many Californians will have to switch plans if they want to take advantage of the increase in availability of lower-cost plan options, however that's easier said than done, however.

No matter which plan enrollees choose, basic costs will go up. The annual deductible — the price enrollees must pay out of pocket before any benefit kicks in — will rise to $265 in 2007, up from $250 this year.

And the doughnut hole costs will change. After the $265 annual deductible, plans typically pay 75 percent of drug costs, and the enrollee pays 25 percent until total drug costs reach $2,400.

Then enrollees fall into the doughnut hole and must pay the total retail price of their drugs until they reach spending of $5,451 for the year (in other words, they can pay as much as $3,051 out of pocket in the gap). Thereafter, they will only pay 5 percent of the drug costs.

Smoking may be connected with Erectile Dysfunction

Smoking a pack of cigarettes per day can increase the risk of impotence by up to 40 per cent, it has been claimed. Researchers surveying men in Australia concluded that erectile problems increase in direct proportion to the amount of cigarettes smoked. Those smoking less than 20 cigarettes were still 24 per cent more likely than non-smokers to join the ten per cent of men who suffer from erectile dysfunction.

"The good news is that quitting smoking greatly reduces the risk of circulatory problems such as impotence," said Deborah Arnott, director of the Action on Smoking and Health (Ash) charity. "Young men who want to avoid the embarrassment and distress of impotence can help themselves by quitting smoking before such problems arise."

Australia's Study of Health and Relationships also found that cardiovascular disease and old age increased the risk of impotence, but, as Chris Millett from Imperial College London said, such causes "can feel distant".
Mr Millett hopes to provide a wake-up call to the third of men aged 20-24 who smoke in the UK. "By highlighting this link between smoking and erectile problems we may be able to motivate these men to quit," he said.

Translating the 9.1 per cent impotence ration to the UK population suggests that over 700,000 British men aged between 30 and 50 may suffer some form of impotency. The Department of Health recently launched a high profile publicity campaign with posters aimed at highlighting the effect smoking has on sexual performance.

XLPharmacy Canada

What is happening in Congress and Medicaid D?

1. Members said the break in coverage was needed to cut program costs, but plan sponsors and pharmacy benefit managers continue to record double digit earnings from the program.

2. It appears that the creation of the doughnut hole has‘set the law’ for a special interest hand out to big business.

3. Even more disturbing, as our seniors face increased Medicare premium expenses next year, they are going to find fewer plans that offer brand name drug coverage in the doughnut hole.

4. Another twist? In what was deemed a "cost savings" move, Congress indexed the coverage gap for inflation. This means next year seniors will pay even more for drugs, as profits soar higher for big business. In 2007, when a senior reaches $2400 in total drug costs (up from $2251 this year) coverage will stop and then resume only when the senior spends a total of $5,451.21, which is an increase of $351.21 from this year's $5100 total.

Congress recognizes there is something truly rotten in Medicare Part D...now what do they plan to do about it?

Remember…Canadian Pharmacies are still a legal and cost saving alternative to this shameful mess.

XLPharmacy Canada
Safely saving you over 80% on your medications

Medicaid D - Adding Insult to Injury

Changes to the Medicare D Prescription Program in 2007 may significantly increase out-of-pocket costs for beneficiaries. With an end to the seizure campaign by U.S. Customs, American seniors once again turn to licensed Canadian pharmacies for safe, affordable medications and savings superior to Medicare.

With the enrollment period for 2007 Medicare D prescription program underway, American seniors are being urged to rethink their drug plans because of new changes that can dramatically increase their enrollment costs. A lot of providers have revised the drugs that are covered under the plan and many have increased their monthly premiums, some by as much as three-fold. Although the increase to premiums averages 13% nationally, coverage for branded drugs in the "Donut Hole" or coverage gap have skyrocketed in most areas with no availability whatsoever in 13 states.

To further add insult to injury, many seniors may be forced to incur a 7% late enrollment penalty if they did not enroll when originally eligible. Annual deductibles have also increased to $265 in 2007 from $ 250 in 2006 (when applicable) including a widening of the doughnut hole that will require patients to pay $3,850 out-of-pocket before gaining catastrophic coverage, as opposed to $3,600 in 2006.

Many Canadian pharmacies, like XLPharmacy Canada (www.xlpharmacycanada.com or www.xlpharmacy-us.com), have established international operations and can offer a wide variety of approved medications from several countries often at savings superior to Medicare D. But more importantly, American seniors may find it helpful to take advantage of both options simultaneously by ordering from a Canadian pharmacy whenever their Medicare plan requires they pay full price for their medications.

Many patients order from our online pharmacy when their drugs are not covered by their plan or when they enter the doughnut hole, knowing they will never spend through it. Taking advantage of imported medications when Medicare slackens is smart and easy - something more seniors will be discovering next year for sure.

Drug Reimportation Legal - It's About Time

The long-running standoff between government regulators and, well, virtually everyone else over legalizing reimportation of more affordable prescription drugs from Canada and other industrialized nations appears headed for resolution now that the Democrats are taking over Congress.All we can say is, finally!In recent years, millions of otherwise law-abiding U.S. citizens have been driven to break the federal law banning the purchase of prescription drugs from foreign markets, mostly Canada, because the cost can be two-thirds or less compared with the same drugs purchased domestically.

Public support for legalizing reimportation is overwhelming. An August Wall Street Journal-Harris Interactive poll found that 80 percent of Americans favor allowing the practice. Two-thirds of those questioned cynically said they believe the restrictions are in place mainly to benefit drug companies.

Right now, one of the most affordable sources is overseas, mail-order pharmacies. Congress should remove the legal barriers and the FDA should ramp up efforts to monitor the overseas sources millions of Americans are already relying on.

XLPharmacy Canada

Dealing With Hair Loss

WHAT ELSE CAN I DO?

Thinning hair or a receding hairline can be a real problem. It affects the way people perceive you, and makes you self-conscious about your appearance. Most of the time, the disappearing follicles
are not caused by any mistake on our part... our loss of hair is in our genes. You might think about using Propecia as it has been proven to arrest the receding hairline. Besides using Propecia, we have listed five proven practices you can use to complement Propecia and grow more hair.

Inversion

One of the major causes of baldness is a lack of blood flow to the scalp. This may be caused by shrinking capillaries or scalp muscle tension. The simple solution is to reduce scalp tension and invert the body so more blood flows to the head. You can do this by letting half your body hang off the edge of a bed. Simply lie on your belly and allow the upper half of your body to hang towards the ground. Your head being the lowest point. The other easy way is lie down on the floor and prop your legs up on a chair. Lie flat on the floor and put your calves and ankles on the seat of a chair. Your legs should be at a ninety-degree angle.

Nutrition

You are what you eat. Your body works with whatever nutrients you give it. So if you feed it fat and oil, the body is going to store it. Fat and oil is no good especially if you have an oily scalp. Switch to a lean meat, high fiber diet, and take multi-vitamins that contain biotin and zinc (two essential nutrients for hair growth). I know it's not easy to change the way you eat, especially when you have cravings or have been eating a certain way for years. But think of it as feeding your hair the nutrients it needs to grow strong and
beautiful.

Vital Energy

This concept is a bit esoteric, but it is a universal truth. Your body runs on vital energy. The Chinese call this Qi. The Indians call it Prana. Now this energy has two forms: Yin and Yang. Yin energy is cooling, like water. Yang energy is hot, like fire. You must keep the two in balance in order for the body to be healthy. Most people with thinning hair, have an excess of Yang energy. They like to eat high Yang energy foods like meat and nuts. Understand that hair is associated with Yin energy. So you've got to eat the cooling stuff like fruits, vegetables; soybean, tofu, avocado, tomatoes, cucumber, celery, bananas and more. All the stuff you
didn't like to eat as a kid. Reduce the intake of fatty foods like burgers, pizzas, steak, fries, deep-fried chicken and anything with excessive oil.

If you don't like having to chew through all that fruit and vegetable fiber, we've got a million dollar tip for you: GET A BLENDER. You can put your fruits and selected vegetables in it; add ice, throw some yogurt on top (and water, if necessary), press blend and presto! Instant smoothie. This one technique can help you consume five times more fruit and vegetables than you would in a normal day. Imagine the nutritional power of taking in one apple, two pears, one banana, one carrot, one tomato and three stalks of celery, all in one smooth and delicious drink!

Cut Toxic Substances

It makes sense that if you're trying to grow hair through a healthy body, you've got to remove the toxins
from your system. And the major intake of toxins used by the majority of the population are tobacco and alcohol. If you smoke - quit. If you drink - reduce or refuse. Removing these two poisons will stop the toxic build-up in your system. Only then will your effort to consume nutritious foods and balance vital energy not be
wasted by these damaging habits.

Become Stress-Free

In your effort to ensure maximum blood flow and nutrition to the scalp, one natural factor can inhibit your progress - stress. Stress can cause your scalp muscles to contract while you furrow your brow in frustration. This stops the blood flow to your hair roots. Without the blood to deliver nutrients, your hair follicles die.

Whether you're a working person or a student, everyone experiences stress. It's a natural part of life. The difference between those who feel free and happy, and those who are frustrated, is simply the ability to relax and let go of worries. In this crazy fast-paced world of ours, the ability to let go and center oneself is becoming
a rare commodity. Many people simply don't know how to avoid getting stressed. We can't teach you the whole technique here, but we can point you in two golden directions to removing stress from your life.

#1 Learn to Meditate

That's right. Meditate. Learn to sit down and let all your thought flow past. Neither criticizing nor worrying about what you should do about it all. Simply let it pass. Whether you learn from book, from audio, or a formal class. It's one skill that will bring you a lifetime of stress-free living. Join a yoga class. (50% of yoga class members from what we have seen are "men"). Even pro-sports players know yoga is the perfect warm up before and/or after a heavy-duty workout.

#2 Get Organized

When you have a plan, you reduce the amount of worry in your mind. Having a concrete step-by-step plan of what you need to do to overcome your problems provides a sense of security and certainty. No longer are you a lost ship at sea because now you have a map. All you need to do is paddle to get to where you want to go. The value in organizing yourself is you reduce stress and increase productivity. Not only will you grow more hair, you'll be a greater success because of it.

XLPharmacy Canada

Does Propecia Help Women?

Propecia or it's Generic equivalent Finasteride is a medication approved to treat hair loss in men and has recently been thought to improve the condition in women when combined with oral contraceptives, according to an article in the March issue of Archives of Dermatology.

50% of women experience female pattern hair loss during their life. Women who are affected often report feeling embarrassed and have social anxiety which makes the condition worse. Current treatment generally involves minoxidil (Rogaine), a medication typically applied to the scalp to encourage hair regrowth, which is effective but not always well accepted by patients.

Matilde Iorizzo, M.D., and colleagues at the University of Bologna, Italy, evaluated the effectiveness of 2.5 milligrams of finasteride taken by mouth daily and combined with an oral contraceptive in 37 women aged 19 to 50 years who consulted a physician about their hair loss. The contraceptive was necessary to prevent pregnancy in women in the study, because finasteride is known to cause birth defects.

The researchers selected a type of contraceptive that reduces levels of male hormones, because that effect may also contribute to the treatment of hair loss. They took pictures of the patients' heads and gathered information on their hair density with a technique known as computerized light videodermoscopy at the beginning of the study and after they had taken the two medications for 12 months.

At the one-year mark, 23 (62 percent) patients were rated as improved using comparisons of the photographs. Thirteen patients did not improve, and one patient's condition worsened. Hair density scores increased in 12 patients. On a questionnaire, 29 patients reported that their condition improved after 12 months, eight said that it had stabilized and none reported that it had worsened. None of the participants had adverse reactions to the treatment.

This treatment was well accepted by the patients, who judged the results to be even better than did the investigators. The clinical results using global photography, hair density scores and patient self-assessment provide a basis for future work.

Further studies are needed to establish the optimal dosage and mode of administration of finasteride in premenopausal women and to definitively assess the efficacy of this drug compared with oral antiandrogens.

Read more at ABOUT

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Democrats - A Chance to Change Drug Costs

Democrats Have Chance to Make Changes in Drug Costs

Shares of most major drug makers and health insurers fell last week on concerns over tougher regulations on prescriptions. Democrats have said many of these firms have reaped huge sales and profits from the new drug benefit. This is money that could have been passed on to taxpayers in terms of savings or even to seniors in terms of better drug benefits.

The law creating the Medicare Part D drug benefit, added in 2003, did not allow the Medicare program to negotiate prices directly with manufacturers, as the U.S. Department of Veterans Affairs does. The VA has long been known for winning price concessions from drug companies with direct negotiations.

A nonpartisan study has shown costs are more than 10 percent higher by having private insurers involved in the benefit coverage instead of having the government manage the program on its own.

The Democratic Party's takeover shifts the policy landscape for health-care providers. The Democrats will put Medicare Part D 'in play' by proposing the removal of the clause called the Medicare Modernization Act of 2003 that prohibits the federal government from negotiating drug prices directly with manufacturers.

How do the Drug Companies and Campaign Recipients feel about this?

Not to be underestimated, however, is the influence of the pharmaceutical industry, which contributes heavily to campaigns of both parties. And President Bush, a Republican, would have the authority to veto any legislation while his appointees, who run the Centers for Medicare & Medicaid Services can stall on employing provisions for negotiating directly with drug makers.
At the very least, Democrats have gained the power to hold hearings to discuss the profits that drug makers, health insurers and pharmacy benefit firms have made since the Medicare benefit became widely available to seniors this year.

The drug industry also argues that regulating drug prices would hurt consumers and patients because it would harm drug makers' budgets for research and development. Pharmaceutical companies also say price controls could lead to supply shortages.

America's pharmaceutical research companies lead the world in discovering new cures and treatments for patients. The new drugs that save patients lives are a result of the billions of dollars and years of research and development that pharmaceutical companies invest.

XLPharmacy Canada

Democrats - A Chance to Change Drug Costs

Democrats Have Chance to Make Changes in Drug Costs

Shares of most major drug makers and health insurers fell last week on concerns over tougher regulations on prescriptions. Democrats have said many of these firms have reaped huge sales and profits from the new drug benefit. This is money that could have been passed on to taxpayers in terms of savings or even to seniors in terms of better drug benefits.

The law creating the Medicare Part D drug benefit, added in 2003, did not allow the Medicare program to negotiate prices directly with manufacturers, as the U.S. Department of Veterans Affairs does. The VA has long been known for winning price concessions from drug companies with direct negotiations.

A nonpartisan study has shown costs are more than 10 percent higher by having private insurers involved in the benefit coverage instead of having the government manage the program on its own.

The Democratic Party's takeover shifts the policy landscape for health-care providers. The Democrats will put Medicare Part D 'in play' by proposing the removal of the clause called the Medicare Modernization Act of 2003 that prohibits the federal government from negotiating drug prices directly with manufacturers.

How do the Drug Companies and Campaign Recipients feel about this?

Not to be underestimated, however, is the influence of the pharmaceutical industry, which contributes heavily to campaigns of both parties. And President Bush, a Republican, would have the authority to veto any legislation while his appointees, who run the Centers for Medicare & Medicaid Services can stall on employing provisions for negotiating directly with drug makers.
At the very least, Democrats have gained the power to hold hearings to discuss the profits that drug makers, health insurers and pharmacy benefit firms have made since the Medicare benefit became widely available to seniors this year.

The drug industry also argues that regulating drug prices would hurt consumers and patients because it would harm drug makers' budgets for research and development. Pharmaceutical companies also say price controls could lead to supply shortages.

America's pharmaceutical research companies lead the world in discovering new cures and treatments for patients. The new drugs that save patients lives are a result of the billions of dollars and years of research and development that pharmaceutical companies invest.

XLPharmacy Canada

Walmarts 4 Dollar List

It sounds really good, really humanitarian. However those medications usually are not that expensive anywhere you get them. After debuting the program last month in Florida, Wal-Mart has expanded the low-cost generic prescriptions to Virginia this week.

About 314 generic drugs are on the list. See the list HERE.

The problem with this list is many generic drugs covered by insurance have a co-pay of $4 or less. We would imagine most of the drugs on the list, if you ran them through the patient’s insurance, would come up to four dollars or less.

XLPharmacy Canada is still a very good choice for over 1000 medications that somehow just don't show up on Wal-Mart's $4 list.

Drug Costs and Price Comparisons

Consumer Reports did a survey of prices for five common prescription generic drugs and found striking differences at 132 pharmacies across the U.S. For a family paying out-of-pocket for five drugs, the difference between the highest and lowest prices could total nearly $2,200 a year.

There were substantial savings by choosing generic rather than brand-name drugs.You can compare prices at ConsumerReport.org//health. Go to the Medical Guide section, click on Drug Reviews A-Z Index and select a drug. Clicking on the Shop Online symbol ($) for that drug will take you to a secure page listing objective price information from online pharmacies and other retailers.

You can compare prices with Canadian Pharmacies as well. Now that the Federal Government has stopped seizing Uncle Joe’s blood pressure medication at the border. They have handed over the task of safety watch where it belongs, to the FDA.

You can also check online at ConsumerReportsBestBuyDrugs.org to find out whether generics are more cost effective for treating your condition than name brands. But be sure to talk to your doctor and/or pharmacist before switching.

Here is a handy medication list (Med List) and tips you can download for free on using medications wisely from CONSUMER DIRECTORY.

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Medicaid D - A Closer Look

Medicare Part D – not always the cheapest

An August survey looked at the price of six prescription drugs at 261 pharmacies in South Florida. Those prices were then compared with 44 insurance plans that offer Part D coverage at ''full cost,'' after Medicare patients have used the first $2,250 of their drug benefit and have fell into the so-called doughnut hole.

Here is a quick example, a 30-day supply of the cholesterol drug Lipitor could be purchased at Wal-Mart for $62.85. The lowest out-of-pocket price in the Medicare Part D plans was $67.46, according to the Consumers Union survey. And at XLPharmacy in Canada that same prescription is only $20.00 to $30.00 depending on whether it’s 10 or 20 mg.

There is to be at least eight prescription-drug plans in place in Florida alone in 2007 that provide coverage in the so-called doughnut hole, and the monthly premiums will be between $36.60 to $104.89, according to the Florida Department of Elder Affairs. The average Medicare Part D plan monthly premium in Florida is $24 now.

Your drug costs can go up or down, depending on the plan. Medicare D still needs a lot of work.
And just as a side note here, we found that Big Pharma also complained that Canadian imports aren't inspected by the U.S. Food and Drug Administration (FDA).

Let’s look at this one for the sake of argument

Among the problems with that argument is that Big Pharma itself imports many of its most lucrative drugs from offshore, low-cost jurisdictions, where manufacturing facilities have sometimes been found by the FDA to be substandard.

Then there is the derogatory report that showed up late last month from a panel of the Institute of Medicine (IOM), which found that the FDA's seal of approval isn't a guarantee of safety in medicine — proof which includes Merck & Co.'s withdrawal of its leading arthritis drug Vioxx after studies showed it doubled the chances for severe heart disease. The FDA's raised questions about the agency's ability to ensure the safety of the U.S.'s drug supply. (read more on how the FDA is now paid a fast-track fee)

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Flaws in HHS Summation of 2007 Medicaid Premiums

The Department of Health and Human Services released its analysis of 2007 Medicare drug plan premiums on September 29, 2006. The HHS analysis made a number of claims about the drug plans. The most important claim was that for the average senior, drug plan premiums would not increase in 2007.

A letter from Rep. Waxman to HHS Secretary Leavitt explains why the HHS claims are erroneous and requests that HHS immediately revise its estimates of Medicare Part D premiums to reflect the true cost increases senior citizens will face in 2007. Read more about it in Rep Waxman's Letter below:

Read Rep Waxman's Letter Now

XLPharmacy Canada

Men and Women Experience Different Pain

Blue Pills - Pink Pills

Indeed, it does seem kind of weird that genetics or gender could play a role in anything as elemental as being hurt.

But in the last decade or so, psychologists and other pain researchers are coming around to a new definition of just what is pain — and how the experience looks to be different in men and women…(read more)

XLPharmacy Canada

Unconscionable Drug Seizures to Begin With

It is unconscionable that our own federal government had seized more than 37,000 prescriptions intended for Americans who can't afford their medicines.

It really was a senseless policy, a huge special interest favor to the big drug companies, and we am pleased it has been stopped.

Make no mistake, we are quite aware this reversal, has come right before an election, but nonetheless it is good news for consumers in America for those who are desperate for more affordable prescription drugs.

It is clear that the Bush Administration is feeling the pressure from millions of Americans who want access to safe, lower price prescriptions available from Canada.

Even though the Bush Administration has - for now - stopped the drug seizures, the President and his allies in Congress continue to oppose prescription drug reimportation. One can only speculate this is not made up of goodwill that lasts only as long as the cast of a vote come election time.

XLPharmacy Canada

Homeland Security stops all Canadian Drug Seizures

The Department of Homeland Security late yesterday agreed to stop confiscating prescription drugs mailed to American consumers from Canadian pharmacies. For nearly a year, the White House has been punishing seniors for filling their prescriptions at lower Canadian prices. Now it looks like the government is getting out of the business of harassing these consumers.

Word that the administration is ending U.S. Customs and Border Protection’s role in the controversial drug-seizure program came in an e-mail from a Homeland Security official to congressional staff late Monday. Since last November, some 40,000 Americans have had their prescriptions seized by Customs’ agents. It was discovered that federal agents began seizing drugs just two days after enrollment started for the Bush administration’s Medicare Part D program.

Only yesterday - after nearly a year of probing and prodding led in large part by Senator Nelson - Customs said in an e-mail to congressional staff it was halting its involvement in the seizure of Canadian drugs. The decision means the Food and Drug Administration resumes the job of overseeing drug imports from Canada, as it did prior to last November. Nelson said today he still wants the congressional probe by Sen. Collin’s committee to seek answers on why the administration started the medicine seizures in the first place.

Nelson’s previous letter to Sen. Collins seeking an investigation of the government’s program to confiscate consumers’ medicines is attached.

Thank you from Americans everywhere Senator Nelson! To a Senator that doesn't give up!

DHSemail.pdf
pdrugseizureltr.pdf

XLPharmacy Canada

Medicaid D 2007 Plan Not All That Rosy

The fact that there are more plans available, and a shorter period of time to choose from them, just might add to the difficulty and confusion in getting a good plan. It’s still a pretty difficult choice to make.

Even seniors who signed up last year have to decide whether to stay with the plans they have -- which have the option of changing the costs and formulary of the plan. Yet worse - they’re going to have to keep doing this every year.

When the six-week enrollment period for 2007 begins Nov. 15, seniors will have about 50 plans to choose from in every state, from 17 different insurers nationwide that have been contracted to administer the federally financed benefit.

Seniors concerned about the gap in coverage between $2,250 and $5,100 known as the 'doughnut hole' will also have more plans to choose from. Is this good or bad? More plans? How but fewer and less confusing.

For example, there will be 15 or 16 plans in each state that offer full coverage for generic drugs even during the coverage gap, unlike other plans, which require beneficiaries to pay for all of their drug costs during the gap out-of-pocket.

The plans that offer doughnut-hole coverage may also be out of reach for the lower-income individuals who need them the most.

Instead of leaving seniors open to all these problems, wouldn't a better alternative be to offer a Medicare-administered plan that does not have a coverage gap? The low average premium of $24.00 touted by the administration shows that seniors are choosing low-cost plans that may not be meeting their needs. It’s hard to know if a lower-priced option is lower-priced because it’s giving you less of what you want.

Maybe the question we should be asking is, ‘Is this the best program we could have for the massive resources being devoted to it?’

XLPharmacy Canada

Newest on the Doughnut Hole

We just read an interesting article on Congresswoman Nancy Johnson in the Herald regarding a group of 50 protesters chanting "Hey, hey, ho, ho - the donut hole has got to go" Friday outside U.S. Rep. Nancy Johnson's office on Grove Place. The main focus was on Johnson and Medicare Part D. Johnson is the self-styled architect of Medicare Part D, which includes a "donut hole," a gap in drug coverage after seniors and their insurance companies have spent $2,250 on medications.

Part of that article referenced opensecrets.org, a Web site that tracks political campaign contributions. Johnson has received $5,813,018 in campaign contributions from the health-care industry. She chairs the Public Health Committee that oversees health care legislation.

Sherwood told The Herald that Pomerleau had contacted his organization. "We didn't contact her," he said. "But, we were sympathetic to her situation. The 'donut hole' is like having to pull over your new car on the side of the road when it reaches 3,000 miles and walk the next 5,000 miles even though you're still making car payments."

Sherwood said Johnson dismisses people's concerns about the "donut hole" by citing a survey that claims nearly 80 percent of recipients are happy with the Medicare program. "That survey was done before the donut hole went into effect," he said. "It's incredibly misleading to continually use it as a smoke screen." (read more at the Herald…)

XLPharmacy Canada

Misperception that FDA approval of a new drug denotes safety

September 28, 2006 – Senior citizens should be among the Americans paying close attention to a report released Friday by the Institute of Medicine that says the U.S. Food and Drug Administration lacks the ability to adequately protect Americans from dangerous prescription drugs after they reach the market. Older people are by far the most likely to suffer from dangerous drugs. The report suggests remedies, including a symbol on labels showing the contents are a "New Drug."

Calling it a "scathing report," Consumers Union said it should "set off warning bells in Congress that it must reform the nation’s broken drug safety system now, and put in place an open process where the pharmaceutical industry can no longer hide critical safety information and consumers can have faith in the medicines they take." (Read more...)

XLPharmacy Canada

Medicare Introduces New Web Page for Seniors

'Medicare Options Compare' will launch on October 12

September 27, 2006 – Medicare will introduce on October 12 a new Web page to help senior citizens make decisions in selecting a new drug plan during the enrollment period that begins November 15. The old "Medicare Personal Plan Finder," used by millions in the first year, will become "Medicare Options Compare." This is one of the new tools being introduced in the fall promotion campaign called "My Health. My Medicare." The campaign will also emphasize the preventive care features of the basic Medicare program. (Read more...)

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Northerners can buy Canadian (short ride), What about the rest of America?

We recently read A survey from The Ayres, McHenry & Associates survey found among other things that:

• More than 39 million Medicare beneficiaries have coverage
• Seventy percent of Medicare Part D enrollees would recommend that others sign up for the new Medicare prescription drug benefit
• Two-thirds of enrollees think passing the Medicare prescription drug plan was a good idea
• Fifty-eight percent of enrollees say they are saving money with the new benefit

Looking at the survey results of the above figures we are still trying to read these totals, so it makes sense without the bias.

• 70% would recommend the new plan out of 39 million people, so 13 million people would not?
• 66% think the plan was a good idea, so 34% do not?
• 58% say they are saving money on the plan, so 42% do not?

Isn’t the idea to have a plan that would benefit ALL Medicare Recipients? It is common for surveys to show results in a biased view. When you only state the positive side (and it is nice the positive side is larger then the negative, we agree) you are slanting the facts, and the facts are this program is still far from reaching everyone it was supposed to reach.

The house and senate did in fact agree just days ago to allow American consumers to ride across the Canadian border to purchase their medications cheaper. That makes sense if you live in say, North Dakota or New York, but what about the person who lives in Texas or Florida, or somewhere in between?

House and senate members do agree that border seizures must end, and yet drag their feet to pass any law ensuring this measure. The majority of Canadian pharmacies receive their medications from the same manufacturers that American pharmacies do. When people have been ordering their medications from Canada for years, have had not even one documented problem with their medications, why make those who have no easy access to the Canadian border suffer? Their peers in the northern states are now able to drive across the border and receive their medications at a cheaper price. It only makes sense to allow those farther away to continue purchasing their medications from the same trusted and respected licensed online Canadian pharmacies they’ve dealt with for years.

Continue to hope. And write your Congressmen today!

First District Congressman Gil Gutknecht has long supported a free market for prescription drugs, favored allowing Canadian imports and has complained to the FDA about the practice of seizing Canadian drugs. He should now use his seniority in the Republican Party to make sure this provision gets through the conference committee, dominated by his party. Let’s encourage him with a few letters shall we? (As well as other members of Congress)

It’s just the right thing to do.

Congress Emails: Click here for the 540 members of the 109th Congress

The House and Senate finally agree on 90-day supplies of prescriptions from Canada

The House and Senate agree on something!

Finally, the House and Senate Republicans reached an agreement that will allow Americans to bring a 90-day supply of prescription medications back across the border from Canada

For years Americans have shopped in Canada for lower cost medications. Saving on brand-name prescription drugs can be up to 80 percent lower in because Canadians cap their drug prices and don’t play the ridiculous “gouge the consumer” absurd games American companies do.

The agreement was reached this week as part of a Homeland Security spending bill that is moving through Congress, and would prohibit U.S. Customs agents from seizing up to 90-day supplies of prescribed medicines being brought into the U.S. from Canada. This comes in the same week that Wal-Mart Stores Inc. announced it plans to slash prices for generic prescriptions to $4.00.

Well, at least one American company is doing something!

A pre-election controversy over that enforcement policy threatens to divide House leaders as some are against lifting the import ban and others want cheaper drugs for the elderly. Meanwhile Democrats are pushing for broader access to imported drugs and accuse Republicans of trying to "blow smoke “.

Someone “just do something positive here”.

According to the Congressional Budget Office, brand-name drugs cost, on average, 35 percent to 55 percent less in other industrialized nations than they do in the United States. Supporters of importing drugs contend that the U.S. is subsidizing the cost of medicine for the rest of the world.

Wait…lets stop and think on that for a minute.

XLPharmacy Canada Health News

Time Running Out on Medicare Fix

Louis Sciuto, 59, readies a syringe prior to injecting himself with insulin. The state allocated $3.7 million in emergency drug coverage for people like Sciuto who lost benefits under Medicare Part D, but it might not be enough. Until this year, Medicaid paid his doctor bills and covered the 25 prescription drugs he takes to manage his health. That changed Jan. 1, when a glitch in the federal Medicare Part D drug program cost him his Medicaid benefits - including coverage of the immunosuppressant drugs that prevent his body from rejecting the transplanted kidney…(Read more at TBO.com)

XLPharmacy Canada Health News

Some Major Medical Plans Dropping Out Next Month

An untold numbers of seniors could find out next month that they will either have to change prescription drug plans or lose coverage altogether because plans participating in the Medicare Part D program could suddenly drop out of the program...read more...

XLPharmacy Canada Health News

Eighty Percent of U.S. Adults Favor Allowing Importation of Prescription Drugs

A Recent Helath Poll by Harris Interactive Health Poll found that Eighty Percent of U.S. Adults Favor Allowing Importation of Prescription Drugs. U.S. adults indicate that they favor allowing people to importprescription drugs from Canada and other countries if they are much lessexpensive. A vast majority (84%) of the public strongly or somewhat agreesthat the law banning pharmaceutical imports is intended to protect drugcompanies' profits, while only thirty-six percent say this law helpsprotect Americans from potentially harmful drugs...

More at: Harris Interactive Health Poll Results

XLPharmacy Canada

FDA and Fake Drugs - Fact or Fear?

Evidence?

Some may question how FDA defines “counterfeit,” as there are allowable variances in active ingredients from batch to batch from brand-name manufacturers, and also when comparing generics and brand names.

“They have not shown any evidence in that report that the accusations have validity,” said Mr. Troszok, an on-line pharmacist and past president of the Canadian International Pharmacy Association. “Our organization is asking for clarification on this issue before we make any generalized statements.”

Instilling more fear?

David MacKay, a consultant for more than a dozen Canadian on-line pharmacists, shared Mr. Troszok's skepticism. He pointed to the FDA's long-standing opposition to the trade and says it has a pattern of trying to instill fear in the U.S. public about legitimate Canadian drugs.

Testing Methods?

“We have absolutely no indication of the methodology of their testing, or the country of origin,” said Mr. MacKay, a consultant for more than a dozen Canadian on-line pharmacists. “There is a potential this may not be on the up and up.” Mr. MacKay said in recent weeks there been increased buzz among U.S. opponents of the industry about the threat of counterfeit.

Canadian Pharmacies Take the Heat!

The Canadian industry has lost much of its steam in the last 18 months due in large part to the strong Canadian dollar and blacklists by brand-name drug manufacturers that have driven many Internet pharmacists to get their drugs from overseas suppliers. These blacklists are created when a large Pharmaceutical company in the U.S. who makes the same drugs for Canada puts the squeeze on Canadian Pharmacies by choosing to sell limited quantities to Canada thus allowing U.S. Pharmacies to make more when Canada runs low or completely out (which has not happened yet). This mentality hurts Canadians and U.S. buyers as more and more online pharmacies will choose outsourcing to other international companies to fill that gap created by U.S. Pharmaceuticals who insist on being the only choice.

Is it coincidental when for the past year seizures have risen, scare tactics have been initialized, and now fake drugs have been found? What surer way to keep Americans buying American, and Plan D in check.

What do they care?

"Part D seems to be impacting the whole industry," said Betty Sanna, Verispan's product director of managed care. "It's absolutely important to these companies." After a bumpy start to the program, Medicare Part D has had a pronounced effect on pharmaceutical companies' financial results, with a majority of U.S. pharmaceutical revenues in the second-quarter exceeding Wall Street expectations.

But experts caution that the upside to U.S. pharmaceutical earnings may not last. As the financial costs of maintaining the benefit rise (Plan D), plans may limit choices to products that are the best value for the money, and many payers will implement generic-only formularies, allowing access to branded medicines only after a generic drug has failed.

How 10 Largest Drug Firms Benefit From Medicare Part D

Some of the biggest pharmaceutical companies are generating a higher proportion of sales from their drugs' participation in the Medicare Part D prescription drug program. The companies are ranked by U.S. retail sales.

% Part D prescriptions-Biggest Company-January-July 2006-Part D Drug

1. Pfizer Inc. - 8.8 percent - Lipitor
2. GlaxoSmithKline P.L.C. - 7.7 percent - Coreg
3. AstraZeneca P.L.C. - 10.4 percent - Toprol XL
4. Novartis AG - 8.9 percent - Diovan
5. Merck & Co. Inc. - 10.9 percent - Zocor
6. Johnson & Johnson - 5.5 percent - Levaquin
7. Teva Pharmaceuticals - 7.6 percent - lisinopril
8. Sanofi-Aventis SA - 6.7 percent - Ambien
9. Eli Lilly & Co. - 9.5 percent - Evista
10. Bristol-Myers Squibb - 13.6 percent - Plavix


Reference:
pharmacist.com
theglobeandmail (Canada)

Informational articles gathered by
XLPharmacy Canada

Feds Seizures Make American Unwell

The stories about the government seizing legitimate prescription drugs from Canada seem a bit unbelievable at times. We couldn’t understand how a government could so easily side with pharmaceutical companies over its citizens trying to buy their medicine at an affordable price.

The stories are true however, and we read story about a gentleman from Madison Lake, a retiree named Maurice Hardie who is in the process of appealing his case to federal authorities. The cholesterol drug, Prevencor, has always been shipped to him from a legitimate, low cost Canadian pharmacy for six years.

Now, under an apparently new directive, the government has begun seizing the pills of people like Hardie. Some 10 percent of the medicines are now being intercepted, and recipients face a daunting government bureaucracy to get them returned.

Of course, what makes this bad situation even worse is the ever-increasing cost of prescription drugs that send many of our seniors and other various age Americans to Canada in the first place. In fact, Americans now purchase some $700 million of medicine from Canadian pharmacies.

The government has limited the supply and made it more difficult for honest citizens to pay an honest price to get their medicines. Congress should be outraged, and they are. They voted 68-32 recently to overturn the seizures at our borders. We thank some of our members of Congress for trying to do something.

They’ve recently inserted an amendment into the Homeland Security funding bill that would prevent customs from seizing prescription drugs. Members of the Senate and House, fielding numerous complaints about the seizures from constituents, passed legislation earlier this year barring the practice.

However, the bill is now in a conference committee where it will undoubtedly be subject to heavy pharmaceutical industry lobbying, and where members of the conference committee can avoid accountability, and we who literally ‘pay the piper’ must wait for that outcome as always in slow fashion.

First District Congressman Gil Gutknecht has long supported a free market for prescription drugs, favored allowing Canadian imports and has complained to the FDA about the practice of seizing Canadian drugs. He should now use his seniority in the Republican Party to make sure this provision gets through the conference committee, dominated by his party. Let’s encourage him with a few letters shall we? (As well as other members of Congress)
It’s just the right thing to do.

Congress Emails: Click here for the 540 members of the 109th Congress

Reference Article Rewritten by
XLPharmacy

The Cost of American Medicine - 11 Simple Facts

Fact #1: 45.8 million Americans under the age of 65 lacked health insurance coverage in 2004.

Fact #2: In 2005, the cost of health care insurance for family coverage surpassed the annual salary of a minimum-wage worker.

Fact #3: Drug benefits of many employer insurance plans are being reduced every year. These reductions in drug benefits include steps such as higher premiums for drug benefits, higher co-payments on drug purchases, higher annual deductibles, tiered cost sharing, annual dollar limits on drug purchases, tightening eligibility rules and completely cutting drug benefits all together. This means more and more individuals are becoming underinsured when it comes to prescription drug coverage.

Fact #4: U.S. National Health Care Expenditures per Capita rose by 123% from 1990 to 2004. In that same time frame Prescription Drug Expenditures increased 78.6%. Prescription drug spending is one of the fastest growing components of national health care spending. In fact, in 1999, national prescription drug spending increased an astounding 18.2%, compared to an 5.2% increase for physician and clinical services and a 5.0% increase for hospital care.

Fact #5: Retail prescription drug prices increased an average of 8.3% a year from 1994 to 2004 (from an average of $28.67 to $63.59), more than triple the average annual inflation rate of 2.5%.

Fact #6: The five most highly paid Drug Company executives pocketed more than $183 million in compensation in 2001, with the top 25 pharmaceutical execs averaging nearly $6 million in annual compensation in 2000. That compensation does not count stock options, which can add millions of dollars to a CEO's income.

Fact #7: Prescription drug costs are expected to increase by 12.6% a year for the next 10 years, according to a recent report issued by the U.S. Department of Health and Human Services. By 2010, 16% of what Americans spend each year on personal health care will be spent on prescription drugs, the department said. In 1999, it was 9.4%.

Fact #8: The United States is the only developed nation that does not regulate drug prices. American consumers pay much more for their prescription drugs than any other country in the World. In fact, a 2003 study by the U.S. Department of Commerce International Trade Administration compared the U.S. prices of a list of 54 prescription drugs with the prices in 9 other countries and found that the prices in these 9 other countries were 18 to 67% lower than the U.S. prices.

Fact #9: FDA-approved does not mean "Made in the U.S.A.". Actually, more than 40% of the drugs sold in the U.S. are made by foreign-based firms that may have American operations.

Fact #10: An estimated 2 million Americans now buy their drugs from a Canadian pharmacy.

Fact #11: A study published in the Annals of Internal Medicine in September 2005 (Volume 143 Issue 6) concluded that brand name medications are often substantially less expensive when purchased from Canadian Internet pharmacies instead of from major online U.S. drug chain pharmacies.

Individual's struggling to afford their medication costs may want to look to Canada as a viable option for purchasing their prescription drugs. Canada is a very highly regulated and safe country to buy medications from. Millions of Americans have been ordering medications from Canada for more than 5 years now and there have been no reported cases of an American citizen harmed by an inferior medication. American residents can save an average of 80% on their prescriptions when buying from a licensed Canadian pharmacy.

Original Facts presented by Jeremy Cockerill a licensed Canadian pharmacist. Mr. Cockerill graduated from the Faculty of Pharmacy at the University of Manitoba with Honors in 1998.

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What Do I do with left-over medications?

The answer isn't as simple as you might think

I plead guilty to having flushed some down the tube before I heard that the Environmental Protection Agency frowns on this method of disposing of prescription drugs.

So where do you take them?

When asking at the local Pharmacy where one should take unused drugs to dispose of them safely, the clerks response was he said he'd check with the pharmacist, and came back with the advice to flush them down the toilet. But the EPA warns us not to do this.

According to the EPA:

"If your throw your pharmaceuticals and health products down the drain or flush them down the toilet, and if your home is connected to a municipal sewage system, some of these of course are going to typically be discharged into lakes, rivers, or oceans, because most waste water treatment plants are not designed to remove or destroy this stuff from waste water."

On the contrary, they may kill the bacteria in the septic system that aids in breaking down the waste in the household waste water. These helpful bacteria are also a component used in sewage treatment plants to break down waste.

But, where do they end up when you get rid of them?

Scientists are finding everything from aspirin to Zoloft in our streams, rivers, and lakes, neither flushing or trashing the old medications is a good method for disposal. Children or animals could get into drugs that are simply tossed into the trash and once they reach the landfill they can trickle down into the ground water.

Okay, Okay...So, what do we do with these drugs?

It is unlawful for pharmacies to take them back for redistribution. (Makes sense, but what a sad thing it could not be done). It is even unlawful to give them to an agency that could use them for its uninsured patients. It is also unlawful to pass them on to family members or friends, although this happens all too often. And at the cost of medicine today, some understand why.

Well, Is It Really Hurting the Fish? (You'd Be Suprised What's Happening To The Fish!)

According to a report on the U.S. EPA Web site, studies have confirmed that female hormones are in such abundance in our rivers and streams that the aquatic life is being affected. They report a feminization of male fish found in the United States, Europe, the United Kingdom and Japan. This is linked to the exposure to both natural and synthetic estrogens and chemicals that mimic estrogens in the water.

According to U.S. EPA report, the majority of these endocrine-disrupting chemicals are believed to reach the aquatic environments via the effluent released into the streams and rivers by sewage treatment plants.

Investigating the scarcity of fish in the Columbia River in Washington state near the Oregon border, scientists found only female fish, or at least what appeared to be female fish until their DNA was analyzed and many of them were found to actually be males.

The same phenomenon was observed in England and both sites were said to be downstream from sewage treatment plants. Scientists have discovered that male alligators are similarly affected in Lake Apopka, Fla., and they also found many infertile male panthers.

Dr. Leonard Sax said most of the chemicals under study did not exist before 1950. In his study, he found that many of them mimic the action of the female sex hormones called estrogens. Sax said a similar process to that affecting the aquatic animals and other wild life may also be affecting the human male.

No matter which way you choose to dispose of them, It seems the burden is on the person taking the medication or in the case of leftover meds, not taking them.

A Perfect Solution, Not in the U.S., but in Canada

The Canadians have a much better solution. They put the onus on the pharmaceutical companies that produced the drugs. Sounds fairly logical, don't you think?
In most of the Canadian provinces, there is a Medications Return Program whereby people can take their outdated or unused medications to their local pharmacy where they will be held for the pharmaceutical companies.

In 1997, British Columbia established Post-Consumer Residual Stewardship through its Waste Management Act. The Post-Consumer Pharmaceutical Stewardship Association was formed in 2000 to administer the Medications Return Program.

In eight of Canada's provinces, consumers may return, at no charge, residual prescription and over-the-counter medications, vitamin and mineral supplements and natural health products.
It is then up to the pharmaceutical and other manufacturers to dispose of the excess in ways that are acceptable to the Waste Management Act standards or find ways to safely recover the basic drugs for possible recycling.

Why is the U.S. Lagging Behind Here?

Until the United States or individual states are forward thinking enough to adopt a program such as the one in Canada or England or Australia, remember the advice "Don't flush" and check with your local public works department to find out when the next HHW (Hazardous Household Waste) collection will take place.

America Doesn't Negotiate Drug Prices

In case you haven’t noticed, a large wall is being built around the American people to ensure that they remain prisoner to the drug industry. It’s easy to understand why drug makers want to force Americans to buy their products in the United States. Ours is the only industrialized country that doesn’t negotiate the prices the drug companies may charge.

As a result, a 90-day supply of Fosamax sells for $105 in Canada but $210 here. It’s less easy to understand why our leaders in Washington have sided with the drug makers and against the American people — less easy but not impossible. They’re well paid by the drug industry, which employs more than one lobbyist for every member of Congress.

Before there was a Medicare drug benefit, Washington didn’t dare mess with elderly Americans seeking affordable drugs from Canada. And since the start of the program this year, the Canadian drug mail-order business has dipped somewhat.

Of course, the Medicare drug-benefit law forbids the U.S. government to bargain on behalf of the beneficiaries. (That keeps taxpayers, who subsidize the program, on the hook for the higher prices.) Some older people didn’t want to join a Medicare drug plan or prefer the simplicity and savings of buying their drugs from Canada.

And many younger Americans who lack drug coverage use Canadian pharmacies to avoid domestic price-gouging. U.S. Customs says that it is stopping the imports from Canada to protect Americans from the harms of counterfeit drugs. Oh, sure. Actually, drugs ordered from licensed pharmacies in Canada are monitored by Health Canada, a government agency that is probably less corruptible than our own Federal Drug Administration.

If our elected officials in Washington truly cared about the well-being of the American people, they would have long ago done something about unfairly high drug prices. That way more people would have been able to afford the drugs they should take and poor people wouldn’t have to cut their pills in half to extend their prescriptions. (One state, Nevada, has thumbed its nose at Washington and has licensed four Canadian pharmacies to sell drugs to its residents. Several other states may follow its lead.)

Members of Congress have heard an earful from people enraged by the federal seizure of their medications. Both the Senate and the House have approved amendments to the Homeland Security appropriations bill that would bar Customs from using federal money to confiscate drugs. Do not assume, however, that this obnoxious policy will soon stop.

The bills will go into conference committee, and if history is any guide, drug-industry lobbyists will cement shut the Canadian door to lower drug prices. So much for free trade, or even freedom. And what about you red-blooded Americans out there? Are you going to sit passively as the back-room boys try to preserve the ludicrous ban on buying Lipitor from Canada? Americans, you really don’t have to put up with this.

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Senate votes for Customs to Stop Seizing Much Needed Medications

We'd like to share some news XLPharmacy Canada just read today...we hope you find some hope in it's words...

The Senate voted overwhelmingly yesterday to make it easier for Americans to import cheaper prescription medications from Canada, a strong reproach to the Bush administration's recent crackdown on drugs ordered by mail for personal use.

The Senate approved by a 68-32 vote, the measure that would prohibit Customs and Border Patrol agents from seizing prescription drugs imported by individuals from Canadian pharmacies by mail or carried over the border.

Most seniors living on fixed incomes find it cheaper to purchase mail-order medications for their chronic conditions such as diabetes, or high blood pressure. And medications sold by licensed Canadian pharmacies are the same as those sold in the United States and many come from the same factories like Novartis, Cipla Abbot, Aventis, Bayer, Dr. Reddy's, Merck, Lilly, GlaxoSmithKline and Ganbaxy.

The only difference is the price. Canadians typically pay a fraction of what Americans in the United States do for their medications. Why? Because they have a cap on their drug prices, that's why. We hope that the Senate's vote will do something to drive the prices down for Americans at their own Pharmacies, but until then...Canada is a viable and reliable source for purchasing their medications at often 50-80% less then American Pharmacies.

We are glad to see that Congress has finally seen the light and that Customs should be worrying about protecting the nation against terrorism — not "taking Uncle Joes blood pressure medicine away".

The Senate version of the bill would keepCustoms from interfering in the personal importation of prescription drugs from Canada. The House proposal would keep Customs from interfering with the individual purchases of such medications from anywhere they want in the world. And of course all this has to be worked out before it can be presented to the President.

Hope this latest news gives some of us hope that there are still legit choices we can make without Customs interference.

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