http://www.fda.gov/oc/whitepapers/drugprices.htmldanmand said:Having had to buy certain medicines in both Canada and the US, I was surprised to find out, that the cost was substantially lower in US than in Canada. Is there an urban myth here?
l69norm said:http://www.fda.gov/oc/whitepapers/drugprices.html
Generic Drug Prices in the U.S. Are Lower Than Drug Prices in Canada
....In the U.S., generic drugs, which comprise roughly half of all prescriptions, are cheaper than both Canadian branded drugs and Canadian generic drugs....
Well you're an exception. I have a family friend in the US who buys all her drugs in Canada. With the cancer she has, she needs a lot of different prescription drugs. Much cheaper here in Canada. OTC drugs might be different.danmand said:Having had to buy certain medicines in both Canada and the US, I was surprised to find out, that the cost was substantially lower in US than in Canada. Is there an urban myth here?
Not exactly true. Yes the active ingredient to make the drug is identical, but all the exipients and binders may not be. Brand name drugs ensure these are free of lactose and BSE pathogens, for example. Plus they ensure they are met to cGMP drug standards, when in theory they are just food additives. Generic manufacturers will buy the cheapest exipients and binders they can get on the market. Often from China and India.fridrikk said:All the term generic means is that the patent has expired on a particular drug. What that means is the drug can be manufactored by any company without having to paying royalties. Other than that, the manufactor of generic drugs is subject to the same rules and standards as the company that originally developed the drug. Least that was what I was told but since neither she nor I are lawyers much less doctors I could very well be wrong.
Drugs do NOT cost more in Canada. Canada has the Patented Medicines Price Review Board that sets the cost of drugs. Usually a large order of magnitude less than in the US. It one reason why there is no R&D and very little manufacturing of brand names in Canada any more.Yes drugs cost more in Canada but that has more to do with supply and demand than anything else. Fewer customers translates to higher prices.
rama putri said:Not exactly true. Yes the active ingredient to make the drug is identical, but all the exipients and binders may not be. Brand name drugs ensure these are free of lactose and BSE pathogens, for example. Plus they ensure they are met to cGMP drug standards, when in theory they are just food additives. Generic manufacturers will buy the cheapest exipients and binders they can get on the market. Often from China and India.
Another misunderstanding is that generics will be manufactured the same. This is not true. Generics will be manufactured cheaply, often cutting manufacturing processes that increase quality, but would be more costly, often cutting extra quality control tests, and often using inferior equipment. For example a generics' shelf life may be shorter due to many variables like lower quality standards of the binders, less friability (ability for the tablet to remain intact and keep it's shape) of the tablet, or an increase in the amount of 'safe contaminants' which may lead to decay. Worse, it may lead to adverse reactions due to variable pharmacokinetic interactions. Most people think reactions are due to the main ingredient, when in many cases it's due to the inferior quality standards generics place on the exipients and binders.
I just gave you an example to the contrary. And pharmaceutical companies are not run by idiots. They do their R&D where they can do it the cheapest.rama putri said:Drugs do NOT cost more in Canada. Canada has the Patented Medicines Price Review Board that sets the cost of drugs. Usually a large order of magnitude less than in the US. It one reason why there is no R&D and very little manufacturing of brand names in Canada any more.