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Senior Slant

Medicare Drug Card Sign-up Begins Today, But Seniors Should Wait Before Joining

By Tucker Sutherland, editor

May 3, 2004 – Beginning today, senior citizens can sign up for a $30 Medicare-approved drug discount card, but there is no reason to be in a hurry. The discounts will not be available until next month and you may not have all the information you need to make the best choice in a card. Last Friday, some of those card sponsors were claiming that prices on drugs for their cards that were posted on Thursday by Medicare are inaccurate.

"Everybody seems to be finding problems with inaccuracies with the posted prices," said Walgreens' spokeswoman Laurie Meyer to the Associated Press. Prices for generic drugs offered by the Walgreens' drug card "were noticeably higher," Meyer said. "They were wrong."

Even Medicare cautioned when the drug prices were posted that all information may not be included, but said they will update the site every Monday. The site is actually managed by DestinationRx, a small, California-based company hired by Medicare without seeking bids.

Being able to compare prices – accurate prices -  among the drug cards for the specific prescription drugs a consumer requires is critical to making the right choice.

Medicare is predicting that the discount cards will save recipients up to 25 percent on their drug costs, but many othesr say there are better savings outside the Medicare program. Seniors can get similar prices, without discounts, through online pharmacies, private discount cards and do much better with Canadian pharmacies.

Prices offered by the cards are higher than those charged by Canadian pharmacies that state and local governments are beginning to link up with on behalf of their employees, retirees and residents. The Bush administration strongly opposes imported drugs.

But while the Bush administration was touting the savings offered by the new cards, the best prices on the Medicare Web site also were available Thursday at such online pharmacies as Washington state-based drugstore.com, according to the Associated Press.

The best Medicare mail order prices for three best-selling brand name drugs - the arthritis drug Celebrex, the osteoporosis drug Fosamax and cholesterol-lowering Lipitor - were at least a third higher than prices at the three Canadian pharmacies listed on the State of Wisconsin's online prescription drug resource center, the AP reported.

Congressional Democrats opposed the Medicare law as a giveaway to drug companies and insurers. They said legalizing drug imports from Canada - opposed by the White House - and allowing Medicare to negotiate drug prices with pharmaceutical companies - expressly banned in the Medicare law - would bring prices down.

Studies released late Thursday by Democrats in the House of Representatives and Families USA, a consumer health care group, reported that prices negotiated by the Veterans Administration also were considerably lower than those offered by Medicare discount cards.

The confusion about the benefits and value of these Medicare drug cards is getting worse, rather than better. The most prudent decision today – the first day you can join a card program – is to wait. Give Medicare at least a week to get the prices straight on their Website and watch to see how the free market responds.

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