A New Concept in Prescription Drug Savings for Victims of Medicare Part D's Dreaded "Doughnut Hole"

Many seniors who have signed up for the Medicaresame medications, in Canada, for about $1650.
Prescription Drug plan are shocked to find out thatAs an example, someone ordering Lipitor 20mg
they are already hitting the dreaded gap in coveragethrough their Medicare Part D plan while in the
known as the "doughnut hole". During this gap indoughnut hole would have to shell out $348 dollars for
coverage, between $2250 and $5100 in prescriptiona 90 day supply. The same 90 day supply of Lipitor
drug spending, Medicare Part D participants lose20mg is a much more reasonable $195 at Universal
coverage, must continue to pay their monthlyDrugstore. That is a savings of $153 dollars or 44%
premiums and are 100% responsible for paying forless.
their medications themselves. Once they hit the"U.S. seniors need to be told about this option," Uhl
doughnut hole, this massive jump in monthly medicationurges. "Seniors who hit the doughnut hole but are not
expenditures makes it very difficult for some Plan Dgoing spend enough to come out on the other side of
participants to cope financially.the doughnut hole are being duped if they buy their
In a recent Business Week article, Bruce Stuart,drugs through their Medicare plan while experiencing
director of the Peter Lamy Center on Drug Therapythis gap in coverage. By purchasing their medications
& Aging at the University of Maryland, estimatedfrom Canada while they are in the doughnut hole
that about 38% of Medicare beneficiaries are at risk ofthese individuals can truly maximize their savings."
hitting the doughnut hole this year. This estimationA recent Los Angeles Times article reported that the
means that 7 million to 10 million participants could hitgap in coverage could change next year to between
the doughnut hole and lose coverage for part of this$2400 and $5,451. This would mean an even bigger
year.gap in coverage next year and therefore more money
"Seniors were expecting to receive a benefit thatout of Part D participants' pockets. How big the
would help them save money all year long and nowcoverage gap will grow in future years can only be
they are getting slapped with massive monthlyspeculated.
medication bills part way through the year." says JeffAlthough purchases at Canadian pharmacies do not
Uhl, president of Universal Drugstore, a Canadiancount towards an individuals out-of-pocket expenses
mail-order pharmacy. "Our customers are really angryMedicare Part D participants may want to consider
about having to pay full U.S. retail price once they hitusing a Canadian pharmacy. Using a Canadian
the doughnut hole and they are rushing back. PeoplePharmacy in the right situations can provide substantial
are realizing that they can save much more filling theirsavings to seniors. Some people suggest that seniors
prescription with our pharmacy once they hit theuse a Canadian pharmacy when a drug is not
doughnut hole."covered by their plan or when they reach the $2850
At an average savings of 42% less than U.S. retailgap in coverage but will not reach the other side of the
prices, individuals can find substantial savings filling theirdoughnut hole where they can take advantage of the
prescriptions at a licensed Canadian Pharmacy oncecatastrophic coverage portion of Part D.
they reach the doughnut hole. The $2850 worth ofWith all the confusion with Medicare Part D plans it is
medications that individuals have to pay for personallydifficult for seniors to know what is their best course
while in the coverage gap would cost an average ofof action. For many Medicare-eligible individuals using a
42% less in Canada. That means that instead ofCanadian pharmacy as a part of their annual
paying $2850 for their medications while in theprescription drug purchasing game plan is something
doughnut hole, an individual could purchase the exactthey should seriously consider.