| Prescription Drug Pricing Survey |
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| Do Your Own Survey |
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On the following pages is a form so you can do your own prescription drug pricing survey for the medications you are taking.
Tips:
- Be sure to compare like dosages and quantities.
- Show the results of your survey to your usual pharmacist. He/she may be able to match a competitor´s prices.
- Consider other services a pharmacy provides such as delivery of medicine to your home.
- If you decide to shop around for the best price, be sure each pharmacist you buy medicine from knows all the medicine you take, including prescriptions and over the counter ones such as vitamins, Tylenol, etc.
It is usually wise for you to purchase all your medications from the same pharmacy. If you do choose to take advantage of a particular cost saving at a different drug store, you are strongly urged to let both pharmacists know the names of all the drugs you are taking.
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Personal Prescription Drug Pricing Survey
Use this form to do your own survey.
Write down the name, strength, and quantity of the medications you are taking. Record how much they cost at the pharmacy you purchased them in column one. Call two other local pharmacies to find out their prices and record those figures in columns 2 and 3.
EXAMPLE
Drug/Strength/
Quantity
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Your Pharmacy
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ABC Pharmacy
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XYZ Pharmacy
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Atenolol 50mg (60)
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6.95
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11.69
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15.28
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Coumadin 5mg (30)
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27.81
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23.72
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27.81
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TOTAL
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$34.76
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$35.41
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$43.09
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Drug/Strength/
Quantity
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Pharmacy 1:
Your Pharmacy
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Pharmacy 2:
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Pharmacy 3:
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