transfer a prescription

The internet is a convenient option for purchasing many necessities, but can you fill your prescriptions online? In many cases, yes. There are generally two ways to fill a prescription online:

  1. Use an online pharmacy or mail-order pharmacy to fill your prescription; the pharmacy then mails you the prescribed medications.
  2. Use the patient portal on your pharmacy’s website to request an Rx refill online, and then pick up your medicine in person.

How Online and Mail-Order Pharmacies Work

An online or mail-order pharmacy allows you to order your medications over the internet (or by phone) and have them mailed directly to you. This is a convenient option but there are some drawbacks. Your medications take longer to arrive so you want to be sure you keep up with your refills. Some, but not all, online pharmacies have automatic refills available.

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Is It Safe to Buy Medication Online?

There are legitimate online pharmacies, and it is generally safe to use them. However, there are also several safety risks with online pharmacies. You may come across unethical companies that operate in a risky or even illegal manner. They may sell you counterfeit medications, drugs that aren’t FDA-approved, or medication that is expired or defective.

Unreputable online pharmacies may even sell Rx meds to people who don’t have a prescription. Be especially careful with international pharmacies. There are strict federal laws against importing certain substances from a foreign country.

How to Protect Yourself When Using Online Pharmacies

To protect yourself, watch out for these red flags.

  • Lack of contact information. Always check the website for contact information and verify that there is a U.S. address and valid phone number listed. Try calling the number to see if it is legitimate.
  • Availability of drugs without a prescription. If the pharmacy does not require a prescription to complete your transaction, or it advertises that you can obtain drugs without a prescription, do not go through with your order.
  • Drugs that are not FDA-approved. If you see any drugs that haven’t been approved by the FDA, stay away from the pharmacy.
  • No pharmacist available to answer questions. A reputable pharmacy will employ one or more licensed pharmacists to answer your questions.
  • Lack of a valid U.S. license. The National Association of Boards of Pharmacy (NAPB) verifies online pharmacies that are properly licensed. Look for a VIPPS (Verified Internet Pharmacy Practice Sites) seal and a “.pharmacy” website domain.

Do Online Pharmacies Save You Money?

Many people turn to online pharmacies to save money. Some legitimate online pharmacies offer discounted prices on medications, but many cut corners to offer discounts. The drugs may not be properly manufactured and as a result, may be too strong or too weak.

Rather than focusing only on price, you should focus first on safety. Once you have a list of reputable online pharmacies, then you can compare pricing.

Some online or mail-order pharmacies allow you to use discount drug programs when ordering your medication. Call or chat with a customer support representative and see if they accept any savings programs. For example, PillPack and Health Warehouse accept the ScriptSave WellRx prescription discount card.

Online Patient Portals

Online patient portals are offered through a traditional brick-and-mortar pharmacy like Walmart or CVS. These online portals offer a convenient way to request Rx refills from your home, office, school, etc. Once your prescription is filled, you must go to the pharmacy in-person to pick up your medication.

Patients can still use a pharmacy discount card with these portals. Simply bring your card or mobile app with you to the pharmacy when picking up your medications.

Rx Savings On The Go

ScriptSave WellRx is dedicated to negotiating discounted prices on as many medications and at as many pharmacies as possible. If you’re struggling to afford your medication, try downloading our mobile app. It allows you to search and compare drug prices to find the best discount in your area.

Get the ScriptSave WellRx App

ScriptSave WellRx App store linkScriptSave WellRx Play store link

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by Emily Ross, PharmD Candidate,
Class of 2020

Improving Medication Adherence and Management

Managing several different medications can be overwhelming, confusing and time-consuming. Without effective medication management, errors and missed doses may happen easily. This can lead to ineffective drug therapy and not getting results from taking medications. One key to proper medication management is organization. There are simple ways to create organizational systems into your daily routine to get the most benefit from your drug therapy.

Medication Management Tools

  • Pill Box: One of the simplest ways to keep medications organized is to use a daily or weekly pill box. There are a variety of sizes and colors to fit your needs. These range from simple ones that have a compartment for each day to more complex ones that have dividers for each dosage time (ex: morning, afternoon, evening).
  • Medication List: Keeping and maintaining a current list of all the medications you take is very useful to keep up to date on your treatment. It is important to include all over the counter drugs, supplements, and herbals that you may take as well. Taking this to your doctor appointments and the pharmacy ensures all your providers are aware of your medications and can help prevent duplicate drug therapies and potentially harmful drug interactions.
  • Medication App: There is an app for about anything – including managing your medications! There are several apps available to download to your phone or mobile device. Read about the different features of each one and then choose one that best meets your needs. These are available for both android and apple devices. Some examples are:
    • MyMeds: Connects patients, caregivers, and providers to help have better understanding of current medications
    • MyMedSchedule Plus: Simple and easy to use, offers reminders, pictures of medications and tracks how often the medication is taken
    • The ScriptSave WellRx App: In addition to providing prescription price transparency, the ScriptSave WellRx app allows patients to set Take Your Pill reminders, as well as when it’s time to refill prescriptions.

      The WellRx platform also provides free access to some potentially life-saving functionality:
      • Drug Interaction Warnings: Patients can receive and share warnings with their caregivers when drugs in their personal in-app Medicine Chest might interact with each other.
      • Lifestyle Interaction Warnings: This includes warnings about potential drug interactions with certain foods patients eat, or activities they might engage in.
      • Expanded Drug Information: Patients can view detailed information, images, and videos for drugs within the Medicine Chest. Much of this information is available in English and Spanish.

Tips for Managing Your Medications

Now that you have all your medications organized, the next step is remembering to take them! It is easy to forget or miss a dose of your medication but with a few helpful tips – you can minimize the amount of times this happens and improve adherence.  

  • Reminders: This can be as simple as programming a daily reminder or alarm into your phone that alerts you when it is time to take your medication. You could go the more classic route and have a note that is posted in a spot that you see it every day such as the bedside table, bathroom mirror or fridge. You can also set reminders in the ScriptSave WellRx mobile app.
  • Timers: If a device separate from your phone is more your style, there are several options that can provide an alarm or noise to help remind you that it is time to take medication. Likely, there are many items you already own, such as an alarm clock or kitchen timer, that can be set to the time you need to take medication. E-pill® offers several medication alarms and even has devices that combine pill boxes with reminder alerts.
  • Routine: Include taking medications into a daily routine. First, think of a task you do every day, such as brushing your teeth. Make a point to take your medication at the same time you brush your teeth. By joining the tasks together, taking your medications will become part of your daily routine and decrease the chance of missing a dose.
  • Medication Synchronization: Many pharmacies offer medication synchronization programs that allow you to pick up all your medications at one time. This not only cuts down on trips to the pharmacy but also lessens the chance of allowing a prescription to run out before returning to the pharmacy for more refills.
  • 90-Day Supply: If allowed by your insurance, obtaining a 90-day supply of medication is a good way to have adequate stock and minimize pharmacy trips. Similar to the idea of syncing your medications, there is less of a chance of running out of medication and missing doses.

With all these organization and adherence tips, you’ll be a pro at knowing your medication and taking them on time! There are many benefits that come from organization, such as reducing the stress of managing and taking multiple medications. Additionally, it may decrease health care cost by saving the need for more doctor appointment or medications due to gaps in drug therapy.

These are easy steps that can be done to increase how well your medicines work for you. By using the tools for a good organization system and following the adherence tips, you can improve your overall health and well-being.

References:

Fayed, L. (2019, June 24). How to Manage and Organize Medication for Your Safety. Retrieved from https://www.verywellhealth.com/ways-to-manage-your-medication-514511

MyMeds: Redefining the Medication Experience. (n.d.). Retrieved from https://my-meds.com

MyMedSchedule: Free medication schedules, reminders, and health tracker. (n.d.). Retrieved from https://secure.medactionplan.com/mymedschedule/

Pill Timers. (n.d.). Retrieved from https://www.epill.com/alarms.html

ScriptSave WellRx App Makes Medication Management Easier: https://news.wellrx.com/2019/01/23/scriptsave-wellrx-app-makes-medication-management-easier/



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There are a variety of reasons to move your medications from one pharmacy to another. It could be that you found a better price, you’ve recently moved to a new area, or you’re looking for a location closer to your workplace. Regardless of the reason, transferring prescriptions between pharmacies is a straightforward process.

Here are the steps to transfer your prescription to a different pharmacy:

  1. Call or visit the new pharmacy to request an Rx transfer.
  2. Give the new pharmacy the names of all the medications you want to transfer, along with dosage and Rx numbers.
  3. Provide your current pharmacy’s contact information. The new pharmacy will contact your old pharmacy and take care of most of the process.
  4. Wait for the transfer to be completed, allowing at least 1-3 business days.

Information to Share with Your New Pharmacy

When you contact your new pharmacy, be sure you have your health and prescription information available. Specifically, you will need to tell the pharmacist:

  • Your full name and date of birth
  • Your address and phone number
  • All known allergies (food and medicines)
  • The names of all the prescriptions you’re transferring
  • The strength and dosage of your medications
  • Rx number for each medication (the 7-digit number on the top left of the label)
  • Phone number and address for your current pharmacy
  • Contact information for your prescribing physician

Allow the New Pharmacy to Handle the Transfer

After you let the new pharmacist know that you wish to move your medications, they will contact your current pharmacist and handle the transfer. If your prescription is out of refills, the pharmacist will also contact your doctor.

To expedite the process, you can check with your doctor and make sure you still have refills before reaching out to the new pharmacy.

Allow Enough Time for the Transfer

Although prescriptions can be moved to a different pharmacy quickly, you should still err on the side of caution and allow at least 1-3 business days for the switch to take effect. If you’re out of medicine and need a refill immediately, you might not be able to access it at the new pharmacy right away. It’s important to make sure you have a sufficient Rx pill supply before making the move.

Be Aware of Exceptions

There are certain prescriptions that cannot be transferred or have a limited number of transfers.

Schedule III, IV, and V medications are classified as controlled substances. You are only allowed one transfer with these types of medications, regardless of how many refills you have left. If you’ve run out of transfers, contact your doctor for a new prescription before attempting to switch pharmacies.

Some examples of Schedule III, IV, and V medications include Tylenol with Codeine, Xanax, and Robitussin AC or other cough suppressants with codeine.

Schedule II controlled substances are not able to be transferred at all due to the risk of substance abuse and dependency they pose. These medications also cannot be refilled, so your doctor will have to write you a new prescription whenever you run out. Examples of these substances include Adderall, Ritalin, and OxyContin.

Additionally, be aware that if any of your Rx medications have run out of refills, your doctor may require you to come in for an appointment before refilling the prescription.

Establish a Relationship with Your New Pharmacist

It’s important that you inform your new pharmacist of all medications and supplements you take, including over the counter medicines that may interact with your prescriptions. Your pharmacist is there to make sure you stay safe and manage your prescriptions effectively. You should establish a relationship with them so they can properly advise you on your medications.

Different Pharmacies Charge Different Prices

Did you know that patients commonly switch pharmacies because it allows them to save money? Many pharmacies charge different prices for the same prescription medication. Consider comparing your Rx prices at different pharmacies from time to time so you can be sure you’re getting the best deal possible.

Are your prescriptions cheaper at another pharmacy?


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Studies have confirmed that the more medications you take, the more likely you are to have a potentially life-threatening drug interaction. Check out the latest story from CBS News – New York for the latest interview with ScriptSave’s own Dan Johnson.

Dan discusses how the ScriptSave WellRx app can help you potentially avoid those dangerous drug, supplement, and lifestyle interactions.

Concerned About Safely Mixing Meds? There’s An App For That

CBSNewYork – Health Watch

CBS News Health Watch
CBS2’s Dr. Max Gomez interviews Dan Johnson, VP ScriptSave, about the ScriptSave WellRx app helping patients better manage their medications.

 

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ScriptSave WellRx App is Making Healthy Eating Easier

Dan Johnson, Vice President of Network Technology at ScriptSave, was recently asked to show off the ScriptSave WellRx app at a local grocery store in Phoenix, AZ.

The latest update to the ScriptSave WellRx iOS and Android apps includes some great features, including Grocery Guidance.

Grocery Guidance helps shoppers:

  • Quickly identify foods aligned with your health goals, dietary preferences and allergens.
  • Scan or search to instantly discover a product’s WellRx Food Index rating, see dietary/allergen alerts and view easy to ‘digest’ nutrition facts.
  • Dial up your nutrition with recommendations for similar foods that are even ‘better for you’.

The latest app updates also help with managing medications and feature:

  • Drug Interaction Warnings
    Receive warnings when pricing medications that interact with drugs saved to your medicine chest.
  • Expanded Drug Information
    View information, images, lifestyle interactions and videos for drugs within your medicine chest.
  • Price Drop Alerts
    Get notified when your prescription price drops.

The watch the full story, visit the AZFamily.com website.

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Treatment for Depression and Anxiety: The Fight to End Suicide

by Cherokie Dyer, PharmD candidate class of 2020,
University of Florida

Alarming Suicide Statistics

Over the past 17 years, rates for death by suicide has dramatically risen here in the United States. From 1999 to 2016, 25 states had over a 30% increase in their suicide rates. There’s rarely any one reason for someone to commit suicide. However, most suicides are attributed to life stressors, loss of a relationship, and a recent or approaching crisis. Another huge contributor is the presence of a mental health disorder such as depression or anxiety.

In the year of 2017, the CDC states that there were:

  • 44,965 suicide deaths
  • 13.9 suicide deaths per every 100,000 people
  • 39% of adults 18 and older had serious psychological distress in the past 30 days
  • 56.8 million physician visits resulted in mental, behavioral, and neurodevelopmental disorders as a diagnosis
  • 5.5 million emergency room visits were due to mental health disorders

The Good News

The amount of people being treated for depression and anxiety disorders is also rising. In 2012, the World Health Organization stated that 350 million people across the globe were affected by depressive disorder. This is followed with an increase in diagnosis and treatment of these disorders.

Common Anti-Depressant and Antianxiety medications include:

Brand Name Generic Name Drug Class
Zoloft Sertraline Selective Serotonin Reuptake Inhibitor
Lexapro Escitalopram Selective Serotonin Reuptake Inhibitor
Prozac Fluoxetine Selective Serotonin Reuptake Inhibitor
Wellbutrin Bupropion Dopamine/Norepinephrine Reuptake Inhibitor
Cymbalta Duloxetine Serotonin/Norepinephrine Reuptake Inhibitor
Effexor Venlafaxine Serotonin/Norepinephrine Reuptake Inhibitor
Pristiq Desvenlafaxine Serotonin/Norepinephrine Reuptake Inhibitor
Remeron Mirtazapine Alpha-2 Antagonist
  Amitriptyline Tricyclic Antidepressant

It’s great that more people are getting help for their mental health conditions. The increase in people getting treatment will help to decrease the number of people wanting to harm themselves. If you have sought treatment for anxiety or depression or know someone who sought treatment, I am so happy! Everyone’s life is valuable. If you or someone you know suffers from anxiety or depression and hasn’t yet felt comfortable seeking treatment, don’t hesitate. The awareness of these conditions and options for treatment are expanding; set up an appointment to talk about what you are experiencing.

Things to Remember about your Antidepressants or Antianxiety Meds

These medications take time to work. In many cases, you won’t see an effect until after about 1 month. Taking your medications as prescribed can help strengthen their effectiveness and prevent side effects like dizziness, fatigue and nausea. If significant time passes and you still don’t feel any better, ask your doctor to try you on another medicine. Never quit these medicines abruptly as this can result in bothersome, and sometimes serious withdrawal symptoms. Be sure to follow your doctor’s instruction to taper these medications if it’s determined that they need to be stopped.

Outside of Medicine

Outside of prescription medication, these are 3 valuable ways to improve mental health. Incorporating these changes along with your medication can also increase their effectiveness.

Nutrition: Your body makes all your brain chemicals from the food you eat daily. That’s your protein, complex carbohydrates (fruits, veggies, whole grains), and good fats. If you don’t eat this kind of balanced diet, you may consider taking a daily multivitamin.

Sleep: Getting close to 8 hours of sleep each day gives your body the time to make more brain chemicals. It’s the best opportunity for your body to fix and replace other cells like the nerves and muscles.

Exercise:  Daily exercise improves your brain activity and increases the release of brain chemicals. A great example would be going for a brisk walk outside. The movement, along with getting at least 10 minutes of sun each day, is another great way to both exercise and get your daily vitamin D allowance. Not to mention exercise is a good way to relieve anxiety and avoid personal stressors! 

Suicide Lifeline

If you or someone you know are thinking about harming themselves in any way, call the National Suicide Prevention Lifeline at 1-800-273-8255. You can also text HOME to 741741 to receive texts from the Crisis Text Line. If you feel there is an emergency, you should always call 911 or go to the nearest hospital.

References:

Suicide Prevention websites:

https://www.crisistextline.org/

https://suicidepreventionlifeline.org/

Statistics:

https://www.grandviewresearch.com/industry-analysis/anxiety-disorders-and-depression-treatment-market

https://www.cdc.gov/nchs/fastats/mental-health.htm

https://www.cdc.gov/mmwr/volumes/67/wr/mm6722a1.htm?s_cid=mm6722a1_w

Medication and Nutrition information:

https://www.fda.gov/consumers/free-publications-women/depression-medicines-help-you

http://www.martiefankhauser.com/


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by Jennifer Bingham, PharmD, BCACP & Stephanie Forbes, PharmD

The Prescription Opioid Addiction Epidemic

Pain is complex and the sensation and intensity can vary among individuals who are suffering, so there are many treatment options — mind-body techniques, acupuncture or physical therapy, and medications, both over the counter and prescription. For many patients with severe pain from injuries or surgery, opioid painkillers are supposed to provide pain relief, but because they have been heavily marketed and inappropriately prescribed, there has been an ever increasing number of deaths throughout the U.S. caused by misuse and addiction.

What is Narcan®?

Narcan® (naloxone hydrochloride) is an opioid antidote.1 It is indicated for patients that has suspected opioid overdose symptoms, such as respiratory and central nervous system depression.1 It is available in two formulations, including injectable and nasal preparations. The nasal spray contains one dose per unit,1 hence it is important to contact 9-1-1 for emergency medical assistance once opioid overdose is suspected to ensure additional assistance is available if needed. 

Who Should Use Narcan Nasal Spray?

Narcan nasal spray is intended for use by people who are experiencing an opioid overdose or are showing signs of opioid overdose.2,3 As mentioned above, it’s use is not a substitute for emergency medical care. Whenever administering Narcan, always call 9-1-1 right away.  Since it is an opioid antagonist, Narcan only works to reverse the effects of opioids, both prescription and non-prescription. Some examples of opioids it reverses are morphine, codeine, opium, hydrocodone, heroin and methadone.4

Who should have Narcan Nasal Spray?

People who receive Narcan are typically taking high doses of opioids for pain management over a long treatment period.2,5 Additionally, those taking extended-release or long-acting opioid medications or receive rotating opioid medication regimens may also have Narcan.   Patients who have a known hypersensitivity to naloxone hydrochloride should not use Narcan.1 Narcan access (needing a prescription) varies across states and the medication should be replaced before the expiration date passes.5

How to Store Narcan Nasal spray?

Narcan nasal spray should be stored in the blister and cartons provided until use.1 A controlled room temperature between 59°F to 77°F with protection from light is recommended for storage, and the product should not be frozen. The nasal spray may be stored at temperatures outside of this range (39°F to 104°F) for brief periods of time only.

Ask your pharmacist if you should talk to your provider about Narcan.

References:

  1. Narcan Nasal Spray (naloxone hydrochloride) [prescribing information]. Radnor, PA: Adapt Pharma Inc; January 2017.
  2. Naloxone. Substance Abuse and Mental Health Services Administration. https://www.samhsa.gov/medication-assisted-treatment/treatment/naloxone/. Last Updated April 11, 2019; Accessed June 3, 2019. 
  3. Coffin, Phillip MD, MIA. Prevention of lethal opioid overdose in the community. UptoDate®. Last Updated June 25, 2018. Accessed June 3, 2019.
  4. What Are Opioids. Department of Health and Human Services. https://www.hhs.gov/opioids/prevention/index.html. Last Updated May 15, 2018. Accessed June 4, 2019
  5. Opioid Overdose Reversal with Naloxone. National Institute of Drug Abuse. https://www.drugabuse.gov/related-topics/opioid-overdose-reversal-naloxone-narcan-evzio/. Last Updated April 2018, Accessed June 3, 2019.

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Benzer Pharmacy Partners with ScriptSave to Provide Prescription Discounts and Grocery Guidance

TAMPA, FL (June 27, 2019) – Benzer Pharmacy Holding, LLC announced today they will partner with ScriptSave® to provide their customers ScriptSave WellRx Premier, which offers discounts on prescription medications, medicine adherence tools, and drug interaction alerts. ScriptSave Prescription Savings Programs have helped consumers save more than $10 billion over the past 25 years.

Grocery Guidance, Medication Management and Prescription Savings

scriptsave wellrx benzer pharmacy app imageScriptSave WellRx Premier is a technology enabled prescription savings and medication management program. ScriptSave WellRx Premier not only delivers prescription discounts to Benzer Pharmacy customers, it will also provide new tools that promote medication adherence and Grocery Guidance to find healthier foods aligned with the customer’s health goals.

“This program is sure to help all Benzer customers, not just those who are uninsured,” Meghann Chilcott, Chief Technology and Marketing Officer for Benzer Pharmacy. “We encourage every customer, regardless of their health care coverage, to keep a card on-hand to reduce out-of-pocket prescription costs.”

Take Your Medicine and Refill Reminders

Customers can download the free WellRx Premier mobile app, which shows the lowest medication prices at local pharmacies, provides helpful medication information and images, grocery guidance for help reaching dietary goals, direct pharmacist support through “Ask a Pharmacist”, and medication reminder tools to promote adherence and wellness, or simply visit the website.

”We sincerely appreciate our relationship with Benzer Pharmacy, and we are excited to provide them with our innovative products. A value-added program, like ScriptSave WellRx Premier, attracts new customers and creates loyalty with existing customers. We look forward to sharing other new ScriptSave solutions with Benzer in the near future,” said Dan Johnson, Vice President of Network Strategy for ScriptSave.  

About ScriptSave:

For 25 years, ScriptSave has been closing the gaps in prescription coverage with innovative savings and adherence programs, like ScriptSave WellRx, for the uninsured, under-insured, and insured. ScriptSave WellRx is designed to boost medication adherence by providing cost saving opportunities, information, prescription management, and reminders. Millions of Americans use ScriptSave products – yielding more than $10 billion in consumer savings on prescriptions.

Twitter: @SSWellRx

Facebook: Scriptsavewellrx

About Benzer Pharmacy:

Founded in 2009, Benzer Pharmacy is a chain of independent retail pharmacies specializing in compounding and specialty medication. Currently, there are 82 corporate-owned and 34 franchise locations situated throughout 29 states, including Florida, Michigan, Virginia, West Virginia, North Carolina, Tennessee, Texas, Georgia, Nevada, Louisiana, New York, Missouri, Mississippi, Maryland, Ohio, Indiana, and Idaho. Projections call for continued rapid growth as the organization seeks to substantially increase its customer base, while ensuring experiences match expectations at every touchpoint.

Facebook: https://www.facebook.com/BenzerPharmacy

LinkedIn: https://www.linkedin.com/company/benzerpharmacy

Instagram: https://instagram.com/benzer_pharmacy

ScriptSave Contact:

Dan Johnson, Vice President of Network Strategy ScriptSave
djohnson@scriptsave.com


 

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by Cindy Cho, PharmD Candidate Class of 2019,
The University of Arizona College of Pharmacy

Are You Doing This Important Step After Using Your Inhaler?

If you use an inhaler for a breathing condition, like asthma, you may have been told by your doctor that you will need to rinse your mouth with water and spit after you use your inhaler. It may seem like a cumbersome additional step, especially since it already takes time out of your day to use your inhaler, so why is it important to spend time to rinse and spit after using your inhaler?

Not All Inhalers Require You to Rinse and Spit

Just to clarify, you don’t need to rinse and spit with every inhaler. There are numerous inhalers on the market with different active ingredients and different purposes (For more on this, refer to this post on the difference between rescue and controller inhalers: (https://news.wellrx.com/2016/08/18/breathing-condition-meet-lifesaver/).

However, a common type of inhaler that does require you to rinse your mouth after each use is called an inhaled corticosteroid (ICS) inhaler. ICS inhalers contain small amounts of steroids to help people breathe easier. Other types of inhalers have different active ingredients (e.g., albuterol, formoterol, tiotropium), so it is not necessary to rinse your mouth after using those.

Common ICS Inhalers

Examples of common ICS inhalers, or combination inhalers that contain a corticosteroid, are:

  • Advair Diskus & Advair HFA (fluticasone/salmeterol)
  • Aerobid (flunisolide)
  • Alvesco, Omnaris, Zetonna (ciclesonide)
  • Arnuity Ellipta (fluticasone furoate)
  • Asmanex (mometasone)
  • Azmacort (triamcinolone)
  • Dulera (mometasone/formoterol)
  • Flovent, Flovent HFA (fluticasone)
  • Pulmicort, Rhinocort (budesonide)
  • Qnasl, Qvar (beclomethasone)
  • Symbicort (budesonide/formoterol)

If you are using one of these inhalers or have been told that your inhaler contains a steroid in it, you will need to rinse your mouth with water and spit after each use.

Why do I Have to Rinse and Spit with ICS Inhalers?

ICS inhalers have a small amount of corticosteroid medication that reduces inflammation in your bronchial tubes and ultimately open your airways to help you breathe easier.1 These medications can be delivered through metered dose inhalers, dry powder inhalers, or through a nebulizer. When you breathe in your steroid inhaler medication, a small amount of steroid can stick to your mouth and throat as it makes its way into your lungs to help you breathe. If this small amount of steroid is not rinsed out from the inside of your mouth or throat, it can cause a fungal infection known as thrush.2

What You Need to Know About Thrush3

Oral thrush in adults generally looks like thick, white or cream-colored spots inside the mouth. The inside lining of your mouth may appear swollen and slightly red and may feel uncomfortable or a burning sensation. The good thing is that thrush is a treatable infection. Your doctor will prescribe an antifungal medicine in the form of a tablet, gel, lozenge, or mouthwash to help treat it. The better news is that this condition is preventable with proper rinsing and spitting.  

What You Can Do

Make sure to rinse your mouth with water and spit after using your ICS inhaler to prevent thrush. Another way to make it easier for you to incorporate rinsing your mouth after using your ICS inhaler is to brush your teeth after using your inhaler. As a friendly reminder, your ICS inhaler should be used on a routine basis, unless your doctor tells you otherwise, even when your breathing seems better. These inhalers will help maintain your breathing over time to prevent breathing-related complications and keep you out of the hospital.

References:

  1. Barnes PJ. Inhaled Corticosteroids. Pharmaceuticals (Basel). 2010;3(3):514-540. Published 2010 Mar 8. doi:10.3390/ph3030514
  2. Shuto H, Nagata M, Terashi Y, Yamaguchi M, Takizawa T, Shuto C, Watanabe K, Tosaka K, Okano M, Noguchi H. Esophageal candidiasis as complication of inhaled steroid therapy. Arerugi 2003; 52(11)1053–1064
  3. Oral thrush – Symptoms and causes. Mayo Clinic. https://www.mayoclinic.org/diseases-conditions/oral-thrush/symptoms-causes/syc-20353533. Published March 8, 2018. Retrieved February 22, 2019.

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ScriptSave WellRx Marks Silver Anniversary –
25 Years of Prescription Savings, Totaling $10 Billion, and a Brand New Innovation to Help Patients Who View Food as Medicine

A new analysis from the prescription discount program, ScriptSave WellRx, has revealed the savings from the company’s pioneering efforts to lower out-of-pocket costs for millions of patients paying cash for their prescriptions. The results: more than $10 billion dollars of savings, as the company marks its Silver Anniversary with the release of a brand new module that can assist patients with their grocery choices.

Founded in 1994, ScriptSave has been a pioneer and innovator, leading the way in terms of creating tools and programs designed to help un- and under-insured patients better afford their medications. Working in close collaboration with many of the nation’s pharmacy and grocery chains, ScriptSave has created incredible savings opportunities for patients.

With the latest update to the ScriptSave WellRx mobile app, ScriptSave has announced a new wellness-focused tool that provides grocery guidance. Using the new tool, consumers can check:

  • ensure the foods they are eating are consistent with their goals for general wellness
  • choose foods better aligned for pregnancy
  • select appropriate foods for other health conditions, including heart health and diabetes.

Users of the app can even find similar food options that are better aligned with their needs. As with most other programs and offerings from ScriptSave, the ScriptSave WellRx app (and the new grocery guidance toolset) is available to users at no cost.

Prescription Savings - ScriptSave WellRx

ScriptSave Never Stops Innovating

scriptsave wellrx food index imageOther pioneering innovations that are also available (free) in the latest app release include:

  • geo-targeted price-drop alerts for prescriptions medications, allowing users to see when the prices for their own medications come down at nearby pharmacies;
  • medication refill and ‘take your pill NOW’ reminders, helping to ensure prescribed medication adherence, and;
  • medication interaction alerts, to flag possible life-threatening drug or lifestyle interactions.

The newest release of the ScriptSave WellRx app, can help guide shoppers while they browse the aisles at the grocery store or as they take stock of their pantry. It’s a clear expansion outside of ScriptSave’s traditional domain. Moving beyond just pharmacy and prescription medications, the grocery guidance module can guide users towards more health-conscious food selections. It’s designed to help users concerned with chronic conditions like diabetes or heart health, and can help identify appropriate food selections for pregnant women.

These latest innovations to the app’s features are the result of more than two years of ongoing product development. Along the way, the team even managed to pick up a few awards for prototype versions of the app (including as a category winner at the 2017 National Association of Chain Drug Stores’ Product Showcase). ScriptSave’s Vice President of Product & Technology, Shawn Ohri, noted that the timing of this release to coincide with ScriptSave’s Silver Anniversary could hardly seem more fitting or rewarding to the team.

$10 Billion Saved

Meanwhile, an in-depth analysis of the traditional prescription savings programs that ScriptSave has been evolving throughout the course of its 25 years of innovation, shows how the business has helped an estimated 85 million patients in the US save a total of $10 billion on their prescription medication costs. In 2018 alone, the prescription discount program saved consumers $450 million on medications.

ScriptSave WellRx’s free savings cards and prescription coupons—which can be found online or in the mobile app—can help save patients up to 80% on their medications, with average savings of around 60%. In terms of dollars and cents, the average cash saved by patients using ScriptSave WellRx in 2018 was $30.85 per prescription.

Ohri noted that with the ever-increasing prices of medication in the US, ScriptSave WellRx is helping patients pay for the medications they need to not only get over a cold or fever but, in some cases, survive.

“This is our 25th anniversary, and during those years we’ve helped patients save $10 billion on prescriptions they need to get and stay healthy,” said Ohri. “Our prescription discount programs help consumers save money they can use on other critical expenses, like keeping the roof over their heads, putting food on the table for the family and buying school supplies for their kids. We continue to operate with a start-up mentality, bringing new and innovative solutions to help people manage their health and wellness.”

WellRx Mobile App Helps Consumers Find Lowest Prices at the Pharmacysrciptsave wellrx price drop alerts - image

At its core, ScriptSave WellRx negotiates drug prices in bulk with pharmacies across the nation, giving it access to pricing information for most prescription drugs being sold at independent and chain pharmacies. Consumers can access this data at no cost with the free ScriptSave WellRx mobile app and website.

This provides a fast, easy, free way for patients (and physicians) to get a second opinion on what an out-of-pocket cost might be. Patients can price-check all their family’s medications at most pharmacies in any zip code with just one click.

The price-check tool is available for free—no sign-up necessary—and features savings on medications at over 65,000 retail pharmacies across the U.S. In 2018, the program delivered average savings of 60%, with potential savings of 80% or more (relative to the cash price of those prescriptions being filled).

Patients can download the free ScriptSave WellRx mobile app (for iPhone and Android) or visit the website for more information.


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too many drugs - scriptsave wellrx blog image

by Ryan Lowe, PharmD Candidate,
University of Arizona

The More Medications, The Merrier?

Have you ever heard of the term “polypharmacy” before? When you break that word down you get “poly”, which means multiple, and “pharmacy”, which means medications. Polypharmacy is defined as the use of multiple drugs, or more than are medically necessary.1 Depending on who you’re talking to will determine where their cut off is for ‘multiple drugs’, with some thinking as few as three is considered polypharmacy, while others say you need as many as five.

An example of using more drugs than are medically necessary would be having two blood pressure medications when your blood pressure has been running low. There are a lot of concerns about polypharmacy, especially in the elderly population.

Prescription Savings - ScriptSave WellRx
Visit wellrx.com to save on all of your prescription medications!

Polypharmacy in the Elderly

A study published in 2004 wanted to find out how prevalent polypharmacy was in the nursing home setting. With over 13,000 patients in the study, they found that approximately 40% of them were taking 9 or more medications.2 While 9 medications may seem absurd, as this study shows it’s not that unheard of.

As you can well imagine, taking multiple medications can lead to a variety of potential concerns. First off, the more medications you take means the more money it will cost to pay for those medications. Added hospital or clinic visits to manage those medications also contribute to the rise in costs. Another major concern is that of drug side effects, commonly referred to as Adverse Drug Events (ADEs).

Some patients report a side effect to one medication which then gets an entirely new medication to replace it. This can lead to a cycle of adding new medications which leads to polypharmacy. The more medications you must take also makes it harder to remember when to take them. Some patients struggle to take only one or two medications every day, so having upwards of nine becomes a very daunting task. Despite all these risks, there is still one concern that is at the forefront of any pharmacist’s mind: drug interactions.

The Major Risk of Drug Interactions in Polypharmacy

Drug-drug interactions, or DDIs, happen when one medication interferes with the way another medication works in your body. If you are taking nine medications at the same time, there is a much greater risk that at least two of those drugs will interact with one another. These interactions can range from the benign to the severe, sometimes increasing the effect of one drug or preventing it from doing its job.

Here is a list of some (but not all) of the most common drug interactions:

  • Warfarin: If you take warfarin to help thin your blood to prevent a stroke or DVT, you should know that warfarin has numerous DDIs. Ibuprofen or Aleve should be avoided when taking warfarin, and many antibiotics can also affect the level of warfarin in your body.
  • Grapefruit: You may have heard about some drugs interacting with grapefruit (including juice), but what drugs and why? Grapefruit can block an enzyme in your body that many drugs use as their metabolizing agent. When this happens, the amount of drug rises in your body to sometimes dangerous levels. If you’re taking any of these drugs then you should avoid eating grapefruit: some statin medications (like simvastatin and atorvastatin), nifedipine, cyclosporine, buspirone, amiodarone, and fexofenadine (generic Allegra).3
  • Levothyroxine: When you take levothyroxine, you’re supposed to take it one hour before you eat breakfast in the morning. This is because levothyroxine interacts with almost every food you can think of. If you take the drug with breakfast, lunch, or dinner then it will not be able to absorb fully, and it won’t reach its desired effect.

There are several tools available to check for drug interactions. The free ScriptSave WellRx app has a feature that allows you to check the medications you are taking for any harmful interactions. The app also has a lot of other useful features. For example, you can set reminders for taking your medications in case you have a hard time keeping track of them all, or when to refill them. You can also look up information about your medications including what it should like and possible side effects. The app is available for both Apple and Android, and can also be used in Spanish! If you still have questions, you can call the Ask a Pharmacist line at 1-866-268-2611 to speak to a pharmacist directly.

References:

  1. Maher, Robert L, et al. “Clinical Consequences of Polypharmacy in Elderly.” Expert Opinion on Drug Safety, vol. 13, no. 1, 2013, pp. 57–65., doi:10.1517/14740338.2013.827660
  2. Dwyer, Lisa L., et al. “Polypharmacy in Nursing Home Residents in the United States: Results of the 2004 National Nursing Home Survey.” The American Journal of Geriatric Pharmacotherapy, vol. 8, no. 1, 8 Feb. 2010, pp. 63–72., doi:10.1016/j.amjopharm.2010.01.001.
  3. “Consumer Updates – Grapefruit Juice and Some Drugs Don’t Mix.” U S Food and Drug Administration Home Page, Office of the Commissioner, 18 July 2017, www.fda.gov/ForConsumers/ConsumerUpdates/ucm292276.htm.

If you’re struggling to afford your medications,
visit www.WellRx.com to compare the cash price at pharmacies near you.
You may find prices lower than your insurance co-pay!

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marijuana interactions with prescription drugs - scriptsave wellrx

With the growing legalization of marijuana, which has been approved for recreational use in 10 states and for medical use in 33 states1, there’s naturally a lot of buzz around the medical benefits. Emerging research suggests it may be a safer substitute for opioids to treat pain. But what about potential drug interactions?

Limited Research

But as research continues into possible benefits of using marijuana for treatment, questions remain about how cannabis might interact with prescribed or over-the-counter (OTC) medications a person may also be taking.

Some states have legalized the use of marijuana for medical purposes, as well as for recreation to varying degrees, however, the federal government has not. The tight federal restrictions create a challenge in researching how marijuana interacts with other products, either OTC or prescribed.

Prescription Savings - ScriptSave WellRx
Visit wellrx.com to save on all of your prescription medications!

Interactions With Medications or Lifestyles

Some examples of medication types and common interactions include:

Drug Type Lifestyle Interaction
Tricyclic antidepressants May result in adverse cardiovascular effects, such as tachycardia and cardiac arrhythmias.
Nonsteroidal antiinflammatory drugs (NSAIDs) Administering nonsteroidal antiinflammatory drugs (NSAIDs) concurrently with marijuana may limit some of marijuana’s pharmacologic activities.
Benzodiazepines Using marijuana with benzodiazepines may result in an exaggerated sedative effect.
Amphetamines Using marijuana and amphetamines together may cause adverse cardiovascular effects, such as tachycardia and cardiac arrhythmias.
Beta-blockers Concurrent use may result in decreased beta-blocker efficacy, significantly increased heart rate and cardiac output lasting for 2-3 hours, myocardial infarction and cardiac arrhythmias.

Visit www.wellrx.com for more information on drug and lifestyle interactions.

Synthetic Marijuana (Marinol)

In addition to tetrahydrocannabinol (THC), cannabidiol (CBD) is found in high concentrations in marijuana. CBD does not produce any of the psychoactive responses and appears to block some of the effects of THC by acting as an antagonist at the cannabinoid receptors. Cannabinol is weakly psychoactive and appears to be primarily formed from the metabolism of THC. Another metabolite of THC is thought to contribute to the tachycardia and appetite-stimulating effects of cannabis.2,3

An FDA-approved synthetic form of marijuana uses a chemical compound similar to those found in cannabis. Marinol (drobinol) is approved to help with nausea induced by chemotherapy as well as anorexia caused by AIDS.

The Takeaway

For most patients, cannabis:

  • Is relatively safe
  • Well-tolerated, and;
  • Carries fewer risks of adverse drug interactions than many commonly prescribed drugs.

Given its therapeutic versatility, one of the best arguments for cannabis is that it can actually reduce the need to combine multiple medications, therefore lowering the potential risk of adverse interactions.4

References:

  1. https://www.businessinsider.com/legal-marijuana-states-2018-1
  2. https://health.usnews.com/health-care/patient-advice/articles/2018-03-08/how-does-marijuana-interact-with-medications
  3. https://www.pharmacytimes.com/publications/issue/2014/december2014/drug-interactions-with-marijuana
  4. https://www.leafly.com/news/health/cannabis-cannabinoids-drug-interactions

If you’re struggling to afford your medications,
visit www.WellRx.com to compare the cash price at pharmacies near you.
You may find prices lower than your insurance co-pay!

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