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<h1>Know when your preferred branded medications become generic</h1><h4>Take control of your medication costs and sign up for our Generic Medication Reminder Program. Our email notifications will alert you when branded medications go generic, so you can save money and stay healthy.</h4>

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        <h1 style="font-size:1.5em; line-height:1.4;">Be In The Know</h1>
        <p>We'll send you an email reminder when a branded medication goes off-patent and becomes available in a generic form, as well as other health and savings tips for your medications. </p>
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<h5 style="line-height:1.5; font-weight:300; font-size:1em;">Deliver safe, efficacious and cost-effective medicines that benefit patients and healthcare providers in the U.S.</h5><br>

<h4 style="font-weight:600;">We prioritize your care</h4>

<p>Excellent customer service and affordable medications are our top priority.  If you’re ever in Winston-Salem, come <a href="https://www.google.com/maps/place/Marley+Drug/@36.0033967,-80.2662546,17z/data=!4m13!1m7!3m6!1s0x8853a525c2266da7:0xd0eb465e72634682!2s5008+Peters+Creek+Pkwy,+Winston-Salem,+NC+27127,+USA!3b1!8m2!3d36.0033967!4d-80.2640659!3m4!1s0x8853a525c180980f:0xa00aaca9ad3d6351!8m2!3d36.0033987!4d-80.2639702" target="_blank">visit us</a> and meet <a href="/pharmacy-team" rel="noopener noreferrer">our friendly staff</a>!</p>

<img src="https://marley-storage.imgix.net/6a272a09-a28f-4e9b-8519-a928c56fc98e/PharmacistsImages.png" alt="our phamacists" style="display:block; max-width:100%;" width="500" height="auto">

OUR MISSION

<h2>What is Gilenya (generic: fingolimod)?</h2>
	
	<p>Gilenya is an immunomodulator commonly used for the treatment of relapsing/remitting forms of multiple sclerosis (MS) in adults and children 10 years of age and older.</p>
	
	


       <img src="https://marley-storage.imgix.net/9d76e799-a8c7-4090-a11c-7d39d7dff31c/BL-gilenya-MS-cell.png" width="800" height="auto" style="display:block; max-width:100%;" alt="MS nerve cell">
	
	<h2>What is Multiple Sclerosis (MS)?</h2>

	<p>Multiple Sclerosis (MS) is a long-term, usually progressive medical condition that affects your brain and spinal cord nerve cell sheaths.</p>
	
	<p style="margin-bottom:10px;">MS is characterized by sporadic symptomatic episodes: </p>
	
	<ul>
		<li style="line-height:1.4; margin-bottom:5px;">Numbness</li>
		<li style="line-height:1.4; margin-bottom:5px;">Weakness</li>
		<li style="line-height:1.4; margin-bottom:5px;">Speech impairment</li>
		<li style="line-height:1.4; margin-bottom:5px;">Loss of muscle coordination</li>
		<li style="line-height:1.4; margin-bottom:5px;">Blurred vision</li>
		<li style="line-height:1.4; margin-bottom:5px;">Extreme fatigue</li>

	</ul>
	
	<p>You are highly encouraged to get in touch with your doctor right away if your MS symptoms worsen or develop after stopping Gilenya therapy.</p>
	
	<h2>How do immunomodulators work?</h2>
	
	<p>Immunomodulators, or sphingosine l-phosphate receptor modulators work by reducing immune cell activity that might harm nerves.</p>
	
	<p>They help prevent neurodegeneration (breakdown of neurons in your brain) or repair damaged nerves. They are essential for treating individuals who have multiple sclerosis (MS), particularly those with late-stage progressive multiple sclerosis.</p>
	
	<p style="background-color:#F0F3F5; padding:20px; border-left:5px solid #fee203; margin: 20px 0 30px 0;">Immunomodulators are also used to control autoimmune damage to your central nervous system (CNS) by minimizing immune cell counts, modifying their activities, or obstructing their exposure to your brain and/or spinal cord. However, these medications do not completely halt disease progression, they only reduce the frequency of relapse symptoms.</p>
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         <h2>How is Gilenya (fingolimod) administered?</h2>
	
	<p>The recommended dosage of this medication is 0.5 mg capsule taken orally  once per day, with or without food.</p>
	
	<p>For people who weigh less than 40 kg (88 lb) 0.25 mg once a day is the appropriate dosage</p>
	
	<p>Prior to and 6 hours after your first dose, you will have an electrocardiogram (ECG), a test that captures the electrical activity of your heart.</p>
	
	<p style="background-color:#F0F3F5; padding:20px; border-left:5px solid #fee203; margin: 20px 0 30px 0;">Your first dose of Gilenya (fingolimod) will be administered in a medical setting, such as a doctor's office. After taking it, you must remain at the clinic for at least 6 hours so that you can be observed.</p>
	
	<p>Inform your doctor immediately if you suffer any of the following during your treatment, especially in the first 24 hours following your first dose: lightheadedness, fatigue, chest pain, or a slow or irregular heartbeat.</p>

	<h2>Side effects</h2>
	
	<ul>
		<li style="line-height:1.4; margin-bottom:10px;">Back pain</li>
		<li style="line-height:1.4; margin-bottom:10px;">Headache</li>
		<li style="line-height:1.4; margin-bottom:10px;">Abdominal pain</li>
		<li style="line-height:1.4; margin-bottom:10px;">Diarrhea</li>
		<li style="line-height:1.4; margin-bottom:10px;">Pain in your arms and/or legs</li>
		<li style="line-height:1.4; margin-bottom:10px;">Abnormal liver function tests</li>
		<li style="line-height:1.4; margin-bottom:10px;">Flu-like symptoms, including cough and/or stuffy nose </li>
		
	</ul>
	
	<h5 style="margin-bottom:10px;">Serious side effects</h5>
	
	<ul>
		<li style="line-height:1.4; margin-bottom:10px;">Eye pain</li>
		<li style="line-height:1.4; margin-bottom:10px;">Blurred vision</li>
		<li style="line-height:1.4; margin-bottom:10px;">Sores that don’t heal properly</li>
		<li style="line-height:1.4; margin-bottom:10px;">Signs of liver issues include nausea, upper abdominal discomfort, extreme fatigue, loss of appetite, darkened urine, and/or jaundice (yellowing in your eyes and/or skin).</li>
		<li style="line-height:1.4; margin-bottom:10px;">Signs of heart problems, including chest discomfort/pain, stagnant and/or irregular heartbeats, or feeling faint</li>
		<li style="line-height:1.4; margin-bottom:10px;">Signs of an infection, including fever, chills, body aches, extreme fatigue, nausea, and/or vomiting</li>
	</ul>
	
	<p>If you’re experiencing any of the serious side effects listed above, immediately call your doctor and stop taking this medication.</p>
	
	<h5 style="font-weight:600; margin-bottom:10px;">Warning</h5>
	
	<p>If you suffer from mild to moderate liver disease, avoid using this medication.</p>
	
	<p>The Food and Drug Administration (FDA) has issued a warning that stopping this medication could cause your multiple sclerosis to worsen significantly compared to both before and during treatment. Although uncommon, this multiple sclerosis deterioration might leave you permanently disabled.</p>
	
	<p>A severe brain infection that is brought on by this medication may result in impairment or even death. If you experience issues with speech, cognition, vision, or muscular movement, contact your physician immediately. These symptoms might develop gradually before rapidly worsening.</p>
	
	<p>Additionally, if you take certain medications for irregular heartbeats or have had a major cardiac disease within the last 6 months, you should not use this medication. <a href="https://www.marleydrug.com/heart-failure">Heart failure</a>, chest discomfort, cardiac attacks, and <a href="https://www.marleydrug.com/blog/what-is-stroke">strokes</a> are examples of serious heart ailments.</p>
	
	<h2>Interactions</h2>
	
	<p>A significant cardiac issue may result from this medication. If you also take medication(s) for HIV, cancer, malaria, <a href="https://www.marleydrug.com/blog/inhaler-for-asthma">asthma</a>, heart disease including amiodarone or disopyramide, <a href="https://www.marleydrug.com/blog/how-to-lower-high-blood-pressure-hypertension">high blood pressure (hypertension)</a>, <a href="https://www.marleydrug.com/blog/what-depression-is">depression</a>, or other mental illnesses, your risk may be increased.</p>	
	
	<p>Inform your physician about all additional medications you are taking, particularly steroids, anti- cancer medications, and treatments used to avoid organ transplant rejection are examples of medications that compromise your immune system.</p>
	
		
	<h2>What happens if I miss a dose?</h2>

	
	<p>Gilenya (generic: fingolimod) should be taken at roughly the same time every day so you don’t forget to take it.</p>
	
	<p>However, if you do forget to take a dose, call your physician for guidance. You might need to take your next dosage while being closely monitored by a doctor in a hospital environment if you skip 1 or more doses.</p>
	
	<h2>How did Gilenya go generic?</h2>
	
	<p>Gilenya was initially given FDA approval in September 2010. Hundreds of thousands of Americans have received prescriptions for the medicine since that time. A 30-day supply of Gilenya costs over $9,000. Many individuals with multiple sclerosis (MS) could find relief from a generic form.</p>
	
	<p>A pharmaceutical company named Novartis is the owner of Gilenya, and recently a court decision declared that the original patent for this drug, which was due to expire at the end of 2027, was invalid.</p>
	
	<p>As a result, this has made it possible for generics to reach the market across the nation, helping individuals save thousands of dollars a month. Although Novartis does intend to appeal the U.S. Supreme Court's decision in this case, as of November 4, 2022, <strong>a generic version of Gilenya is now available to individuals throughout the United States</strong>.</p>
	
	<p>Both generic and brand-name Gilenya are available to Marley Drug patients, and we will continue to oversee the matter. With the launch of generics, the price is rapidly declining, therefore we will keep negotiating with our wholesalers to gain access to the generic Gilenya alternative at the lowest possible cost and pass those savings forward to our patients.</p>
	
	<h2>Speak With Your Doctor</h2>

	
	<p>Gilenya (generic: fingolimod) is relatively considered a safe and effective medication when taken appropriately (as prescribed by your doctor). Talk to your doctor today about using Gilenya (generic: fingolimod) and send your prescription to Marley Drug. Save up to 95% compared to your local pharmacy by using Marley Drug.</p>
	
	<p>Plus, Marley Drug provides free nationwide shipping, allowing you to receive your medication at no additional cost straight to your door.</p>

Gilenya is an immunomodulator commonly used for the treatment of multiple sclerosis (MS). Immunomodulators help prevent neurodegeneration (breakdown of neurons in your brain) or repair damaged nerves. They are essential for treating individuals who have multiple sclerosis (MS), particularly those with late-stage progressive multiple sclerosis.

Gilenva (fingolimod) is an extremally expensive medication used to treat multiple sclerosis. For years this medication has not been accessible to patients. But now it's generic.

Generic For Gilenya  (fingolimod) is Available at Marley Drug

Neurological Disorder

Generic for Gilenya: Your Key to Affordable Multiple Sclerosis Treatment

<h2>What is Daliresp (Roflumilast)?</h2>
	
	<p>Daliresp belongs to a drug class known as phosphodiesterase-4 (PDE-4) inhibitors. They work by reducing your lung edema or swelling by increasing cAMP (cyclic AMP; an intracellular second messenger for many hormones and neurotransmitters), resulting in a reduction in lung inflammation.</p>
	
	
	<h2>How did Daliresp go generic?</h2>
	
	<p><strong>The generic version of Daliresp was recently released on February 17, 2022</strong>, which should assist in lowering the cost of this medication.</p>
	
	<p>The FDA has authorized generic prescription medications as being of the same high caliber and potency as brand-name medications. The same high requirements for quality must be met by generic drug manufacturing and distribution facilities as they are for brand medications.</p>
	
	<h2>What is Daliresp (Roflumilast) used for?</h2>

	<p style="background-color:#F0F3F5; padding:20px; border-left:5px solid #fee203; margin: 20px 0 30px 0;">Daliresp (Roflumilast) is used to lessen the frequency of episodes or worsening of <a href="https://www.marleydrug.com/blog/medications-for-copd">COPD (chronic obstructive pulmonary disease)</a> symptoms. It's prescribed to people with severe COPD, a medical disorder that affects your lungs and airways.</p>
	
	<p>In other words, this medication is essentially reserved for individuals with very severe COPD, chronic bronchitis, and a history of exacerbations.</p>
	
	<p><span style="border-bottom:.125em #fee203 solid; font-weight:600;">The effects of COPD on your lungs cannot be reversed</span> and long-term progression or deterioration results in a steady loss of lung function.</p>
	
	<p><span style="border-bottom:.125em #fee203 solid; font-weight:600;">Do not</span> take this medication to treat abrupt episodes of respiratory issues, such as difficulty breathing. Ask your doctor whether any other medications can be used to address the signs of an emergency respiratory condition.</p>
	
	<p>Daliresp (Roflumilast) may be able to manage COPD, but it cannot cure it. This medication should be taken even if you're feeling better. Do not discontinue taking Daliresp without consulting your doctor.</p>
	
	<h2>How is Daliresp (Roflumilast) administered?</h2>
	
	<p> The initial dose is 250 mcg tablet taken by mouth daily for approximately 4 weeks. The maintenance dose is 500 mcg taken by mouth daily. It can be taken with or without food.</p>
	
	<p>Keep it out of the reach of young children and tightly sealed in its original container. Store it at normal room temperature, away from sources of extreme heat and moisture, such as the bathroom.</p>
	

	<h2>Side effects</h2>
	
	<ul>
		<li style="line-height:1.4; margin-bottom:10px;">Headache</li>
		<li style="line-height:1.4; margin-bottom:10px;">Dizziness</li>
		<li style="line-height:1.4; margin-bottom:10px;">Diarrhea</li>
		<li style="line-height:1.4; margin-bottom:10px;">Muscle pain, including back pain</li>
		<li style="line-height:1.4; margin-bottom:10px;">Flu-like symptoms: runny and/or stuffy nose</li>
		<li style="line-height:1.4; margin-bottom:10px;">Decrease appetite</li>
		<li style="line-height:1.4; margin-bottom:10px;">Tremor(uncontrollable shaking)</li>
		
	</ul>
	
	<h5 style="margin-bottom:10px;">Serious side effects</h5>
	
	<ul>
		<li style="line-height:1.4; margin-bottom:10px;">Changes in your mood, such as <a href="https://www.marleydrug.com/blog/three-major-forms-of-anxiety">anxiety</a> and/or <a href="https://www.marleydrug.com/blog/what-depression-is">depression</a></li>
		<li style="line-height:1.4; margin-bottom:10px;">Impulsive thoughts</li>
		<li style="line-height:1.4; margin-bottom:10px;">Thoughts of suicide</li>
		<li style="line-height:1.4; margin-bottom:10px;">Insomnia</li>
		<li style="line-height:1.4; margin-bottom:10px;">Pain and/or burning sensation when urinating</li>
	</ul>
	
	<p>If you’re experiencing any of the serious side effects listed above, immediately call your doctor and stop taking this medication.</p>
	
	<h5 style="font-weight:600; margin-bottom:10px;">Warning</h5>
	
	<p>If you suffer from mild to moderate liver disease, avoid using this medication.</p>
	
	<p>Occasionally, people experience suicidal thoughts and/or behaviors. Be mindful of any changes in your symptoms or mood. Inform your physician of any new or escalating symptoms.</p>
	
	<p>Make sure your doctor is aware of all the current drugs you are taking, as well as any that have been discontinued or changed. Some medications shouldn't be taken together since they may interfere with one another.</p>
	
	<p>If you lose weight quickly and without intending to, see your physician right away.</p>
	
	<h2>Interactions</h2>
	
	<p>This medication is a substrate of CYP450 3A4 and 1A2 (which is an important enzyme in your body that’s responsible for the metabolism of numerous drugs).</p>	
	
	<p style="margin-bottom:10px;">The use of Daliresp with strong enzyme inducers is not recommended, including the following drugs:</p>
	
	<ul>
		<li style="line-height:1.4; margin-bottom:5px;"><a href="https://www.marleydrug.com/blog/carbamazepine-anti-seizure-drug">Carbamazepine</a></li>
		<li style="line-height:1.4; margin-bottom:5px;">Phenobarbital</li>
		<li style="line-height:1.4; margin-bottom:5px;">Phenytoin</li>
		<li style="line-height:1.4; margin-bottom:5px;">Rifampin</li>
	</ul>
	
	<p style="margin-bottom:10px;">Taking Daliresp with CYP3A4 inhibitors or CYP1A2 inhibitors will increase levels of this mediation, including the following drugs:</p>
	
	<ul>
		<li style="line-height:1.4; margin-bottom:5px;">Erythromycin</li>
		<li style="line-height:1.4; margin-bottom:5px;">Ketoconazole</li>
		<li style="line-height:1.4; margin-bottom:5px;">Fluvoxamine</li>
		<li style="line-height:1.4; margin-bottom:5px;"><a href="https://www.marleydrug.com/blog/common-questions-asked-about-cimetidine">Cimetidine</a></li>
	</ul>
	
	<p>Your physician might need to adjust the dosage of your medications or keep a close eye on you for side effects.</p>
	
	<p>Tell your doctor about all the drugs you are taking, including those not listed above, as many other drugs may also interact with Daliresp (generic: Roflumilast).</p>
	
	<h2>What happens if I miss a dose?</h2>

	
	<p>If you forget to take a dose, take it as soon as you remember, unless it's almost time for your next dose. In this case, skip the forgotten dose and take the next one at the usual time. Do not take 2 doses together to make up for a missed dose.</p>
	
	<h2>Speak With Your Doctor</h2>
	
	<p>The best way to prevent COPD from progressing is to take good care of yourself!</p>
	
	<p>Daliresp (generic: Roflumilast) is relatively considered a safe and effective medication when taken appropriately (as prescribed by your doctor). Talk to your doctor today about using Daliresp (generic: Roflumilast) and send your prescription to Marley Drug. Save up to 95% compared to your local pharmacy by using Marley Drug.</p>
	
	<p>Plus, Marley Drug provides free nationwide shipping, allowing you to receive your medication at no additional cost straight to your door.</p>

Daliresp (Roflumilast) is used to lessen the frequency of episodes or worsening of COPD (chronic obstructive pulmonary disease) symptoms. It's prescribed to people with severe COPD, a medical disorder that affects your lungs and airways. The generic version of Daliresp was recently released on February 17, 2022.

Daliresp for COPD. Generic available. Use, side effects and interactions.

Daliresp is Now Generic

Migraines are chronic (long-term) headaches that cause significant pain for hours or days. The forehead, the side of your head, or the area surrounding your eyes are where the pounding or pulsing pain generally starts. Most migraines cause nausea, vomiting, and sensitivity to light and sound.

Migraine treatment options: natural products, OTC medications, and prescription medications.

Migraines and Treatments

Migraine

<p>Being diagnosed with <a href="https://www.marleydrug.com/blog/cholesterol-what-it-is-and-why-you-should-care">high cholesterol</a> can be stressful enough. But when your insurance won't cover the  medication that your doctor recommends, you’re faced with a problem that plagues millions of Americans. </p>

<p>Choosing between your health and your budget.  </p>

<h2>Understanding Insurance Company Approvals</h2>

<p>For many medications, especially branded medications, insurance companies will require you to go through step-therapy or <a href="https://www.marleydrug.com/blog/are-prior-authorizations-good-for-patients" target="_blank">prior authorization</a> before approving a medication. It can be a long and stressful process that often leaves patients discouraged, isolated, and unsupported. </p>

<p>This was exactly what Diana experienced when she was prescribed Livalo<sup>&reg;</sup> (pitavastatin) for high cholesterol. </p>

<p>Livalo is a third-generation <a href="https://www.marleydrug.com/blog/what-are-statins">statin</a> and has reduced potential for interacting with certain medications compared to other statins. The problem is that it is an expensive branded medication. It costs over $1000 for a 90-day supply without insurance. </p>

<p>Diana couldn’t afford Livalo and started researching online for an alternative. She came across Zypitamag<sup>&reg;</sup> (pitavastatin), a pharmaceutical alternative to Livalo, but at a fraction of the cost, just $1.15/day. </p>

<p>We feel Diana’s story may resonate with you as you may have a similar experience. Here is her story in her own words:</p>

<div style="background-color:#F0F3F5; padding:30px 5% 10px 5%; border-left:5px solid #fee203; margin: 20px 0 30px 0;">

<p>My doctor initially wanted me to use Livalo (pitavastatin), but insurance said I had to fail on 5 statins before they would even approve it. So, we did &mdash; I had bad reactions to every one of them.</p>

<p>When insurance finally provided approval for Livalo I went to fill the prescription and it was outrageously expensive, so I went on some generic statin. When it came time for my blood test, nothing had changed. My doctor was adamant that I needed something better for me and wanted me to try Zypitamag.</p>

<p>Zypitamag just works for me. And, it's affordable. I don't even use my insurance coverage as your company discount is better.</p>

</div>

<h6>*Your personal experience with Zypitamag may differ. Zypitamag, like all statins, can cause side effects. The most commonly reported side effects with Zypitamag are back pain, constipation, diarrhea, muscle pain, and pain in the legs or arms. This is not a complete list of side effects. Talk to your healthcare provider to see if Zypitamag is right for you. This is a stock photo which represents an actual testimonial.</h6>

<h4 style="font-weight:600;">The High Cost of Livalo</h4>

<p>Diana’s story is unfortunately one we hear all the time at Marley Drug. <a href="https://www.marleydrug.com/blog/birthday-surprise-high-cholesterol">Amy who was diagnosed with high cholesterol when she turned 50</a> was asked to pay $863.27 for a 90-day supply. And that was AFTER her insurance approved the medication. She opted to switch to Zypitamag and paid $103.50 for a 90-day supply, a savings of over $700. </p>

<p>If you are taking Livalo, consider switching to Zypitamag.</p>


<h4 style="font-weight:600;">About Zypitamag</h4>

<p><a href="https://www.marleydrug.com/zypitamag">Zypitamag (pitavastatin)</a>, is a pharmaceutical alternative to Livalo (pitavastatin) and was approved by the FDA in 2017. Livalo and Zypitamag  contains the same active ingredient, <a href="https://www.marleydrug.com/blog/statin-use-way-up-pitavastatin-introduced-to-the-u-s-as-a-next-generation-statin">pitavastatin</a>. Zypitamag has been deemed bioequivalent to Livalo by the FDA. </p>

<p>At Marley Drug, due to our relationship with the manufacturer of Zypitamag, Medicure, we are able to offer this medication at a much more affordable price without the need for insurance. By cutting out the insurance company middlemen we are able to provide patients an affordable price for this branded product. </p>

<h4 style="font-weight:600;">Questions about your Statin and Cholesterol?</h4>

<p>We’re here to help. If you’ve recently been diagnosed with high cholesterol, or have questions about your statin, give us a call and one of our pharmacists would be happy to answer your questions.</p>

<p>Call us at <a href="tel:800-810-7790">800-810-7790</a> for a free pharmacy consultation. </p>

Being diagnosed with high cholesterol can be stressful enough. But when your insurance won't cover the medication that your doctor recommends, you’re faced with a problem that plagues millions of Americans.

Prior authorization often leaves patients discouraged, isolated, and unsupported. Look for a cash option.

Fighting Insurance For medication You Need

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Fighting Insurance For Medication You Need

Prior authorizations are a tool health insurance companies use in the United States to determine if they will cover a prescribed medication, a procedure, or a service. According to the America’s Health Insurance Plans group the primary goals of these prior authorization…

A recent survey of 1000 doctors suggest that prior authorizations, a pre-approval process set up by insurance companies, may be harming patients. Learn more.

Are Prior Authorizations Good for Patients?

<p>Non-medical switching is the term used when insurance companies force a patient to switch medications for non-medical reasons without regard for the patient’s medical needs or their healthcare provider’s recommendations.</p><p>These switches are not usually related to the occurrence of side effects or a lack of clinical efficacy or poor adherence, but rather are <strong>frequently an attempt to reduce the amount of money insurance companies need to spend on medications in order to maximize their profits</strong>.</p><p>These switches usually occur through a formulary change which removes a medication from a patient’s insurance coverage; however, insurance companies may also make patients feel forced to switch medications by adding additional steps to getting medications approved (called <a href="https://www.marleydrug.com/blog/are-prior-authorizations-good-for-patients" rel="noopener noreferrer" target="_blank">prior authorizations</a>), increasing their out-of-pocket costs through the use of a higher co-pay, or by reducing the percentage that their insurance plan will cover.</p><h3>Effects on patients</h3><p>If a medication is working, why should we switch it? It’s a valid argument. Non-medical switching can have a very negative impact on a patient; not just on their health, but also on their adherence to their medication. Some examples of problems it can create include:</p><p></p><ul><li><strong>Switching to less effective medications:</strong> Sometimes the new medication the patient is being switched to is not as effective at treating their disease.</li><li><strong>More doctor visits:</strong> Switching medications forces a patient to re-start the process of working with their healthcare provider to find another medication that works for them in controlling their disease. Increased doctor visits usually result in additional costs to the patient.</li><li><strong>New medications mean new medication risks:</strong> Switching medications from one that works to something different can increase the possibility of side effects for that patient and may cause them to “move backward” in their disease treatment. For many patients, especially ones with chronic diseases such as diabetes, finding the specific medication that helps control their disease with minimal side effects can take months or even years.</li><li><strong>Stop taking the medication:</strong> Some patients eventually get tired of the insurance headaches, expensive costs, and unnecessary doctor visits and just stop taking their medication. Depending on the medication they were taking this could cause serious problems down the line.</li></ul><p>These are just some of the many issues that can arise. In a worst-case scenario, serious adverse events may occur or the patient loses control of their disease which ultimately send them to the emergency room to help get their disease back under control.</p><h3>Effects on healthcare providers</h3><p>Physicians and other prescribers devote a lot of time and care to each patient to ensure they find a medication that works for them, especially for patients with chronic conditions. A switch at the pharmacy can be extremely frustrating and problematic for the prescriber as there is a potential to create problems around managing the medication switch in general, loss of disease control for the patient (possibly causing disease regression) and an increase in potential side effects that will have to be managed as well. Finally, while these automatic medication changes are normally communicated to the healthcare provider, in reality this does not always happen. This means that while they believe their patient’s health is being managed appropriately, in reality it may not be.</p><p>Pharmacists are also highly affected by non-medical switching. After a medication’s coverage changes, the pharmacist spends a lot of time communicating with patients, physicians, and payers to discuss these changes and educate them all on how this can affect them; this often makes them the middlemen in these changes even though they do not get a say in the medication switching. Recently, a physician in Colorado, Dr. Kari Uusinarkaus, spoke out about how non-medical switching has severely affected one of his patients. A quote from the article posted in <em>The Gazette </em>states that “non-medical switching is a dangerous, counterproductive strategy that puts profits squarely ahead of patient health.” </p><h4>How patients feel</h4><p>A national poll of 800 patients affected by non-medical switching was performed by Alliance for Patient Access called “A study of the qualitative impact of non-medical switching”, which aimed to gain some insight into patient experiences.</p><p><img src="https://marley-storage.imgix.net/12a0838d-29d0-46ea-9421-78c514c7e850/BL-20220107-nonmedicalswitch-stats.png"><br><br>When patients were asked about the value of getting their medications right, around 60% had reported that it was difficult to find the medication that worked for them, and 88% stated that their day-to-day lives depended on this original medication. Most patients reported that their insurance company stopped covering the medication they were on and they only found out about it at the pharmacy counter when they went to go and fill their prescriptions.</p><p>Nearly 60% of these patients experienced some form of complication while on their new medication, with approximately 1 in 10 people being hospitalized.</p><p>The impact of non-medical switching on other aspects of these patients lives (such as their family and work life) were also reported. Between 40-50% of respondents said that the switch in medication impacted their productivity at work and affected their family relationships. This took a toll on a lot of patients’ emotional well-being with 72% reporting a feeling of helplessness.</p><p>An overwhelming 86% of respondents claimed that the insurer made a decision that “rightfully belongs” to the healthcare provider and over 90% believe that these decisions should be solely made by the patient and healthcare provider and laws should be put in place to reflect such an arrangement.</p><h3>Conclusion</h3><p>Healthcare decisions should be made exclusively by healthcare providers and patients working together to determine the best treatment plan, not by insurance companies trying to save money. Medication switching solely to reduce drug cost can result in increased overall healthcare usage and costs for the patient.</p><p>This is why at Marley Drug; we only give you the medication your healthcare provider prescribes. By not using insurance and paying cash, we can offer you a great price on your medications and you do not have to worry about non-medical switching being forced by your insurance company.</p><p><br></p><h6>Data for this article was informed by: <br>1 National Infusion Center Association<br>2 https://pubmed.ncbi.nlm.nih.gov/31081414/<br>3 https://gazette.com/opinion/guest-column-non-medical-switching-can-harm-patients/article_87d836f0-3e6f-11ec-a901-67fbac0080b4.html<br>4 Alliance for Patient Access</h6><p><br></p>

Non-medical switching is often an attempt to reduce the cost insurance companies need to spend on medications to maximize their profits.

Non-medical switching refers to when an insurance company requires a patient to switch medications for non-medical reasons. This can harm patients. Learn more.

Educate Yourself on Non-Medical Switching

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Before taking Zypitamag, I was on another statin which gave me some side effects. I am grateful to Marley drugs for making this drug so cost-effective and for the excellent home delivery service they offer. The pharmacist and staff at Marley drugs have been very professional, extremely helpful and very patient.

The Wholesale Price List made my prescription easy to afford,  I was about to cancel my prescription because my monthly cost with insurance was almost $150!  Now I can get a 6-month supply for only $37, which is much less money than a one month supply using my insurance. Thanks Dee for calling and letting me know my options!

Great Pharmacy. If your insurance company will not pay, you can get medications. A lot cheaper.

Check out this mail in pharmacy. My cardiologist referred me to them for best price on cholesterol lowering med. I found them to be helpful, professional and provide prompt service.

As soon as my doctor submitted the prescription, I was contacted by Terri, who explained the process and set up delivery to my home. It could not have been easier!

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