I prefer to have a paper prescription so I can afford my medication from Canada. What can I do?

It is true—there are substantial benefits to electronic prescribing (e-prescribing). It facilitates the integration of prescription records into the patient's medical record, has the potential to minimize medication errors, and may reduce prescription theft and forgery of controlled drugs. The main reason that states have adopted rules to encourage e-prescribing is to prevent the abuse of prescription narcotics, which is a national epidemic.

However, access to affordable medication is also a national problem, and the benefits of e-prescribing need to be balanced with the patient's freedom of choice. If you cannot afford Advair locally, other options are available internationally. For Advair Diskus 250/50mg, the price in many U.S. pharmacies is often about $400 for a one-month supply. Ordering Advair Diskus online from a PharmacyChecker-verified online pharmacy is an alternative: the price is about $135-$140 at Canadian pharmacies; and around $80 in the UK. 

One thing though: You need a valid prescription to order the medication from a verified international online pharmacy. This means either obtaining a written prescription to mail/fax or, technically, your doctor may also call in a prescription.

While most states have provisions allowing e-prescribing and some have extremely strict requirements mandating its use, all have exceptions that allow consumer choice. PharmacyChecker.com CEO Tod Cooperman, MD, wrote about this issue in an earlier blog post as it relates to electronic prescribing in the State of New York. 

The rules in New York (where e-prescribing became mandatory on March 27, 2016) provide exceptions to allow written prescriptions. One of these exceptions takes into consideration a paper prescription when the medication is "to be dispensed by a pharmacy located outside the state." Therefore, in New York, if you intend to have your prescription filled out-of-state, a doctor can legally hand you a paper prescription.

We found a similar situation in Florida. In fact, Florida law expressly requires a balance between e-prescribing and the freedom to choose a pharmacy, stating "electronic prescribing shall not interfere with a patient's freedom to choose a pharmacy."

For some patients, this means having a prescription in hand to shop prices at local pharmacies or to send to an affordable credentialed international online pharmacy.

What if my provider insists on e-prescribing my medication?

If your healthcare provider says they can't give you a paper prescription, then let them know the law is on your side. Explain that your choice of pharmacy is often based on the cost of the medication being prescribed, which means having a prescription in hand to shop around for the lowest price.

Pharmaceutical companies also offer assistance with the cost of medication through patient assistance programs. 

Published 10/4/2017