Sunday, June 7, 2009

Generic Ritalin: Wal-Mart’s Secret $4.00 Prescription Drug


A few days ago, someone told me that generic Ritalin, or methylphenidate, was on Wal-Mart’s $4.00 generic list. Of course, this is incorrect. Wal-Mart does NOT list generic Ritalin, which is usually used to treat either Attention Deficit Disorder (ADD) or Attention Deficit Hyperactivity Disorder (ADHD), as one of their $4.00 medications. Confusion regarding Wal-Mart’s $4.00 generics is nothing new. We’ve previously discussed much of this confusion in The Real Scoop on $4.00 Prescriptions. But people also continually misunderstand which medications are included in this program.

When I told this person that she was wrong, she continued to argue with me, insisting that this medication was $4.00 at Wal-Mart. Even after I showed Wal-Mart’s own list to her, she still insisted on this. So, I took the next step. I called a local Wal-Mart to determine their price for this medication.

And she was correct . . . it was $4.00.

At Wal-Mart, the 5mg and 10mg strengths of generic Ritalin are $4.00 for 60 tablets, $8.00 for 120 tablets, and $10.00 for 180 tablets.

Why is Wal-Mart Hiding this $4.00 Generic?
After calling numerous Wal-Mart Pharmacies regarding this subject, it’s clear to me that many of the pharmacists at these stores don’t even realize that generic Ritalin is on their $4.00 list. However, those pharmacists who were aware of $4.00 generic Ritalin told me that their corporate offices don’t like to promote the fact that they’re selling a controlled substance at a discounted rate.

But methylphenidate isn’t just any controlled substance—it’s a Schedule II controlled substance. According to the DEA, Schedule II drugs—sometimes also called C-II’s—are substances that:

  • Have a high potential for abuse.
  • Have a currently accepted medical use in treatment in the United States or a currently accepted medical use with severe restrictions.
  • May lead to severe psychological or physical dependence if abused.

With other medications like cocaine, morphine, and opium in this same class, it seems that Wal-Mart is afraid that promoting a discounted rate for a potentially addictive drug could turn into a PR nightmare.

What About Other Pharmacies with $4.00 Prescriptions?
The next obvious question is whether or not other pharmacies, who have developed $4.00 plans of their own to compete with Wal-Mart, also offer generic Ritalin for $4.00. To determine this, I selected two national chains—Target and the grocery store Kroger—which have $4.00 programs that mimic Wal-Mart’s very closely.

I called numerous stores in different parts of the country for each chain, and all of them offered generic Ritalin for $4.00 . . . but the pricing structure was different than Wal-Mart’s. Target charges $4.00 for 30 tablets, $8.00 for 60 tablets, and $12.00 for 90 tablets. Kroger charges $4.00 for 30 tablets, $8.00 for 60 tablets, and $10.00 for 90 tablets. Below is a chart comparing the prices and quantities at the different pharmacies for generic Ritalin 10mg.


(Click to Enlarge)

Not surprisingly, when I called these pharmacies, most of the employees that I spoke with were shocked to learn that they were selling this medication for $4.00. I also asked the personnel at each store whether or not they would match Wal-Mart’s price. Depending on the location, each chain had stores that were willing to match the price . . . but also had other stores that were unwilling to match this price.

Are There Other Hidden $4.00 Generics?
At the conclusion of each phone call I made, I asked the employee I was speaking to if there were other medications on their $4.00 program that were unlisted. Without fail, I was always told that generic Ritalin is the only such medication. However, considering that most of the people I talked to at these pharmacies weren’t even aware of the $4.00 price of generic Ritalin, there still may be other drugs out there that are available at a discounted rate . . . and yet not advertised.

10 comments:

Adam J. Fein said...

Is this bad news or good news? Hard to tell from your post.

Adam

Mr. MedSaver said...

That's because it truly is both good and bad news. On the bad side, you have the fact that major retailers across the country are selling deeply discounted prescriptions for highly addictive controlled substances. However, on the good side, this can save a lot of people a lot of money.

And then of course, you also have my opinion on $4.00 prescriptions . . . that they can bring about big savings if you're careful. But for consumers who don't do their homework, these programs can actually end up costing them MORE money in the long run.

But even moreover, it's just a very strange situation. I honestly don't know what Wal-Mart is expecting to gain by having a "secret" $4.00 medication that they basically don't talk about. And if they aren't going to discuss it, then at least I will.

Anonymous said...

I just contacted not only Walmart but Target and both said that their prices are considerably higher. I looked at their list and it is not on it. So can you please show us where it is so we can save money too.

Mr. MedSaver said...

Anonymous,

What specific drug and quantity did you ask each of these stores for the price of?

Lily said...

Three cheers for Wal-Mart. And now they've started selling 3 months of some generics for $10. Wow!

Oliver said...

This is a very interesting fact... thanks for the important info! I, too, wonder if there are any other "hidden" meds on the Wal-Mart $4 list. I am a hospital-employed hospitalist, and therefore take care of a lot of folks either w/o a prescription plan or Medicare part D pts in the "doughnut hole." I wonder if tramadol is another "hidden" med on the list?? It used to be on the list when the program 1st launched, but has since been removed. I see Wal-Mart's point of not freely publishing such meds of potential abuse that are included on their list, but it can be really very useful and important to us practitioners!

Mr. MedSaver said...

Oliver, as you mentioned Wal-Mart did take tramadol off their list. And as far as I know, they no longer offer a $4.00 price for it.

It sounds as though you might make prescribing decisions based on these $4.00 lists. If this is the case, read my post What Giant Retailers Don’t Want You to Know: The Real Scoop on $4.00 Prescriptions. Make sure you understand the full ramifications of the program you're endorsing.

Anonymous said...

If you are all so concerned that they are hiding this from you, you are wrong. This is unfortunately due to the fact that too many people abuse controlled substances and ruined it for you, so you can be mad at the druggies & not Wal-mart. Your prescriber can request a list of medications not available to the public for their knowledge when considering what medication to prescribe.

fridaysinjune said...

Late this past week, I purchased tramadol from Target. I was surprised to find that I only paid $1.75 for it, and that full retail was listed as only $4. I double checked, and it's not on their $4 list either. I wonder if it is the same at wal-mart.

Anonymous said...

i love u! lol how awesome to know.... i called and u are right! seriously, my husband needs this med for his adhd but we couldnt afford it, thankkkk you!

 
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