Table 1: Price increases for Brand Name Drugs with Generic Equivalents Brand Name Medication and Dose Total % Change Since 10/2012 ACTOS 15 MG TABLET 6.36 11.03 73.39% ACTOS 30 MG TABLET 9.7 16.80 73.23% ACTOS 45 MG TABLET 10.56 18.49 75.08% ALTACE 10 MG CAPSULE 3.11 4.48 44.08% ALTACE 5 MG CAPSULE 2.63 3.88 47.38% AMBIEN 10 MG TABLET 6.61 12.85 94.42% AMBIEN 5 MG TABLET 6.75 12.83 90.11% AVAPRO 150 MG TABLET 2.78 4.51 62.08% AVAPRO 300 MG TABLET 3.36 5.51 64.11% CARDIZEM CD 180 MG CAPSULE 4.41 29.35 565.48% CELEXA 20 MG TABLET 3.82 6.80 77.99% CELEXA 40 MG TABLET 4.06 7.02 72.82% COREG 12.5 MG TABLET 2.3 3.53 53.42% COREG 25 MG TABLET 2.29 3.50 52.83% COZAAR 100 MG TABLET 3.45 4.33 25.39% COZAAR 25 MG TABLET 1.88 2.36 25.59% COZAAR 50 MG TABLET 2.53 3.19 26.17% EFFEXOR XR 150 MG CAPSULE 5.75 9.48 64.80% EFFEXOR XR 37.5 MG CAPSULE 4.7 7.67 63.17% EFFEXOR XR 75 MG CAPSULE 5.26 8.66 64.68% FOSAMAX 70 MG TABLET 22.25 27.71 24.52% GLUCOPHAGE 1,000 MG TABLET 1.87 1.96 5.06% GLUCOPHAGE 500 MG TABLET 0.91 0.96 5.93% HYZAAR 100-12.5 TABLET 3.85 4.80 24.73% HYZAAR 100-25 TABLET 3.8 4.81 26.49% HYZAAR 50-12.5 TABLET 2.79 3.51 25.95% IMITREX 100 MG TABLET 31.04 46.36 49.37% IMITREX 50 MG TABLET 31.04 46.49 49.79% KEPPRA 250 MG TABLET 4.26 5.55 30.22% KEPPRA 500 MG TABLET 5.14 6.67 29.69% Page 1
Brand Name Medication and Dose Total % Change Since 10/2012 KEPPRA 750 MG TABLET 6.91 9.05 30.94% LAMICTAL 100 MG TABLET 6.34 10.27 62.04% LAMICTAL 150 MG TABLET 7.05 11.30 60.25% LAMICTAL 200 MG TABLET 7.7 12.32 59.98% LASIX 20 MG TABLET 0.35 0.52 48.96% LASIX 40 MG TABLET 0.48 0.73 52.63% LASIX 80 MG TABLET 0.79 1.19 50.27% LEVAQUIN 250 MG TABLET 16.54 23.04 39.27% LEVAQUIN 500 MG TABLET 18.21 26.02 42.90% LEVAQUIN 750 MG TABLET 35.02 50.42 43.97% LEXAPRO 10 MG TABLET 4.31 7.17 66.27% LEXAPRO 20 MG TABLET 4.5 7.51 66.91% LIPITOR 10 MG TABLET 3.86 6.07 57.14% LIPITOR 20 MG TABLET 5.52 8.76 58.69% LIPITOR 40 MG TABLET 5.51 8.78 59.30% LIPITOR 80 MG TABLET 5.5 8.80 60.04% MAXALT 10 MG TABLET 30.3 31.91 5.32% NEURONTIN 100 MG CAPSULE 0.86 1.24 44.32% NEURONTIN 300 MG CAPSULE 2.16 3.09 42.87% NEURONTIN 400 MG CAPSULE 2.57 3.70 43.97% NEURONTIN 600 MG TABLET 4.07 5.86 43.99% NORVASC 10 MG TABLET 3.44 5.04 46.57% NORVASC 2.5 MG TABLET 2.54 3.64 43.43% NORVASC 5 MG TABLET 2.51 3.69 46.87% PAXIL 20 MG TABLET 3.99 5.06 26.93% PAXIL 40 MG TABLET 4.3 5.58 29.79% PLAVIX 75 MG TABLET 6.32 6.21-1.77% PRILOSEC DR 20 MG CAPSULE 5.76 7.11 23.41% PRILOSEC DR 40 MG CAPSULE 8.69 10.34 19.01% PROZAC 10 MG CAPSULE 6.46 9.28 43.66% Page 2
Brand Name Medication and Dose Total % Change Since 10/2012 PROZAC 20 MG CAPSULE 7.63 9.43 23.61% RISPERDAL 2 MG TABLET 9.75 13.24 35.76% SEROQUEL 100 MG TABLET 6.21 6.42 3.38% SEROQUEL 200 MG TABLET 11.79 12.17 3.19% SEROQUEL 25 MG TABLET 3.61 3.74 3.49% SEROQUEL 300 MG TABLET 15.41 15.89 3.09% SEROQUEL 400 MG TABLET 18.2 18.75 3.05% SINGULAIR 10 MG TABLET 5.11 6.54 27.95% TOPAMAX 100 MG TABLET 8.42 11.46 36.14% TOPAMAX 200 MG TABLET 9.79 13.55 38.45% TOPAMAX 25 MG TABLET 3.05 4.25 39.33% TOPAMAX 50 MG TABLET 6.16 8.38 36.04% ULTRAM 50 MG TABLET 1.77 2.39 35.23% XANAX 0.25 MG TABLET 1.55 2.34 51.08% XANAX 0.5 MG TABLET 1.92 2.92 52.29% XANAX 1 MG TABLET 2.55 3.96 55.22% XANAX 2 MG TABLET 4.36 6.64 52.38% ZOCOR 20 MG TABLET 5.45 6.89 26.45% ZOCOR 40 MG TABLET 5.48 6.89 25.77% ZOLOFT 100 MG TABLET 4.39 6.51 48.25% ZOLOFT 25 MG TABLET 4.47 6.58 47.14% ZOLOFT 50 MG TABLET 4.37 6.61 51.22% ZYPREXA 10 MG TABLET 18.21 17.80-2.28% ZYPREXA 15 MG TABLET 27.11 26.60-1.90% ZYPREXA 20 MG TABLET 36.27 35.44-2.30% ZYPREXA 5 MG TABLET 12.02 11.81-1.78% Tables 1 & 2: The average price increase for the above listed brand name medications was 46% over three years even though the generic equivalents for these same medications went down an average of 11% over the same time period (Table 2 below). Only two of the above listed medications (Plavix and Zyprexa) went down in price while 77 out of 86 listings for the generic equivalents dropped in price over the same period. Page 3
Table 2: Price Changes for the Generic Equivalents of Each Brand Name Medication Listed Above. Generic Equivalent to Each Brand Name Medication Total % Change Since 10/2012 PIOGLITAZONE HCL 15 MG TABLET* 0.19 0.14-25.07% PIOGLITAZONE HCL 30 MG TABLET* 0.25 0.20-19.10% PIOGLITAZONE HCL 45 MG TABLET* 0.3 0.22-27.62% RAMIPRIL 10 MG CAPSULE 0.1 0.08-16.76% RAMIPRIL 5 MG CAPSULE 0.1 0.09-10.02% ZOLPIDEM TARTRATE 10 MG TABLET 0.03 0.02-22.93% ZOLPIDEM TARTRATE 5 MG TABLET 0.03 0.03-7.10% IRBESARTAN 150 MG TABLET 1.94 0.22-88.77% IRBESARTAN 300 MG TABLET 2.37 0.29-87.66% DILTIAZEM 24HR CD 180 MG CAP 0.61 0.35-42.17% CITALOPRAM HBR 20 MG TABLET 0.04 0.03-25.98% CITALOPRAM HBR 40 MG TABLET 0.04 0.04-6.95% CARVEDILOL 12.5 MG TABLET 0.03 0.03 2.07% CARVEDILOL 25 MG TABLET 0.03 0.03 9.77% LOSARTAN POTASSIUM 100 MG TAB 0.1 0.08-23.33% LOSARTAN POTASSIUM 25 MG TAB 0.05 0.04-15.08% LOSARTAN POTASSIUM 50 MG TAB 0.07 0.05-24.56% VENLAFAXINE HCL ER 150 MG CAP 0.22 0.19-14.40% VENLAFAXINE HCL ER 37.5 MG CAP 0.16 0.15-4.34% VENLAFAXINE HCL ER 75 MG CAP 0.19 0.15-19.50% ALENDRONATE SODIUM 70 MG TAB 0.53 0.45-15.54% METFORMIN HCL 1,000 MG TABLET 0.04 0.03-23.20% METFORMIN HCL 500 MG TABLET 0.02 0.02-16.50% LOSARTAN-HYDROCHLOROTHIAZIDE 100-12.5 MG TAB LOSARTAN-HYDROCHLOROTHIAZIDE 100-25 MG TAB LOSARTAN-HYDROCHLOROTHIAZIDE 50-12.5 MG TAB 0.13 0.12-9.19% 0.13 0.10-20.62% 0.09 0.08-16.44% Page 4
Generic Equivalent to Each Brand Name Medication Total % Change Since 10/2012 SUMATRIPTAN SUCC 100 MG TABLET 0.86 0.79-8.04% SUMATRIPTAN SUCC 50 MG TABLET 0.85 0.76-11.11% LEVETIRACETAM 250 MG TABLET 0.13 0.09-31.44% LEVETIRACETAM 500 MG TABLET 0.18 0.11-36.77% LEVETIRACETAM 750 MG TABLET 0.26 0.20-21.36% LAMOTRIGINE 100 MG TABLET 0.07 0.06-15.84% LAMOTRIGINE 150 MG TABLET 0.08 0.07-6.70% LAMOTRIGINE 200 MG TABLET 0.1 0.08-16.06% FUROSEMIDE 20 MG TABLET 0.01 0.01 28.50% FUROSEMIDE 40 MG TABLET 0.01 0.01 43.00% FUROSEMIDE 80 MG TABLET 0.03 0.03-15.23% LEVOFLOXACIN 250 MG TABLET 0.23 0.17-24.33% LEVOFLOXACIN 500 MG TABLET 0.26 0.22-15.72% LEVOFLOXACIN 750 MG TABLET 0.6 0.50-17.12% ESCITALOPRAM 10 MG TABLET 2.63 0.10-96.09% ESCITALOPRAM 20 MG TABLET 2.75 0.13-95.14% ATORVASTATIN 10 MG TABLET 0.17 0.11-36.81% ATORVASTATIN 20 MG TABLET 0.23 0.13-43.29% ATORVASTATIN 40 MG TABLET 0.24 0.15-37.90% ATORVASTATIN 80 MG TABLET 0.24 0.16-32.80% RIZATRIPTAN 10 MG TABLET* 1.65 1.20-27.28% GABAPENTIN 100 MG CAPSULE 0.04 0.03-24.28% GABAPENTIN 300 MG CAPSULE 0.07 0.04-36.20% GABAPENTIN 400 MG CAPSULE 0.1 0.07-30.12% GABAPENTIN 600 MG TABLET 0.29 0.14-51.55% AMLODIPINE BESYLATE 10 MG TAB 0.03 0.03-7.10% AMLODIPINE BESYLATE 2.5 MG TAB 0.02 0.02 13.35% AMLODIPINE BESYLATE 5 MG TAB 0.02 0.02-2.50% PAROXETINE HCL 20 MG TABLET 0.1 0.09-13.23% PAROXETINE HCL 40 MG TABLET 0.14 0.13-6.46% Page 5
Generic Equivalent to Each Brand Name Medication Total % Change Since 10/2012 CLOPIDOGREL 75 MG TABLET 0.12 0.09-24.63% OMEPRAZOLE DR 20 MG CAPSULE 0.09 0.06-33.64% OMEPRAZOLE DR 40 MG CAPSULE 0.21 0.15-27.32% FLUOXETINE HCL 10 MG CAPSULE 0.03 0.03 3.93% FLUOXETINE HCL 20 MG CAPSULE 0.03 0.03-13.87% RISPERIDONE 2 MG TABLET 0.15 0.11-26.67% QUETIAPINE FUMARATE 100 MG TAB 0.21 0.14-31.43% QUETIAPINE FUMARATE 200 MG TAB 0.37 0.23-37.38% QUETIAPINE FUMARATE 25 MG TAB 0.12 0.08-29.27% QUETIAPINE FUMARATE 300 MG TAB 0.51 0.35-31.15% QUETIAPINE FUMARATE 400 MG TAB 0.57 0.35-38.96% MONTELUKAST SOD 10 MG TABLET* 0.28 0.17-40.86% TOPIRAMATE 100 MG TABLET 0.09 0.08-7.20% TOPIRAMATE 200 MG TABLET 0.12 0.12 1.48% TOPIRAMATE 25 MG TABLET 0.04 0.03-12.80% TOPIRAMATE 50 MG TABLET 0.07 0.06-15.37% TRAMADOL HCL 50 MG TABLET 0.02 0.02 21.55% ALPRAZOLAM 0.25 MG TABLET 0.02 0.02-1.80% ALPRAZOLAM 0.5 MG TABLET 0.03 0.02-28.90% ALPRAZOLAM 1 MG TABLET 0.03 0.02-23.37% ALPRAZOLAM 2 MG TABLET 0.06 0.05-14.13% SIMVASTATIN 20 MG TABLET 0.03 0.02-18.40% SIMVASTATIN 40 MG TABLET 0.05 0.04-25.18% SERTRALINE HCL 100 MG TABLET 0.06 0.06 3.60% SERTRALINE HCL 25 MG TABLET 0.06 0.07 13.23% SERTRALINE HCL 50 MG TABLET 0.06 0.05-10.17% OLANZAPINE 10 MG TABLET 0.31 0.22-27.75% OLANZAPINE 15 MG TABLET 0.45 0.34-23.61% OLANZAPINE 20 MG TABLET 0.63 0.46-26.84% OLANZAPINE 5 MG TABLET 0.21 0.15-27.98% Page 6
* Actos, Maxalt and Singulair didn t have generic equivalents in 2012 so I used 2013 prices for pioglitazone, rizatriptan and montelukast. All prices are per unit dose which is either a capsule, tablet, gram for creams and ointments or milliliter for solutions and lotions. Prices based on Average Drug Acquisition Costs (NADAC) lists for dates shown. Sources: http://truecostofhealthcare.net/pharmacy_price_index/ https://www.medicaid.gov/medicaid-chip-program-information/by-topics/benefits/prescription- Drugs/Pharmacy-Pricing.html Page 7