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Generic Prozac Chemical Name: FLUOXETINE Common uses This medicine is a selective serotonin reuptake inhibitor (SSRI) used to treat depression, panic disorder, obsessive-compulsive disorder (OCD), or bulimia. This medicine may also be used to treat premenstrual dysphoric disorder (PMDD).
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What is the cost of generic prozac vs. all the other brand names?'" said Dr. Daniel M. Glaser, director of the Division Addiction Medicine at Massachusetts General Hospital in Boston, and chief of the team that recently studied this issue for a state board of health in New Jersey. About 6 percent of adults under the age 40 took a medication that contains generic version of an older, patented drug in 2011, according to a federal survey of adults taken in 2010 to account for inflation. That was higher than the 4.3 percent of adults under age 40 who were prescribed prozac in 2006, the latest data available. "The question is, do we have the right kind of regulatory frameworks to evaluate the risk and cost of taking generic medicines?" Glaser said. The generic-drug manufacturers argue studies they sponsored before New Jersey began considering the issue were not biased in favor of the generic drug companies. "We're an industry that has spent billions of dollars educating patients about how to choose more cost-effective drugs and what to look for in a drug plan," Prozac 90 Pills 20mg $99 - $1.1 Per pill said Robert K. Wood, a spokesman for Vertex Pharmaceuticals in South San Francisco, which makes generic Prozac and Zyprexa in the U.S. manufacturer is trying to get its Prozac-like medication approved for the U.S. market. For Vertex, the stakes are high. Zyprexa, which is now in a phase-three trial women with dysthymia for depression, has a list price of about $5,000, up from $5,000 for Prozac, and the two drugs have dramatically different side effects, said Robert S. Schapiro, vice president of clinical research and development. "While the Prozac is better reviewed in terms of its safety, we don't want to lose the revenue stream" with generic Prozac, he said. Generic formulations are now replacing branded drugs such as the cholesterol-lowering statin drug Crestor and the blood pressure pill Pradaxa by name, Wood said. Generic drug companies also have spent $1.7 billion on advertising, in the U.S. and abroad, said Wood, more than most drugmakers spend on research and development. The generic industry argues that more than 90 percent of the U.S. market is now for generics, with Prozac accounting just 10 percent of the generics, Wood said. Prozac also is widely prescribed in the developing world. Some U.S. states and municipalities say they have to weigh the costs of costly generic drug programs against potential reductions in demand, citing the shortage of such drugs as in 2011 of the diabetes drug Avandia because of generic competition, said Dr. Robert L. Wittenberg, chairman of the department neurology and psychiatry at Boston University a member of the group physicians lobbying for New Jersey legislation. The American Medical Association's policy, adopted last year, supports generic drug programs, Wittenberg said. "Because it is the least expensive generic that is prescribed, and because many patients have no way of substituting, generic products are the most economical option for patients," the AMA said. Wittenberg said generic drugs are just as effective the brand name drug while requiring relatively little marketing. "It's a good argument to make." At Vertex, Wood said the company supports program because drugmaker's drugs are prescribed a much more widely for common conditions such as heart disease, depression and insomnia, are very affordable. "To say your goal is to ensure that generic drugs are cheaper is misguided," he said. A spokeswoman for the New Jersey pharmaceutical board did best drugstore gel mascara not respond to a request for comment, or to a review of the agency's legislative archives regarding similar proposals. Some critics also say New Jersey is doing more harm than good by allowing a few generic drug companies to win lucrative New Jersey sales licenses. "There is no doubt about this: These companies are being given state money to make more money, even as taxpayers are stuck with the price of these expensive drugs that need to be very cost-effective," said Dr. Andrew Kolodny, a psychiatry professor at Brandeis University in Waltham, Mass. "They can't win the game, so they are doing it at the expense of patients." New Jersey currently has a law requiring pharmaceutical companies to give 90 percent discounts pharmacists for prescription drugs. The generic-drug program approved by Gov. Christie allows sales or rebates to be granted, if the manufacturer can show it is the low-cost generic competitor to brand-name drug. That is one of the conditions a $500 million settlement reached earlier this year between the makers of drugs being sold by Prozac/Zyprexa in New Jersey and seven of the nine pharmacists who sold drugs since 2004.
