Generic Prozac is Fluoxetine. It used to be $100 for 30 pills. Since it became generic, you can get 100 pills from Walmart for about $10. You can get 30 pills for $4.
CVS sent me a fax this past week: “Your patient wants a drug which is less expensive. 30 pills of Fluoxetine 20mg is $48. Consider Citalopram or Paroxetine which is less.”I was stunned. FORTY-EIGHT DOLLARS?!?!?!? This is WITH INSURANCE!!!
Plus, these drugs are not equivalent. All are SSRI’s but they have very different issues of half-life, sedation, EKG changes and weight gain. No! This is not acceptable. I called the patient and told her she could get the drug cheaper at Walmart. I sent in a new prescription to Walmart. She was thrilled.
Then I returned the fax to CVS with big bold magic marker