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Date Posted: 00:23:07 05/01/04 Sat
Author: Me
Subject: US. customers cut off from cheaper Cdn Internet drugs look to Senate for aid

US. customers cut off from cheaper Cdn Internet drugs look to Senate for aid

MICHELLE MACAFEE
Canadian Press


Friday, April 30, 2004
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(CP) - Elinor Shoaf has felt the pain of the Internet pharmacy industry's heightened struggle to stock the cheap drugs she and a million other Americans have come to depend on.

Specifically, the 74-year-old from Wheeling, W.Va., felt it in her elbows, back and knees - the effects of not taking her arthritis medication for several weeks while she awaited a refill from Canada that has yet to arrive.

"It wasn't severe, but I was getting new aches and pains," Shoaf, a retired school teacher, said in an interview.

"I had just been biding my time hoping I would get it. Every day I thought, well, it will come, until I talked to them on the phone and they said they weren't able to get it."

On the advice of her doctor, Shoaf recently filled her Celebrex prescription at her neighbourhood drugstore for triple the price she had been paying at the Winnipeg Internet pharmacy she has used for three years.

Hundreds of kilometres west in Petaluma, Calif., Doris Murphy has relied on free samples of Celebrex from her doctor since January as she waits for a prescription from Canada.

"This infuriates me," Murphy, a 74-year-old retired sales manager, said in an interview from her mobile home.

"If you use it, you need it. It's not something you get to make you look pretty."

Earlier this month, a busload of seniors from Minnesota left Winnipeg without being able to fill their prescriptions for Lipitor, a cholesterol-lowering drug they had been buying in Canada with ease for years.

Stories like these have brought representatives of the Canadian International Pharmacy Association to Washington this week to make their case for smoother cross-border trade.

The association met with five senators, including some co-sponsors of a new bipartisan bill that would permit drug imports from Canada.

The group also went to the White House on Friday to meet with policy advisers to President George W. Bush.

The administration is facing growing election-year discontent with rising drug prices in the United States. However, opponents on both sides of the border have continually argued that drug imports should remain illegal because they are unsafe and could lead to a rise in counterfeit drugs.

The urgency of the current supply crisis facing the Canadian online industry was a key message at the meetings with senators, said pharmacy association spokesman David MacKay.

Internet pharmacies have been grappling with supply shortages caused after three major drug manufacturers blacklisted them at the wholesale level earlier this year. The move has choked off the flow south of many popular brand-name products sold to uninsured and underinsured Americans at prices that are substantially lower due to federal price regulations.

There have been some layoffs in Manitoba, the birthplace of the industry, with more expected. A few companies are also reorganizing to direct customers on a commission basis to pharmacies in countries with similar regulatory standards, such as Britain.

MacKay said his members like some aspects of the Senate bill, such as a provision that would prevent manufacturers from restricting supply.

But the association also stressed the Canadian system could not support the volume of sales the new bill would allow by letting U.S. pharmacies and wholesalers import.

"We want to make sure it's practical, it's workable and they have legislation that will not end up being destructive either north or south of the border," MacKay said in a telephone interview.

Canadian opponents, such as the Coalition for Manitoba Pharmacy and several patient rights groups, recently told a U.S. Food and Drug Administration task force that while stories about American patients going without affordable drugs are compelling, they are not Canada's problem.

The groups urged the U.S. government to come up with a domestic solution to unaffordable drug prices.

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