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Paul's Hospital and Vancouver General Hospital, University of British Columbia, Vancouver, British Columbia, Canada; and Montréal Children's Hospital and Jewish General Hospital, Mc Gill University, Montréal, Québec, Canada. Paul's Hospital and Vancouver General Hospital, University of British Columbia, Vancouver, British Columbia, Canada; and Montréal Children's Hospital and Jewish General Hospital, Mc Gill University, Montréal, Québec, Canada. Paul's Hospital and Vancouver General Hospital, University of British Columbia, Vancouver, British Columbia, Canada; and Montréal Children's Hospital and Jewish General Hospital, Mc Gill University, Montréal, Québec, Canada. Many Americans have been purchasing their medications from online Canadian pharmacies. Forty-one of the 44 brand-name medications examined were less expensive in Canada. Although it is commonly perceived that medications are less expensive in Canada than in the United States, little research has been done to quantify this difference. Americans can save a mean of approximately 24% per unit of drug if they purchase their medications from Canadian Internet pharmacies instead of from major online U. The medications offering the largest mean yearly savings were Zyprexa (olanzapine) (Eli Lilly, Indianapolis, Indiana) ($1159), Actos (pioglitazone) (Eli Lilly, Indianapolis, Indiana) ($852), and Nexium (esomeprazole) (Astra Zeneca, Wilmington, Delaware) ($772). The authors calculated the per unit and annual savings (in U. dollars) for an American if he or she were to buy the 44 brand-name medications most commonly purchased through the Internet from Canadian Internet pharmacies instead of from an online U. Only 3 medications, all in the erectile dysfunction category, were more expensive in Canada. 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A nationally representative Consumer Reports survey of almost 1,200 adults who currently take a prescription drug found that high costs are forcing people to cut back on groceries, delay retirement, and even take on a second job. “While it’s not always possible to limit those costs, it often is.” That’s what this report is all about: helping you get the drugs you need at prices you can afford. And some say they’re making potentially dangerous choices, such as rationing or even stopping their meds. “Seeing a patient give up needed medication or struggle to pay for food or housing because of high drug costs is devastating,” says Marvin M. Americans spend more on drugs than people in any other country—and costs continue to rise. In 2016 total drug costs went up 6.3 percent compared with the year before, about three times the rate for other goods and services, according to the Department of Labor. 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