America's Best Drugstores

Readers rate service, speed, and advice (but too few know how to ask for it).

Filed Under: Money Specials


Advice You Can Use

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    As new prescription drugs, over-the-counter remedies, and dietary supplements migrate through the drugstores and into medicine cabinets across the U.S., consumers should be asking pharmacists more about dosage and interactions. Yet many aren't talking to pharmacists at all, according to a survey of more than 40,000 readers by the Consumer Reports National Research Center.

    Readers sought pharmacists' advice about prescription drugs at just 38 percent of walk-in visits during the course of a year, and they asked about over-the-counter remedies at just 29 percent. That's far less than in our 2002 survey, when the figures were 50 percent and 37 percent, respectively.

    The potential for problems is huge. In any given week, four out of five adults take medicine or supplements, and nearly one-third of all adults take five or more daily. Allen J. Vaida, executive vice president of the nonprofit Institute for Safe Medication Practices, estimates that 18 million people go to an emergency room every year because they've taken medication incorrectly.

    The evolving relationship between consumers and pharmacists is one of several findings that indicate a shift in how people are finding the best drugstore for their needs, how they are buying medicine, where they're shopping, and what they're paying. The highlights:

    · Cost is a bigger burden. In 2007, Americans spent $287 billion on prescription drugs, about five times as much as in 1993 but only about half the amount forecast for 2017. Sixty-five percent of prescription-drug buys we asked about in 2002 were mostly or entirely covered by insurance, vs. 33 percent this time. Five percent of purchases weren't covered at all.

    · Paying cash? Compare prices. Our national study of prices for four common drugs found average total differences of as much as $340, or 26 percent, between the cheapest source, Costco Wholesale, and the priciest, Rite Aid. Even prices within a chain often differed: A Shopko in Omaha, Neb., charged $160 for alendronate (the generic version of Fosamax, for osteoporosis); a Shopko in Billings, Mont., charged $257. Prices also varied greatly from one independent pharmacy to another. Wal-Mart, Publix, and Costco were most likely to have consistent prices.

    · Most readers still use walk-in chain drugstores for prescriptions, but other options are worth considering in the search for the best drugstore. Many supermarket drugstores and several mass merchants received higher Ratings than the biggest chains.

    · Online buying has gone mainstream. Only chain drugstores ring up higher sales of prescription drugs.

    · Independent drugstores, which number about 23,000 nationwide, were a reader favorite. As a group, they were in a statistical tie with the Medicine Shoppe (a chain of about 700 independently owned stores), several supermarket pharmacies (Publix, Hy-Vee, Hannaford, and Wegmans), and two discount-store pharmacies (Kmart and Shopko).

    · Pharmacies scored higher than most services we measure, and far fewer readers found problems than in years past. Still, in 29 percent of visits over the course of a year, readers said the drugs they sought were out of stock; in 14 percent there were long waits for help at the pharmacy, and in 14 percent prescriptions weren't ready when promised.

    Copyright © 2002-2008 Consumers Union of U.S., Inc.

    For full access to Ratings and recommendations of appliances, cars & trucks, electronic gear, and much more, subscribe to ConsumerReports.org.

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    Recent Comments

    1 - 10 of 1396
    1396 comments

    didefresh005 12:25:54 AM Nov 25 2008

    Near where I live, it depends on the location. Some CVS stores have horrible customer service and others are wonderful. But I like CVS because I can transfer a prescription with a Rite Aid coupon and get $25-30 per refill. Wal-Mart always has long lines so i'm discouraged from going there. Target is rude. Walgreens is pretty good since Rite Aid is across the street...but the lines can get long. I have been to most Rite Aid's and they were courteous, quick, and consistent. They even match the $4/$10 prescription deals at Wal-Mart. Kmart went out of business here, but were overpriced and didn't match.I wish we can get a Publix because they have good pharmacies from what I hear.

    FINOLuvTori 08:12:58 PM Nov 18 2008

    I only mess with the bigger pharmacies when I have too. After hours or weekends. Otherwise, I've found that many private owned and smaller drug stores, such as Kilgores in Columbia Missouri, is much better. Lower prices, friendly and helpful service, and they care enough to make sure your medications are compatable. Not to mention, they don't keep you waiting for hours to fill your medicine. Also, when a patient is too sick to pick up their medicine, Kilgores has delivered it to them personally. You wouldn't find that at Cosco or Wal-Mart and definitely not Walgreens. Walgreens is better known for a long wait and some mess up with your insurance, leaving you to pay and go through the hassle of being reimbursed, all becuase they don't take the time to process the claim correctly, when you first get there. It's amazing how places like Kilgores will process the very same perscription the following morning with no trouble at all. After several of these mishap's, I'm more than h

    Flamos4 07:25:51 PM Nov 18 2008

    I switched to walgreen's once and was promised my med would always be there , come to find out they would only order them when I called in for a refill. So now I am back with my old service at Publics and prices are fare and serice is excellent. I will never go back to walgreen's for my Meds there service is the worst and I did not like the Lack of care or concern

    Seance1 01:55:52 AM Oct 14 2008

    My wife and I lost all are savings lost house in forecloser and live on SS combined we get $2900 a month and lost our retirerment to the scum bag company we worked for but the big shots walk away with millions in thier retirement

    EFB3500 02:47:39 AM Jul 27 2008

    ebrinkThe American public is at the mercy of the Drug Compnaies. Medicare Part D charges you the super list price. Lipitor went from $250 last year to $350 this year under Part D insurance. In 2005 when I paid cash it was $98 dollars for 90 pills.Drug compnies charge what they think the Public will pay. We need to vote everyone out of office in November, 2008 and start out fresh. We need universal healteh care, but for US Citizens only.

    Rebar379 09:25:03 AM Jul 15 2008

    MY MESSAGE DIDN'T SEEM TO TAKE, JUST MY SCREEN NME AND A BLANK SCREEN. NEW MESSAGE:I USE "ONE TOUCH" TEST STRIPS TO TEST FOR BLOOD-SUGAR LEVELS. THOSE TEST STRIPS COST ME $ 50 AT CVS ( A DOLLAR EACH) WITHOUT A PRESCRIPTION, NEXT TIME I HAD A PRESCRIPTION AND I PAID ALMOST $ 40. AT THE SAME CVS, I THOUGHT MEDICARE SAID THEY WERE HELPING OUT, HELPING WHO? CVS.BESIDES WHAY ARE THOSE STRIPS SO EXPENSIVE WHEN A DIABETIC HAD TO TEST HIS BLOOD SUGAR SO OFTEN ?

    Rebar379 09:14:59 AM Jul 15 2008

    I PAID $50 FOR FIFTY 'ONE TOUCH' TEST STRIPS FOR TESTING BLOOD SUGAR AT CVS WITHOUT A PRESCRIPTION. I PAID ALMOST $40 WITH A PRESCRIPTION AT THE SAME PHARMACY, I THOUGHT MEDICARE WAS HELPING WITH THE PRICE BUT IT SEEMS ONLY CVS IS GETTING HELPED, AM I GETTING RIPPED OFF OR WHAT? BESIDES WHY ARE THESE TEST STRIPS SO EXPENSIVE WHEN A DIABETIC HAS TO USE SO MANY,

    Linamarta 03:28:57 AM Jul 14 2008

    My first post did not show up, so I will try again!I like Walgreens program for some medications that are taken regularly and are filled for 90 days at one time. It cost 20$ for a year and then your 90 day prescriptions 12 or 12.99. Even with the membership charge, my prescription was less by 6$/mo. than what I was paying at Rite Aide. The cost at Rite Aide increased by a dollar, on a discount plan, each month, so when I got a new prescription, I checked into Walgreens plan. Wish I had known about it sooner.

    Homer51106 11:14:26 AM Jul 13 2008

    FOR YOUR INFORMATION;..Some time ago, a TV station in the Tampa area did an in depth report on the retail pharmacies in their area..They compared a long list of the most common prescribed medications..The retail prices from all of the pharmacies they surveyed along with a list of the wholesale cost of these medications showed that the chain stores had outrageous mark ups..At the time of the survey Costco had the most reasonable pricing structure.. ..This is important to those that are without insurance since the mark up on some medications are huge for a 30 day supply... I was elated when Wal Mart started their $ 4.00 prescription drug program since this forced other retailers to follow Wal Mart's lead to stay in business..We have been getting ripped off for a very long time by this industry and finally those without Health insurance are going to benefit..It's a National disgrace that many people in this country have to choose between food or their medication each month. How many peo

    He a fedora 06:25:49 AM Jul 13 2008

    CVS is the most popular where I live and I'm a customer. I wish Costco would build here, they are the best, hands down .

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