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Let's Compare Pharmacies
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Last week I wrote about drug prices in Portugal versus the US. Today, permit me to share my observations when visiting a Portuguese pharmacy. Spoiler alert: you will not find wine! I have been told I can be very direct…so let me be clear. I hated going to a pharmacy in the U. One to drop off the prescription and the other after receiving a text 2 hours later to pick up what you need. She relied on me for grocery and pharmacy runs. That meant, in addition to her medication, I needed to buy personal hygiene products. Note: I finally switched to Amazon when we moved to California…wish I had thought of that sooner. It was also the absurdity of the store layout. To get to where the drugs were dispensed you had to walk through aisles of makeup, toys, frozen pizzas, potato chips, cookies, wine, seasonal decorations, etc. And it made me wonder, do American pharmacies intentionally only sell unhealthy food choices? Permit me to compare this to a pharmacy in Portugal. Yes, there are non-drug products in Portuguese pharmacies. You will find skin cremes, orthopedic shoes, etc. But you will also find five or six stations where English-speaking pharmacy technicians, wearing impeccable white lab coats, will assist you. I have never encountered a line at the pharmacy, pictured above, which is just a few blocks from our apartment. And since I have already had the opportunity to try out the Portuguese health system , I have made quite a few trips. Permit me to recall my most recent experience. It began when I texted my physician asking to refill my gabapentin and Vimovo prescriptions. Yes, I texted. This is Portugal. If you have a prescription on file with the health system even if your doctor was not the prescribing physician it can be refilled via text or email. I have taken gabapentin for years due to persistent nerve pain following my many knee surgeries. The Vimovo is a result of my elbow surgery in July. I texted my favorite orthopedic surgeon and later that day got an email from CUF hospital with the prescription attached. I also got a text with a link to the prescription. If you like paper, you can print it out and take it to the pharmacy. Or you can save a tree and just take your phone. The person in the white coat will scan a bar code on the prescription. Depending on the size of the pharmacy one of two things will happen. There you have it…no hand-off…no counting of pills…no printing of labels…no return trip. The box even has braille bumps on it. Therefore, I had a 5-month supply of gabapentin when I arrived. It turns out, had I brought a prescription bottle with unfilled refills, I would have been able to get the medication by taking the empty to a pharmacy. At least that is what I have been told by other expats. Now gabapentin is not a narcotic. In the US, the pain clinic that prescribed it wrote the script for 12 months and required me to come into the office once a year. The typical office visit billed to Medicare and Tricare took under 5 minutes and went like this:. The physician here wrote the script for six months but led me to believe a simple text in six months was all that is required. The other thing you will want to check out is the approved formulary. You can find it online. If a medication is on the approved formulary in Portugal it is covered by the national health system. If it is not, you pay retail. You will recall the Vimovo example I explained last week. I was explaining to the pharmacy technician what Vimovo costs in the US. He then went on to explain that if my doctor wrote two scripts one for the anti-inflammatory and another for the stomach protector it would be covered as both are on the approved formulary. Thank you for including the formulary link in your post as well as for the details regarding prescription refills. I greatly appreciate it. Share this post. Let's Compare Pharmacies expatinportugal. Copy link. Nancy Whiteman. Nov 16, Previous Next. Discussion about this post Comments. Michele Harvey. Expand full comment. Loved your comments on shopping in American drug stores. Ready for more? Start Writing Get the app. Substack is the home for great culture. This site requires JavaScript to run correctly. Please turn on JavaScript or unblock scripts. Michele Harvey Nov 20, Liked by Nancy Whiteman Thank you for including the formulary link in your post as well as for the details regarding prescription refills. Expand full comment Reply Share.
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