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Variability in Prices for Erectile Dysfunction Medications-Are All Pharmacies the Same?

Kirtishri Mishra1, Laura Bukavina1, Amr Mahran1

  • 1University Hospitals Cleveland Medical Center, Urology Institute, Cleveland, OH, USA; Case Western Reserve University School of Medicine, Cleveland, OH, USA.

The Journal of Sexual Medicine
|December 12, 2018
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Summary

Independent pharmacies offer the lowest prices for erectile dysfunction (ED) medications, with price variations reaching 38,000%. Patients should compare ED drug costs across pharmacies to ensure affordability.

Keywords:
CostDrug TherapyErectile DysfunctionImpotencePhosphodiesterase Inhibitors

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Area of Science:

  • Pharmacoeconomics
  • Health Services Research

Background:

  • Medication price variability is common but unquantified for erectile dysfunction (ED) drugs.
  • ED medications are often out-of-pocket expenses, making cash prices a direct indicator of price variability.
  • This study quantifies price variations for ED medications across different pharmacy types.

Purpose of the Study:

  • To assess cash price variability for phosphodiesterase type 5 inhibitors (PDEIs) used for ED.
  • To determine if specific pharmacy types offer consistently better pricing.
  • To explore correlations between drug pricing and demographic factors.

Main Methods:

  • Surveyed 323 pharmacies (chain, independent, wholesale, hospital-associated) within a 25-mile radius.
  • Collected cash prices for four common ED medications at prespecified doses.
  • Analyzed demographic and socioeconomic data by zip code to assess impact on pricing.

Main Results:

  • Independent pharmacies offered the lowest prices for 3 out of 4 PDEIs studied.
  • The maximum price difference for 10 sildenafil tablets (100 mg) was 38,000%.
  • Median price differences were over 900% (independent vs. chain) and 1,100% (independent vs. hospital-associated).
  • Demographic and socioeconomic factors did not influence median drug prices.

Conclusions:

  • Significant price disparities exist for ED medications across pharmacies.
  • Price transparency is crucial for empowering patients to make informed purchasing decisions.
  • Encouraging price competition may lead to more affordable medication costs.