Acknowledgements. Consumers Union Non-Profit Publisher of Consumer Reports 101 Yonkers Ave Yonkers, New York

Acknowledgements Author/researchers: Pete Sikora/Heather Schiavone We would like to gratefully acknowledge the assistance of our colleagues at Consumers Union: Chuck Bell, Noreen Browne, Steve Findlay, Elizabeth Foley, Sara Goralski, Susan Herold, Earl Lui, Michael Marrel, Chris Meyer, Keith Nesson-Stewart, Minerva Novoa, Alejandro Pedreira, Robert Schneider, Gail Shearer, Bill Vaughn, and Michael Wroblewski. We also thank for their assistance: Brad Ashwell of the Florida Public Interest Research Group (FloridaPIRG), Sarah Capps, Andrea Hillebrand, and Bill Newton of the Florida Consumer Action Network (FCAN), Tony Fransetta of the Florida Alliance for Retired Americans, and Nicholas Graber-Grace and Laurie Williams of Florida ACORN. Consumers Union Non-Profit Publisher of Consumer Reports 101 Yonkers Ave Yonkers, New York 10007 914-378-2000

Not Low Enough: Medicare Part D Donut Hole Prices Compared w ith Retail and VA Prices October 2006 CONTENT: Executive Summary 2 Background 3 Lowest Retail Prices in Broward County, Fla., are Usually Lower than Part D Full-Cost Prices 5 Department of Veterans Affairs Prices Much Lower than Retail and Part D 7 Agency-led Price Negotiation is a Major Difference Between VA Prices and Medicare Part D Prices 8 Methodology 8 Recommendations for Congress 9 Recommendations for Consumers 10 End Notes 13 Retail Prices by Pharmacy, Part D Plan Prices, and VA Prices 14

Page 2 October 2006 Executive Summary Medicare s new prescription drug program, Part D, relies on private insurance plans to deliver benefits. A standard Medicare Part D plan covers most of a beneficiary s drug costs until their spending reaches what is known as the coverage gap or donut hole. At that point, although the beneficiary continues to pay premiums, a standard Medicare Part D plan does not cover any drug costs for the beneficiary until the beneficiary spends another $2,850 of his or her own money. Estimates of the number of people who will hit the coverage gap this year vary widely, from less than 3 million to nearly 7 million. 1 We found that the lowest retail price is lower than the plan s full-cost price for those six drugs in 212 of 264 instances, or 80 percent of the time. This report surveys donut hole or full-cost prices for six top drugs 2 in all 44 Medicare Part D plans operating in Broward County, Florida. We also surveyed prices at all 261 retail pharmacies in Broward County for the same drugs and dosages. We found that the lowest retail price is lower than the plan s full-cost price for those six drugs in 212 of 264 instances, or 80 percent of the time. However, shopping around was required to find the lowest prices. The average monthly retail cost for all of the six drugs surveyed was $335.16, or $55.86 per drug, while the average Part D "full cost" was $290.28, or $48.38 per drug. Nevertheless, in Broward County, retail prices are commonly available that are lower than Medicare Part D plan full-cost prices. Examples include: The lowest retail price for a 30-day supply of the most-prescribed medication and dosage 10 mg Lipitor pills is available at a Wal-Mart 3 for $62.85; the lowest full cost price for the same medications through a Part D plan is $67.46 with Silverscript Plus. Sometimes the price discrepancies between retail and Part D plans are significant: The lowest retail price for a 30-day supply of Zoloft 100mg is $77.72 at a Sam s Store, 23 percent lower than what is charged by the highest Part D plan s full-cost price, at $101.01. 4 The Department of Veterans Affairs (VA) uses its purchasing power to negotiate with the pharmaceutical industry to get lower prices for its beneficiaries. The monthly cost to the VA for the six drugs was $132.36, or $22.06 per drug. The VA s prices are 54 percent lower than Medicare Part D plans. Recommendation for Congress Lift the prohibition on Medicare s ability to negotiate lower prices from drug companies, and create a Medicare-administered optional Part D plan for seniors. Price negotiation and increased efficiency (as provided in bills such as S. 2342 and H.R. 752) would allow Medicare to leverage its buying power and offer a more robust benefit, potentially eliminating the donut hole without additional taxpayer funding. Some may criticize comparing VA, retail, and Part D full cost prices as

Not Low Enough: Medicare Part D Donut Hole Prices Compared with Retail and VA Prices Page 3 apples to oranges comparisons. However, the substantially deeper discounts for medicines through the VA, along with the availability of lower prices at the retail level, underscore the argument that Congress has more work to do to lower drug prices for Medicare Part D beneficiaries. Recommendations for Consumers Though difficult, consumers should shop around. Prices vary significantly between various retail outlets, mail order, and Part D plans. Use Consumer Reports Best Buy Drugs, a free Web site, at www.crbestbuydrugs.org, to identify safe, cost-effective medications. Despite concerns about Part D plans ability to negotiate low costs, eligible consumers should strongly consider enrolling, because Part D pays for a substantial proportion of drug costs outside of the donut hole. However, the complexity of Medicare Part D precludes any one size-fits-all recommendation for consumers. Because a standard Medicare Part D plan resumes paying most of a beneficiaries drug costs once he or she is past the donut hole, beneficiaries should generally avoid buying prescription drugs outside of their plan. However, individual circumstances vary for those who do shop around, lower prices may be available locally. Because a standard Medicare Part D plan resumes paying most of a beneficiaries drug costs once he or she is past the donut hole, beneficiaries should generally avoid buying prescription drugs outside of their plan. B a c kg ro u n d In 1965, when Medicare was created, Congress did not include prescription drug coverage. At the time, pharmaceutical drugs were both relatively inexpensive and prescribed far less often. Today, they are a large proportion of the health-care budget and are frequently used by Americans: 10 percent of total health-care expenditures (or $188.5 billion) went for prescription drugs in 2004. 5 Brand-name drug prices have risen rapidly. From 2000 to 2005 those prices rose 40 percent, according to an AARP survey. 6 The basic rate of inflation of all goods and services over that time period was 17.3 percent, also according to the AARP survey. 7 More recently, prices increased at a 6.3 percent annualized rate from July 2005 to June 2006. 8 In 2004, Americans spent $15.5 billion dollars on statins, 9 which include the most-prescribed brand-name medication in America, Lipitor. In 2005, more than $6 billion dollars was spent on Lipitor. 10 Between 10 and 15 percent of Americans over the age of 20 are currently taking a statin. 11 Rising prices and usage put pressure on Congress to enact a Medicare prescription drug benefit. Seniors, a powerful voting demographic, demanded coverage. The result was passage of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (also known as the MMA ). Passage of the MMA was supported by pharmaceutical companies and many

Page 4 October 2006 insurance companies. While Consumers Union supports a Medicare prescription drug benefit, it opposed passage of the MMA, believing that the program in its current form would deliver too few benefits at too high a cost through an overly complicated delivery system. As part of the MMA, Congress specifically prohibited Medicare from negotiating with pharmaceutical companies for lower prescription drug prices (a position that Consumers Union and other consumer organizations strongly opposed). Medicare-eligible individuals must enroll in one of scores of various Part D plans offered by private health insurance companies; Medicare is prohibited from offering its own Part D plan. The full program is expected by the Congressional Budget Office (CBO) to cost taxpayers approximately $600 billion from 2004 to 2013. 12 The donut hole in a standard plan starts after a beneficiary and Medicare spend $2,250 for the year and ends after the beneficiary spends another $2,850 out of their own pocket A standard Medicare Part D plan includes a deductible and premiums. It covers most of a beneficiary s drug costs until their spending reaches what is known as the coverage gap or donut hole. A standard Medicare Part D plan does not cover any drug costs for the beneficiary while they are in the donut hole, although the beneficiary continues to pay premiums. The donut hole in a standard plan starts after a beneficiary and Medicare spend $2,250 for the year and ends after the beneficiary spends another $2,850 out of their own pocket. 13 An estimated range of from less than 3 million up to nearly 7 million people will hit the coverage gap this year. 14 Once past the donut hole, Medicare resumes paying most of the cost of the beneficiaries drugs. What does Full-Cost Price for Part D Mean? Medicare Part D pays for a substantial share of drug costs for an enrolled individual. However, a standard plan has what is known as a donut hole or coverage gap within which the enrollee pays 100 percent of the costs of their medication. Enrollees must pay the full cost of their drugs out-of-pocket when they hit this coverage gap. For this report, full cost is the cost when a particular enrollee is paying 100 percent of their medication costs that is, when they are in the donut hole or coverage gap of a standard Part D plan.

Not Low Enough: Medicare Part D Donut Hole Prices Compared with Retail and VA Prices Page 5 Lowest Retail Prices in Broward County, Fla., are Usually Lower than Part D Full-Cost Prices At $48.38, average full-cost prices per drug charged by Part D plans (according to www.medicare.gov) for the six drugs and dosages we examined are somewhat lower than average retail prices for the same drugs and dosages at $55.86. For one month s supply of all six drugs added together, the average Part D full-cost is $290.28, while the average retail price for the same drugs added together is $335.16. However, by shopping around we identified numerous pharmacies in Broward County with prices lower than many Medicare Part D plan full-cost prices. Four out of five (80 percent) Part D plans charge higher full-cost prices than the lowest retail price available for the same drug and dosage in Broward County. 15 As an example, the lowest retail price in Broward County for a 30-day supply of 10mg Lipitor is $62.85 at a Wal-Mart pharmacy in Sunrise. 16 In contrast, the lowest Part D plan full-cost price according to www.medicare.gov is $67.46 with Silverscript Plus. 17 Lipitor Price Example Four out of five (80 percent) Part D plans charge higher full-cost prices than the lowest retail price available for the same drug and dosage in Broward County. In some individual cases, the price disparity between retail price and a Part D

Page 6 October 2006 plan full-cost price is large: The lowest retail price for a 30-day supply of Zoloft 100mg is $77.72, 23 percent lower than what is charged by the highest Part D plan s full-cost price, at $101.01. 18 Wal-Mart Drugs? and $4.00 Generic Zoloft Price Example Wal-Mart recently announced that it will offer nearly 300 generic drugs at the price of $4.00 for a 30-day supply at 65 Tampa-area stores. 19 The retailer also says it plans to expand this pricing to all of Florida in January of 2007. 20 Target responded by announcing that it would lower its prices on some generic drugs in the Tampa area. 21 About 300 out of the more than 11,000 brand-name and generic p r e s c r i p t i o n d r u g s 2 2 a r e c o v e r e d b y W a l - M a r t s a n n o u n c e m e n t. T h e m o s t - p r e s c r i b e d g e n e r i c medication, Hydrocodone APAP, which is examined in this report, is not on that list, nor are any brand-name medications. 23 Generic drugs are a key piece in the puzzle of bringing down h e a l t h -care c o s t s. R e c e n t announcements by Wal-Mart and other retailers may lead to greater price competition for lower generic drug costs, which would benefit consumers. Consumers should discuss alternatives to high-cost brand-name drugs, such as generics or lower-cost alternatives, with their doctors and consult resources such as www.crbestbuydrugs.org. While Zoloft and Lipitor are examples, they illustrate a significant point: Prices at the retail level are sometimes lower than what Part D plans charge their enrollees at full cost. By shopping around, a consumer can find the lowest available retail price, which is lower than the full-cost price of four out of five (80 percent) available Part D plans. In other words, an individual with no prescription drug coverage or health insurance can in many cases find a pharmacy in Broward County with a lower retail price than the full-cost price of most of the Part D plans.

Not Low Enough: Medicare Part D Donut Hole Prices Compared with Retail and VA Prices Page 7 Department of Veterans Affairs Prices Much Lower than Retail and Part D VA prices are substantially lower than average retail or Part D full-cost prices for the identical drugs and dosages. VA prices are 54 percent lower than Part D full-cost prices. Average VA Price per Drug versus Average Retail Price per Drug and Average Part D "full-cost" Price per Drug (for all drugs and dosages examined) The lowest full-cost price for any drug and dosage we studied through any Part D plan is much higher than the VA price for the same drug and dosage. $80.00 $70.00 $60.00 $50.00 $40.00 $30.00 $20.00 $10.00 $0.00 Lipitor 10mg VA Price and Lowest Part D "full-cost" Price for 30 days Supply of Each Drug Toprol XL 50mg Norvasc 10mg Synthroid 100mcg Zoloft 100mg Hydrocodone APAP 10-325mg VA Price Lowest Part D "full-cost" Is VA prices compared to Part D prices an Apples to Oranges comparison? Advocates for Part D s current structure have argued that comparing Part D plan full-cost prices, retail prices, or mailorder prices with VA prices is an apples to oranges comparison. They argue that a more appropriate comparison is the VA price with the price which the insurance company that offers a particular Part D plan pays for medications. Unfortunately, those prices are not available for public review. We have no way of knowing what prices private insurance plans pay for prescription drugs. As such, there is no way to determine whether a Part D plan is negotiating a lower price, but not passing that price on to enrollees who are paying out-of-pocket in the donut hole. It is impossible to know whether private insurance Part D plans are as efficient as possible in delivering low prices to enrollees. What is known is that the VA pays far lower prices than Part D plans offer to their enrollees. Whether the difference reflects higher costs of marketing, administration and profit-taking, ineffective negotiation for lower drug prices by private insurance plans, or some other reason is unknown.

Page 8 October 2006 Agency-led Price Negotiation is a Major Difference Between VA Prices and Medicare Part D Prices Consumer Reports Best Buy Drugs Consumers Union s free Web site, at www.crbestbuydrugs.org, provides information that can help consumers begin a conversation with their doctor about safe, effective, and affordable prescription medicines and particularly about which medicines will best meet their medical needs while giving them the most value for their health-care dollar. The findings presented on the site combine both an expert medical review of the scientific evidence on prescription drugs and information about prices. The analysis compares and contrasts prescription drugs by category that is, drugs in the same class that are used to treat a specific condition or illness such as high blood pressure, high cholesterol, heartburn, or depression. Reports on the drugs in various categories can be downloaded to print out and discuss with a doctor. By providing both effectiveness and cost information, Consumer Reports Best Buy Drugs makes it easier for consumers to discuss choices for their medications in a more informed manner. The Department of Veterans Affairs law allows it to drive a hard bargain on behalf of its enrollees with the pharmaceutical companies. The VA cares for an estimated 5 million patients, 24 which gives it huge volume purchasing power. In addition, the VA also uses a preferred drug list 25 to drive down prices. With approximately 42 million beneficiaries, 26 Medicare Parts A and B also benefit from large volume purchasing. Part A is primarily hospital care, while Part B primarily covers doctors offices. In either case, the Medicare general public. system is purchasing services on a massive scale. The agency that administers Medicare, the Center for Medicare and Medicaid Services (CMS), sets a price for a particular service doctors and hospitals can choose whether or not to provide service at that price. Part D is different. CMS is expressly prohibited from setting or negotiating prescription drug prices. Instead, individual plans negotiate prices with drug companies directly. The plans divide the purchasing power of the total program, each using their own formularies and preferred drug lists. They also carry the costs of their marketing, individual bureaucracies, and profit. As of June 2006, 22.5 million people were enrolled in Medicare Part D plans. 27 Methodology Consumers Union anonymously placed more than 1,000 phone calls to 261 pharmacies in Broward County in August of 2006. Every pharmacy licensed by the Florida Department of Health in Broward County was surveyed, with the exception of pharmacies that do not fill prescriptions for members of the The medications and dosages surveyed in this report are 30-day supplies (30 pills) of: 1) Lipitor 10mg, 2) Toprol XL 50mg, 3) Synthroid 100mcg, 4) Norvasc 10mg, 5) Zoloft 100mg, and 6) Hydrocodone APAP 10-325mg. The first five are the five most-often prescribed brand-name drugs in the U.S.; Hydrocodone APAP is the most-often prescribed generic drug in the U.S. 28 The particular dosages selected are the doses that appear as the default option for searching through www.medicare.gov, which also correspond to the most-prescribed dosages for that particular medication through Medicare. A 30-day supply (30 pills) is also the default option on www.medicare.gov. Medicare Part D full-cost prices are from the CMS Web site, at www.medicare.gov, using the General Plan Search in August 2006. Only

Not Low Enough: Medicare Part D Donut Hole Prices Compared with Retail and VA Prices Page 9 stand-alone prescription drug plans under Part D were examined. The general plan search function does list costs by local pharmacies. 29 Prices and availabilities vary substantially by pharmacy. As such, the plan prices reported do not reflect prices at individual pharmacies; they are prices reported to CMS by the Part D plans. Consumers Union notes that throughout the year, there have been problems in CMS receiving and/or posting accurate price data, a problem confirmed by our own discussions with CMS. 30 VA prices refer to the prices that the Department of Veterans Affairs (VA) pays for the particular medications and dosages. The prices themselves were obtained from the Department of Veterans Affairs. Broward County, Fla., is a relatively large county with a relatively large senior population. It has approximately 1.7 million residents, of whom about 250,000 are over the age of 65. 31 Recommendations for Congress Congress should require the Center for Medicare and Medicaid Services (CMS), the agency that administers Medicare, to offer a Medicare-run Part D plan that negotiates its own prices with drug companies as an option for Medicare enrollees. S. 2342 and H.R. 752 are, respectively, Senate- and House-introduced legislation that would amend Part D in this general manner. There are other proposed bills that would achieve similar changes. The MMA was partly justified by claims that private plans would lower prices below levels that a Medicare-run plan could generate. It is not at all clear that plans have been able to do this. The fact that an uninsured individual can purchase prescription drugs at a lower price at a retail outlet than can enrollees through many Part D plans while in the plan s coverage gap suggests that Part D is not delivering the lowest prices possible. Congress should give Medicare-eligible individuals a choice: They should be able to enroll in a Medicareadministered Part D plan that will negotiate its own drug prices or enroll in a privatelyrun Part D plan. Congress should give Medicare-eligible individuals a choice: They should be able to enroll in a Medicare-administered Part D plan that will negotiate its own drug prices or enroll in a privately-run Part D plan. Seniors and other individuals can vote with their feet: If private plans can improve on a Medicare-administered plan, then the private plans will be more likely to prosper. If a Medicare-administered plan is superior, enrollment is more likely to adjust accordingly. Consumers Union believes that price negotiation and increased efficiency would allow Medicare to offer a much more robust benefit with the same funding levels. A Medicare-administered plan would not take profits or need marketing expenditures, and would likely require a relatively smaller bureaucracy with lower administrative costs than all the various private plans. Part D s donut hole, which limits coverage, along with co-pays and deductibles could be eliminated or significantly reduced with the resulting savings. Congress should enact S. 2342 and H.R. 752 or equivalent legislation.

Page 10 October 2006 Recommendations for Consumers For the many tens of millions of individuals without health insurance or prescription drug coverage, it pays to shop around. Prices vary significantly between various pharmacies and mail-order outlets. The best way to shop around is to call ahead: Look up local pharmacies and call them to get a price quote. Some states also offer Internet-based price lookup tools for pharmacies. For individuals eligible for Medicare, enrolling in Part D is an option. Unfortunately, Medicare Part D is quite complicated picking the best plan is very difficult. However, even given the difficulty of choosing a plan, because Medicare Part D will pay for a substantial proportion of drug costs, enrollment in Part D is very much in the interest of many seniors and people with disabilities. Lower income individuals who are eligible for the program have especially strong incentives: Subsidy programs pay much higher proportions of their drug costs. For the many tens of millions of individuals without health insurance or prescription drug coverage, it pays to shop around. Medicare Part D s structure is complex. Standard Part D plans start with a $250 deductible. After meeting the deductible amount, seniors and people with disabilities in a typical plan pay 25 percent of the cost of their medications until they have bought $2,250 of prescription drugs through the plan. At that point there is usually a coverage gap (or donut hole ) that requires plan participants to pay out-of-pocket for all of their drug costs until they reach $5,100 in total costs (which works out to $3,600 in out-ofpocket drug costs to that point, on top of the premium). After this coverage gap, standard plans pay about 95 percent of costs. 32 Each Part D plan covers different drugs, with its own premiums, deductibles, and co-pays for various drugs and not all plans contract with all pharmacies. Part D plans can change the cost of a drug at any time (and most do) but enrollees can only change their plans once per year. Prices charged by local pharmacies to an enrollee often vary widely. Adding to the confusion, according to the U.S. Government Accountability Office (GAO), the private plans give out accurate and complete information only 34 percent of the time over the telephone. 33 Even Medicare gives incorrect information approximately 18 percent of the time, also according to the GAO. 34 In addition, CU has found that the information either sent to CMS or posted on the CMS Web site is often in error, and does not actually reflect the price of a plan s drugs. 35 Consumers should compare prices between plans on the Internet through www.medicare.gov using the Web site s pharmacy-specific price-lookup tools to compare plans. It is very important to realize that different pharmacies have different prices: Pay attention to the fine print! A General Plan Search yields a price comparison that is only marginally useful for an individual consumer, because prices and availability will vary significantly by local pharmacy. Finally, any calculation of which plan offers the best prices requires a projection of prescription drug needs. Because a consumer s prescription drug needs often change within a year, it is difficult to project whether any given plan s drug prices and availabilities are most appropriate, even assuming the plan will not change its prices during the course of a year s enrollment period.

Not Low Enough: Medicare Part D Donut Hole Prices Compared with Retail and VA Prices Page 11 Consumers Union believes, due to the difficulty of making an informed decision, that enrollment choices made by consumers may be more influenced by marketing than by careful research. The level of sophistication required to navigate the program is very high: Experienced Consumers Union researchers themselves find plan selection to be a daunting challenge. An important point in favor of Medicare Part D enrollment is the program s coverage of what is known as catastrophic care. A standard plan will pay about 95 percent of drug costs once an enrollee s out-of-pocket costs reach $3,600 for the year, the level that triggers catastrophic care. The plan provides some measure of peace of mind: If bills go up dramatically, the government will help. Ultimately, individuals should make their own choice about whether to enroll, and if so, in which plan, based on their own health-care needs, comfort with risk, and financial situation. Nonetheless, Consumers Union believes that it is in the interests of many seniors and persons with disabilities to enroll, especially if they are lower-income individuals. Conclusion: In Medicare Part D s eighth month of operation in one large county with a large senior population Broward County, Fla. the prices charged to enrollees by Part D plans argue for a change to the status quo. The fact that retail prices for an uninsured individual are often lower than Part D plan full-cost prices raises significant questions about the effectiveness of the program. Congress should Enact S. 2342 and H.R. 752 (or equivalent legislation), which lift the prohibition on Medicare s ability to negotiate lower prices from drug companies and create a Medicare-administered optional Part D plan for seniors. Seniors should be able to choose a Medicare-administered plan as an option to privately administered plans. Congress should Enact S. 2342 and H.R. 752 (or equivalent legislation), which lift the prohibition on Medicare s ability to negotiate lower prices from drug companies and create a Medicare-administered optional Part D plan for seniors.

Page 12 October 2006 End Notes 1 The lower estimate is from testimony of Dr. Mark McClellan on behalf of the Centers for Medicare and Medicaid Services (CMS) before the Senate Aging Committee on Sept. 21, 2006; the higher estimate is from the Kaiser Family Foundation and the Actuarial Research Corporation, Estimates of Medicare Beneficiaries Out-of-Pocket Drug Spending in 2006: Modeling the Impact of the MMA, p. 8, November 2004. 2 The medications and dosages surveyed are 30-day supplies (30 pills) of: 1. Lipitor 10mg, 2. Toprol XL 50mg, 3. Synthroid 100mcg, 4. Norvasc 10mg, 5. Zoloft 100mg, and 6. Hydrocodone APAP 10-325mg. The first five are the five most-often prescribed brand-name drugs in the U.S.; Hydrocodone APAP is the most-often prescribed generic drug in the U.S. The source for the ranking by prescriptions is Verispan s VONA market research from 2005. 3 That Wal-Mart is located at 12555 West Sunrise Boulevard in Sunrise. 4 There are two different Sam s stores with that price. One is located at 950 University Drive in Coral Springs and the other is located at 1900 University Drive in Miramar. The Part D plans are: Medicare Rx Awards, Medicare Rx Awards Plus, and Medicare Awards Premier. 5 Kaiser Family Foundation, Prescription Drug Trends, fact sheet, June 2006. 6 AARP, Trends in Manufacturer Prices of Brand-Name Prescription Drugs Used by Older Americans 2005 Year-End Update, April 2006, p. 6. 7 Ibid. 8 AARP, Trends in Manufacturer Prices of Brand-Name Prescription Drugs Used by Older Americans Second Quarter 2006 Update, September 2006, p. 2. 9 Consumer Report Best Buy Drugs, The Statin Drugs: Prescription and Price Trends November 2004 to October 2005, January 2006, p. 3. 10 Verispan VONA market research service. 11 Consumer Reports Best Buy Drugs Report, Treating Elevated Cholesterol and Heart Disease: The Statins, June 2006, p. 3. 12 Congressional Budget Office, Updated Estimates of Spending for the Medicare Prescription Drug Program in form of Letter to the Honorable Joe Barton, March 4, 2005. 13 Which corresponds to a total of $5,100 in spending by the beneficiary and Medicare. These numbers will be adjusted upward each year to reflect prescription drug cost inflation. 14 The lower estimate is from testimony of Dr. Mark McClellan on behalf of the Centers for Medicare and Medicaid Services (CMS) before the Senate Aging Committee on Sept. 21, 2006; the higher estimate is from the Kaiser Family Foundation and the Actuarial Research Corporation, Estimates of Medicare Beneficiaries Out-of-Pocket Drug Spending in 2006: Modeling the Impact of the MMA, p. 8, November 2004. 15 212 of 264 combinations of 44 plans with the 6 drugs examined. 16 Lipitor 10mg 30-day supply prices surveyed were different at various individual Wal-Mart pharmacies. The Wal-Mart in question is located at 12555 West Sunrise Boulevard in Sunrise. 17 That price, meanwhile, will vary by pharmacy, depending on the pharmacy s arrangements with Silverscript Plus, so in many cases the actual price may be higher than $67.46. 1 8 Lowest retail price for Zoloft 100mg for 30 days is available at two different Sam s stores, one located at 950 University Drive in Coral Springs and the other located at 1900 University Drive in Miramar; the highest price through a Part D plan is through 3 plans: Medicare Rx Awards, Medicare Rx Awards Plus, and Medicare Awards Premier. 19 Wal-Mart corporation news release, Wal-Mart Cuts Generic Prescription Medicines to $4, Sept. 21, 2006, at http://i.walmart.com/i/if/hmp/fusion/floridapressrelease.pdf 20 Ibid. 21 Target corporation news release, Target to Remain Competitive on Pricing; Lowering Prices on Number of Generic Drugs, Sept. 21, 2006, at http://news.target.com/phoenix.zhtml?c=196187&p=irol-newsarticle&id=908159 22 Consumer Reports, Consumer Drug Reference - 2006, p.v., 2005. 23 Wal-Mart corporation news release attachment, Wal-Mart $4 Generic Medication List, Sept. 21, 2006, at http://i.walmart.com/i/if/hmp/fusion/floridagenericdruglist.pdf

Not Low Enough: Medicare Part D Donut Hole Prices Compared with Retail and VA Prices Page 13 End Notes Continued 24 Department of Veterans Affairs, Budget FY 2007 Budget Submission Summary Volume, February 2006, pp. 1-20. 25 A preferred drug list (PDL) is a list of drugs a particular plan makes more easily available relative to other covered drugs that treat the same medical condition. They are the plan s first choice of drugs within a particular category. In setting up their preferred drug list, the VA s doctors make a determination that particular drugs at a particular dosage are equivalent and safe and effective. These determinations are made after an indepth, unbiased analysis of the clinical research has been conducted. Because many drugs in a particular category can be substituted by an equivalent drug, the VA can negotiate with a drugmaker to get lower drug prices using the leverage of moving its purchasing to an equivalent drug through its preferred drug list without compromising any services to its patients. 26 Kaiser Family Foundation, Medicare Chart Book 2005, July 2005, Section 1, p. 1. 27 Kaiser Family Foundation, Data Update Medicare: Prescription Drug Coverage Among Medicare Beneficiaries, June 2006. 28 Verispan VONA market research service. 29 While it is possible to limit a search to specific pharmacies (e.g., those near a particular ZIP code), CU surveyed prices offered by the plan serving Broward County without any limits on pharmacies. 30 Consumers Union, Washington D.C. office. 31 U.S. Census Bureau, State and County QuickFacts for Broward County, Fla., 2004. 32 The enrollee is then said to have entered the catastrophic care portion of Part D. 33 General Accounting Office, Medicare: Prescription Drug Plan Call Center Responses Were Prompt, But Not Consistently Accurate and Complete, June 30, 2006. 34 General Accounting Office, Medicare: Quality of CMS Communications to Beneficiaries on the Prescription Drug Benefit Could Be Improved, May 4, 2004. 35 Extensive correspondence and communication with CMS by CU s Washington office throughout 2006.

Lipitor 10mg Albertson's Food and Drug Coral Springs 6355 W Sample Rd 954-344-0833 80.69 ALBERTSON'S INC OAKLAND PARK 950 NE 50TH STREET 954-491-0661 80.69 ALBERTSON'S INC PLANTATION 1181 S UNIVERSITY DR 954-472-1304 80.69 ALBERTSON'S INC CORAL SPRINGS 2201 N UNIVERSITY DR 954-757-9735 80.69 ALBERTSON'S INC DEERFIELD 3701 W HILLSBORO 954-427-7202 80.69 ALBERTSON'S INC PEMBROKE PINES 8030 PINES 954-435-8020 80.69 ALBERTSON'S INC COOPER CITY 10018 GRIFFIN ROAD 954-680-9121 80.69 ALPHA PHARMACY, INC TAMARAC 7652 NOB HILL ROAD 954-721-1259 81.99 AMERIMED PHARMACEUTI- CAL SERVICES, POMPANO BEACH 3625 PARK CENTRAL BOULE- VARD NORTH 866-418-0511 85.27 AMJ RX INC (Sunrise Discount SUNRISE 2804 N UNIVERSITY DR 954-746-5890 84.51 Pharmacy) ARTHUR'S "ORIGINAL" PHARMACY TAMARAC 5816 N UNIVERSITY DR 954-726-1911 83.88 Bio Scrip Pharmacy, Inc WILTON MANORS 2605 N. DIXIE HIGHWAY 954-568-3789 75 BUDGET HEALTH CORP HALLAN 2500 E HALLAN BEACH 954-457-8011 78.81 CADUCEUS PHARMACY, PLANTATION 660 N STATE ROAD 7 STE 2 954-797-8077 65.55 CC CITY PHARMACY FT LAUDER 500 SE 15TH STREET - SUITE 120 954-527-0440 90.91 COMMCARE PHARMACY, INC FORT LAUDER- 2817 E. OAKLAND PARK. SUITE 303 CONCEPT RX, INC. TAMARAC 6635 W COMMERCIAL - SUITE 117 954-568-6212 75 954-722-8565 91.99 COSTCO WHOLESALE COR- DAVIE 1890 S. UNIVERSITY DR 954-370-8990 74.85 PORATION COSTCO WHOLESALE COR- POMPANO BEACH 1800 WEST SAMPLE ROAD 954-968-7114 72.76 PORATION COSTCO WHOLESALE COR- PEMBROKE PINES 15915 PINES 954-266-3488 72.76 PORATION CVS EGL 17 SOUTHEAST FL, FORT LAUDER- 1385 S E 17TH STREET 954-525-8173 82.59 CVS EGL 26TH FORT WILTON MANORS 1150 NE 26TH ST 954-566-7474 82.59 LAUDER FL, CVS EGL ATLANTIC BOULE- VARD FL, CORAL SPRINGS 11375 W ATLANTIC 954-341-7636 82.59 CVS EGL COMMERCIAL 18TH FL, FORT LAUDER- 1701 E COMMERCIAL 954-771-0660 82.59 CVS EGL COMMERICAL LAUDER FL, CVS EGL DANIA BEACH FL, TAMARAC 3915 W COMMERCIAL 954-733-2552 82.59 DANIA 316 E DANIA BEACH 954-920-2407 82.59

Lipitor 10mg CVS EGL DAVIE LAUDER- FL, DAVIE 2920 DAVIE RD 954-584-8059 82.59 CVS EGL DEERFIELD BEACH DEERFIELD BEACH 1829 WHILLSBORO 954-427-6800 82.59 FL, CVS EGL EAST OAK FL, FORT LAUDER- 2801 E OAKLAND PARK 954-564-0337 82.59 CVS EGL FEDERAL BRO- WARD FL, FORT LAUDER- 1 N FEDERAL HWY 954-467-3381 82.59 CVS EGL FEDERAL DEER- DEERFIELD BEACH 1035 S FEDERAL HWY 954-426-4160 82.59 FIELD FL, CVS EGL FEDERAL POM- POMPANO BEACH 1501 S FEDERAL HWY 954-788-0739 82.59 PANO FL, CVS EGL FLAMINGO HOLLY- WOOD FL, PEMBROKE PINES 2300 N FLAMINGO ROAD 954-432-2391 82.59 CVS EGL GRIFFIN COOPER FL, COOPER CITY 5710 S FLAMINGO ROAD 954-689-4399 82.59 CVS EGL HILLSBORO COCO- COCONUT CREEK 4650 W HILLSBORO ROAD 954-426-5224 82.59 NUT FL, CVS EGL HOLLYWOOD HOLLYWOOD 4400 HOLLYWOOD 954-987-8000 82.59 FL, CVS EGL HOLLYWOOD FL, HOLLYWOOD 447 HOLLYWOOD MALL 954-987-5901 82.59 CVS EGL INDIAN TRACE FL, FORT LAUDER- 324 INDIAN TRACE RD 954-349-9323 82.59 CVS EGL LAUDER FL, LAUDERHILL 5555 N UNIVERSITY DR 954-742-2506 82.59 CVS EGL MARGATE FL, MARGATE 7210 W ATLANTIC 954-973-7118 82.59 CVS EGL MARGATE POM- PANO FL, MARGATE 1200 NORTH STATE ROAD 7 954-972-3555 82.59 CVS EGL MIRAMAR FL, MIRAMAR 12401 MIRAMAR PARKWAY 954-538-8473 82.59 CVS EGL MIRAMAR HOLLY- WOOD FL, CVS EGL MIRAMAR PARK- WAY FL, CVS EGL NORTH FEDERAL FL, CVS EGL OAKLAND LUADER- FL, CVS EGL OAKLAND PARK WEST FL, CVS EGL PINES BOULEVARD FL, CVS EGL PINES HOLLY- WOOD FL, CVS EGL SAMPLE POMPANO BEACH FL, CVS EGL SHERIDAN HOLLYWOOD FL, MIRAMAR 8901 MIRAMAR PARKWAY 954-442-3914 82.59 MIRAMAR 6890 MIRAMAR PKWY 954-961-5677 82.59 LIGHTHOUSE POINT 3580 N FEDERAL HWY 954-943-3244 82.59 SUNRISE 11100 W OAKLAND PARK 954-749-1848 82.59 LAUDERHILL 5569 W OAKLAND PARK 954-735-4628 82.59 PEMBROKE PINES 11100 PINES 954-432-6804 82.59 PEMBROKE PINES 17201 PINES 954-450-9240 82.59 POMPANO BEACH 850 W SAMPLE ROAD 954-785-3250 82.59 HOLLYWOOD 4599 Sheridan Street 954-961-7520 82.59

Lipitor 10mg CVS EGL SOUTH DEERFIELD FL, CVS EGL STIRLING LAUDER FL, CVS EGL SUNRISE COMMERCIAL FL, CVS EGL SUNRISE LAUDER FL, DEERFIELD BEACH 2 S FEDERAL HWY 954-481-8376 82.59 FORT LAUDER 2701 STIRLING RD 954-981-9670 82.59 SUNRISE 10000 W COMMERCIAL 954-748-6886 82.59 FORT LAUDER 2595 E SUNRISE 954-566-8309 82.59 CVS EGL TAFT ST FL, HOLLYWOOD 6665 TAFT ST 954-981-0300 82.59 CVS EGL UNIVERSITY FORT LAUDER FL, CVS EGL UNIVERSITY HOLLYWOOD FL, CVS EGL UNIVERSITY POMPANO FL, CVS EGL WEST BROWARD FL, CVS EGL WEST DAVIE BOULEVARD FL, CVS EGL WEST SUNRISE FL, CVS EGL WESTON ROAD FL, CVS EGL WILES CORAL SPRINGS FL, DAVIE 4610 S UNIVERSITY DRIVE 954-434-2002 82.59 PEMBROKE PINES 70 N UNIVERSITY DRIVE 954-432-5510 82.59 CORAL SPRINGS 2353 UNIVERSITY DRIVE 954-757-6330 82.59 PLANTATION 7155 W BROWARD 954-585-0935 82.59 FORT LAUDER 3501 W DAVIE 954-583-9195 82.59 PLANTATION 8341 W SUNRISE 954-473-8070 82.59 WESTON 1120 WESTON ROAD 954-384-7667 82.59 CORAL SPRINGS 8151 WILES ROAD 954-345-3590 82.59 CVS EGL WILES RD FL, HOLLYWOOD 900 SOUTH SR 7 954-962-2005 82.59 CVS MCNAB TAMARAC, TAMARAC 10004 W MCNAB ROAD 954-718-5095 82.59 DANIA DISCOUNT DRUGS DANIA BEACH 16 SOUTH FEDERAL HWY SUITE A 954-921-4661 77 DMD PHARMACY SERVICES, DEERFIELD BCH 1804 WEST Hillsboro Blvd 954-426-9899 80.39 (Village Pharmacy) DMD PHARMACY SERVICES, (Village Pharmacy) DR G'S PHARMACY PEMBROKE PINES 13460 SW 10TH STREET SUITE 102 LAUDER BY THE SEA 954-450-0212 80.39 234 COMMERCIAL 954-938-0005 94 DRUG PLACE, INC POMPANO BEACH 2201 SW SAMPLE RD BLDG 9 STE 3A ELIAS, INC (PRESCRIPTION PAD) Guardian Pharmacy of Pompano Beach, HARCOURT SERVICES INC (Herbmor Compounding Pharmacy) 800-881-6325 83.29 PLANTATION 333 NW 70TH AVE SUITE 102 954-971-2000 75.99 POMPANO BEACH 1903 West Copans Rd-Suite B 954-582-5209 84.79 PEMBROKE PINES 9111 PEMBROKE RD 954-447-1823 98 HEATHER'S PHARMACY & MEDICAL SUPPLY, INC LAUDERHILL 1478 N SR 7 954-689-8440 89.35

Lipitor 10mg HOLLYWOOD DISCOUNT PHARMACY HOLLYWOOD 1150 N. 35TH AVENUE 954-989-6300 76 J & S DRUGS (Jerry's Drugs) FORT LAUDER 8065 W OAKLAND PK 954-741-5650 80.82 K MART CORP POMPANO BEACH 2421 N FEDERAL HWY 954-781-0778 86.39 K MART CORP OAKLAND PARK 670 E OAKLAND 954-561-1338 86.39 K MART CORPORATION HOLLYWOOD 651 SW 60TH AVE 954-987-3532 86.39 K MART CORPORATION DAVIE 1901 S UNIVERSITY DR 954-475-1390 86.39 K MART CORPORATION CORAL SPRINGS 9200 WILES RD 954-341-5004 86.39 K MART CORPORATION PEMBROKE PINES 10501 PINES BOULEVARD 954-438-0705 86.39 K MART CORPORATION HOLLYWOOD 3800 OAKWOOD 954-922-7845 86.39 KINGS PHARMACY, INC CORAL SPRINGS 2814 N UNIVERSITY DRIVE 954-575-7085 78.95 LATO DRUG CO INC (POST HASTE PHARMACY) HOLLYWOOD 4401 SHERIDAN ST 954-989-6524 79.99 LOCATEL HEALTH HALLAN 1715 E. HALLAN BEACH 954-416-1200 77.39 & WELLNESS MEDIC PHARMACY INC TAMARAC 5100 W COMMERCIAL SUITE 10 954-484-4200 91.55 MEDICAL PLAZA PHARMACY PLANTATION 201 NW 82ND AVE 954-474-3887 79 MERIT PHARMACY INC LAUDER LAKES 2464 NORTH STATE ROAD 7 954-739-4666 79.9 MIAMI GARDENS PHARMACY HOLLYWOOD 7 BARRY RD 954-983-3777 75 INC (Friendly Drug) NOVA SOUTHEASTERN UNIV. CLINIC PHARM AT DAVIE FORT LAUDER 3200 SOUTH UNIVERSITY DRIVE 954-262-4550 86.68 PHARMACY CARE INC. WILTON MANORS 1905 N ANDREWS AVENUE 954-563-8407 97.9 PHARMACY MEDICAL SERVICES, INC PHARMACY XPRESS OF FLORIDA III, L.C.C PHARMACY XPRESS OF FLORIDA, L.L.C PLANTATION 201 NW 70 AVE #D 954-641-1448 69 OAKLAND PARK 1523 E COMMERICAL 954-267-1650 71.17 LAUDERHILL 4600 NORTH UNIVERSITY DR 954-742-9442 76.05 PHARMCORE, INC. HALLAN 645 W HALLAN BEACH 954-455-3822 78 PINE ISLAND DRUGS INC DAVIE 8920 W STATE ROAD 84 954-424-3784 75.55 PINES DISCOUNT PHARMACY INC PEMBROKE PINES 10071 PINES STE D 954-437-4900 91.99 PLAZA PHARMACY INC COCONUT CREEK 1347 LYONS RD 954-971-2000 75.99 POMPANO PHARMACY INC POMPANO BEACH 60 NE 1ST ST 954-943-3111 86.41

Lipitor 10mg PRESCRIPTION CARE PHARMACY, HOLLYWOOD 5890 STERLING ROAD 954-985-3999 83.95 INC PROSCRIPT PHARMACY SVS, INC DAVIE 3744 SW 64TH AVENUE 954-797-5041 84.75 PUBLIX SUPER MARKETS, INC DAVIE 5997 STIRLING ROAD 954-587-3361 85.95 PUBLIX SUPER MARKETS, INC WESTON 4567 WESTON ROAD 954-217-3067 86.95 PUBLIX SUPER MARKETS, INC LAUDERHILL 5855 WEST OAKLAND PARK Suite 203 954-735-1640 85.95 PUBLIX SUPER MARKETS, INC FORT LAUDER 1940 CORDOVA ROAD 954-847-2850 86.95 PUBLIX SUPER MARKETS, INC FORT LAUDER 1415 EAST SUNRISE 954-888-8980 86.96 PUBLIX SUPER MARKETS, INC #0239 SUNRISE 10155 W Oakland Park Blvd 954-746-1002 85.95 PUBLIX SUPER MARKETS, INC #0759 WESTON 1601 Promenade Blvd 954-660-0397 86.95 PUBLIX SUPER MARKETS, INC. FT LAUDER 601 S ANDREWS AVENUE 954-728-9205 86.95 PUBLIX SUPER MARKETS, INC. WESTON 2465 GLADES CIRCLE 954-217-9471 86.95 Publix Super Markets, Inc. #0291 WESTON 1170 Weston Rd 954-384-7480 87.95 Publix Super Markets, Inc. #0294 NORTH LAUDER 1297 S State Rd 954-973-3605 85.95 Publix Super Markets, Inc. #0302 TAMARAC 5881 N University Dr 954-721-8026 85.95 Publix Super Markets, Inc. #0303 PEMBROKE PINES 170 S. Flamingo Rd 954-437-9504 86.95 Publix Super Markets, Inc. #0317 CORAL SPRINGS 8160 Wiles Rd 954-575-1512 86.95 Publix Super Markets, Inc. #0342 PLANTATION 10065 Cleary Blvd 954-473-4144 86.95 Publix Super Markets, Inc. #0348 DEERFIELD BEACH 3740 W Hillsboro Blvd 954-427-0675 86.95 Publix Super Markets, Inc. #0364 MARGATE 5600 W Sample Rd 954-977-2991 86.95 Publix Super Markets, Inc. #0373 CORAL SPRINGS 1305 N University Dr 954-755-4921 86.95 Publix Super Markets, Inc. #0396 SOUTHWEST RANCHES 4901 SW 148TH AVE 954-680-2300 86.95 Publix Super Markets, Inc. #0402 HALLAN 1400 E Hallendale Bch Blvd 954-454-8825 85.95 Publix Super Markets, Inc. #0406 COCONUT CREEK 6570 N State Rd 7 954-422-5481 86.95 Publix Super Markets, Inc. #0528 PEMBROKE PINES 18341 Pines Blvd 954-430-6106 86.95 Publix Super Markets, Inc. #0549 CORAL SPRINGS 1400 Coral Ridge Dr 954-346-1711 85.95 Publix Super Markets, Inc. #0583 WESTON 294 Indian Trace Rd 954-384-4196 86.95 Publix Super Markets, Inc. #0619 FORT LAUDER 15801 Sheridan St 954-442-6875 86.95 Publix Super Markets, Inc. #0637 COCONUT CREEK 5365 LYONS RD 954-427-6198 86.95 Publix Super Markets, Inc. #0652 MIRAMAR 11000 Pembroke Pines 954-441-7924 86.95 Publix Super Markets, Inc. #0673 MIRAMAR 14375 Miramar Pkwy 954-447-9385 86.95 Publix Super Markets, Inc. #0674 MIRAMAR 18409 Miramar Pkwy 954-447-3348 86.95 Publix Super Markets, Inc. #0678 CORAL SPRINGS 5950 Coral Ridge Dr 954-757-4432 86.95 Publix Super Markets, Inc. #0693 POMPANO BEACH 411 S Cypress Rd 954-784-3284 85.95 Publix Super Markets, Inc. #0703 PLANTATION 6921 W Broward Blvd 954-327-9710 86.95 Publix Super Markets, Inc. #0743 FORT LAUDER 19441 Sheridan St 954-434-5930 86.95 Publix Super Markets, Inc. #0747 PLANTATION 225 S Flamingo Rd 954-472-1903 86.95

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Lipitor 10mg LAUDER BY THE SEA 4319 N OCEAN DR 954-776-1292 87.99 OAKLAND PARK 2104 W. OAKLAND PARK 954-486-7772 87.99 TAMARAC 8790 W MCNAB RD 954-726-6008 86.99 HALLAN 509 HALLAN BEACH 954-456-3992 86.99 CORAL SPRINGS 10350 ROYAL PALM 954-341-0544 85.99 DEERFIELD BEACH 3768 W HILLSBORO 954-360-7606 87.99 FORT LAUDER 1680 SE 17TH STREET 954-467-5448 86.99 MARGATE 3133 N STATE RD 7 954-979-9083 87.99 MIRAMAR 9914 MIRAMAR PKWY 954-436-6247 87.99 FORT LAUDER 13628 W STATE RD 84 954-474-7123 87.99 FORT LAUDER 6602 N FEDERAL HWY 954-351-9103 86.99 FORT LAUDER 2711 WEST SUNRISE 954-797-9774 87.99 TAMARAC 6401 W. COMMERCIAL 954-720-9243 86.99 TAMARAC 8199 N UNIVERSITY DR 954-722-1734 86.99 HOLLYWOOD 3705 HOLLYWOOD 954-962-4787 86.99 COCONUT CREEK 6546 N. State Road 7 954-570-7904 87.99 PLANTATION 9621 W BROWARD 954-474-6997 87.99 FORT LAUDER 3101 N OCEAN 954-564-8424 87.99 POMPANO BEACH 960 S. POWERLINE ROAD 954-970-8869 87.99 WILTON MANORS 2825 N. ANDREWS AVE 954-568-0164 87.99 DANIA 202 SOUTH FEDERAL HIGH- 954-920-0477 86.99 WAY HALLAN 1300 EAST HALLAN 954-454-1897 86.99 BEACH MARGATE 7150 WEST ATLANTIC 954-978-9892 85.99 BOULEVARD PLANTATION 1800 NORTH NOB HILL ROAD 954-916-9713 87.99 WESTON 1751 BONAVENTURE 954-385-0014 86.99 CORAL SPRINGS 11750 SAMPLE ROAD 9544-344- 7361 85.99

Lipitor 10mg CORAL SPRINGS 5480 UNIVERSITY DRIVE 954-344-6437 86.99 PEMBROKE PINES 13800 PINES 954-442-3202 87.99 PEMBROKE PINES 15911 PINES 954-450-8896 87.99 DEERFIELD BEACH 20 SW 12TH AVE 954-421-9453 85.99 FORT LAUDER 3895 WEST BROWARD 954-316-6641 87.99 SUNRISE 3599 N UNIVERSITY DRIVE 954-741-7731 86.99 CORAL SPRINGS 4601 STATE ROAD 7 954-345-4456 85.99 WALGREENS #2236 COOPER CITY 2645 N. HIATUS ROAD 954-433-3888 86.99 WALGREENS CO COOPER CITY 11105 STIRLING ROAD 954-689-0663 86.99 WALGREENS CO DAVIE 11204 W STATE RD 84 954-476-0203 87.99 WALGREENS CO CORAL SPRINGS 8200 ROYAL PALM 954-341-5977 86.99 WAL-MART STORES EAST, LP WAL-MART STORES EAST, LP WAL-MART STORES EAST, LP WAL-MART STORES EAST, LP CORAL SPGS 6001 CORAL RIDGE DRIVE 954-757-1105 84.72 POMPANO BCH 2300 W. ATLANTIC 954-971-6434 69.97 SUNRISE 12555 WEST SUNRISE 954-845-0487 62.85 HALLAN 2551 EAST HALLAN BEACH 954-455-8355 80.62 WAL-MART STORES COOPER CITY 4700 FLAMINGO RD 954-680-7821 80.62 EAST, LP WAL-MART STORES POMPANO BEACH 300 WEST COPANS RD 954-784-0225 80.62 EAST, LP WAL-MART STORES CORAL SPRINGS 3801 TURTLE CREEK DR 954-341-4706 74.98 EAST, LP WAL-MART STORES EAST, LP MIRAMAR 1800 UNIVERSITY DR 954-433-9393 80.62 WAL-MART STORES EAST, LP NORTH LAUDER 7300 WEST MCNAB RD 954-726-7711 80.62 WAL-MART STORES EAST, LP PEMBROKE PINES 151 SW 184TH AVENUE 954-442-1359 69.97 WAL-MART STORES EAST, LP MARGATE 5555 WEST ATLANTIC 954-975-5131 80.72 WESTON PHARMACY, WESTON 54 INDIAN TRACE 954-446-6550 80.1 INC WESTON PILL BOX INC WESTON 1932 WESTON ROAD 954-389-7455 77 WINN DIXIE STORES INC POMPANO BEACH 277 S POMPANO PKWY 954-974-4658 76.95 WINN DIXIE STORES, INC. MIRAMAR 17101 MIRAMAR PRKWY 954-704-9890 83.95