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The Hidden Cost of Walmart's $4 Prescriptions

You bought my medicine from WALMART?!?

Walmart has made its $4 prescription program — in which customers can get 30‐day supplies of a range of common medications for $4 — a key component of its effort to change its image from “rapacious, money‐hungry global megacorporation” to “friendly fun‐time global megacorporation.” But a new investigation by WakeUpWalmart.com raises a serious question about how the retail giant manages to offer these $4 prescriptions.

WakeUpWalmart reports that in order to profit on the $4 prescriptions, Walmart imports the drugs from cheap overseas suppliers. One of the suppliers, India’s Ranbaxy Laboratories, has been repeatedly investigated by the Food and Drug Administration and the Department of Justice for “inadequate” safeguards against contamination, falsifying records and submitting false information to the FDA. The situation was so bad that in 2008 the FDA banned drugs from two Ranbaxy plants and in 2009 halted review of applications from a third:

2009 Violations

In February 2009, the Food and Drug Administration announced it had halted review of importation applications for generic drugs manufactured at Ranbaxy’s Paonta Sahib plant owned by Ranbaxy Laboratories, LTD, an Indian generic drug manufacturer, “due to evidence of falsified data.” According to the FDA press release, Ranbaxy “falsified data and test results in approved and pending drug applications.” In the warning letter sent to Ranbaxy, the FDA cited seven examples of false statements made by Ranbaxy to the FDA. According to FDA records, this was the third time Ranbaxy’s Paonta Sahib facility had run afoul of federal Food and Drug laws.

The FDA did include a caveat in its release, stating that the agency “has no evidence that these drugs do not meet their quality specifications and has not identified any health risks associated with currently marketed Ranbaxy products.”

A week after the FDA announced it was halting review of Paonta Sahib applications, Canada announced it was “quarantining” all drugs produced at the Paonta Sahib plant.

2008 Violations

Previously, in September 2008, the FDA issued warning letters to Ranbaxy regarding “significant deviations” from FDA standards for the manufacture of drugs sold in the United States. According to an FDA press release, the agency also banned the importation of any Ranbaxy drugs produced at the company’s Dewas and Paonta Sahib plants.

According to the release, the Dewas plant’s cross-contamination prevention program was “insufficient.” These programs are designed to prevent cross-contamination between different types of drugs. The plant also used “inadequate” sterilization procedures and performed “inadequate failure investigations.” According to the FDA release, failure investigations are performed “to address any manufacturing control or product rejection to determine the root cause and prevent recurrence.” The Paonta Sahib plant had “inaccurate” records regarding cleaning and maintaining of its equipment and “incomplete” records.

Deborah Autor, director of the Office of Compliance at the FDA’s Center for Drug Evaluation and Research, announced that the “severe violations” had led the FDA to ban importation of drugs from these plants and to deny any new drug import applications for drugs manufactured at these plants.

Before the warning letters were sent and the sanctions put in place, Ranbaxy had the opportunity to rectify the problems at the Dewas and Paonta Sahib plants; however, the company’s “response failed to adequately address multiple, serious deficiencies.”

2006 Violations

The FDA had issued a previous warning letter in June 2006 to Ranbaxy regarding “significant deficiencies” in the Paonta Sahib plant’s “stability testing program.” According to Ranbaxy documents produced under subpoena, Ranbaxy was first notified of the violations by the FDA on February 25, 2006.

During the FDA’s inspection of the Paonta Sahib plant, the agency found fourteen instances where equipment cleaning records were signed by employees who “were not shown as present by security log records.”…

Download the complete report and take action at WakeUpWalmart.com.

Comments (13)

Comments posted to CtW Connect are the sole property of the individual posting them, and do not necessarily reflect the viewpoints of Change to Win, its affiliated unions, or its leadership.

Great post here, both by WakeUpWalmart and CtW.

Any information on the supply chain for Target, which has a similar $4/prescription practice?

Johnny MAck said on June 28, 2009 at 8:37 PM:

Wow, its getting crazy out there isnt it?

RT
www.complete-privacy.tk

fred lapides said on June 28, 2009 at 8:42 PM:

I thought drugs from overseas wsere not allowed in this country. In any case, why can't the govt close down imports from a place knowingly sending contaminated crap? Why can't Walmart be sued, punished?

kjgl said on June 28, 2009 at 8:43 PM:

Eh...

I'm no fan of Walmart but this just seems like big pharma propaganda. There is more than one kind of “rapacious, money‐hungry global megacorporation.”

If you have a problem just smoke weed and drink tea guys.

Don T said on June 28, 2009 at 8:50 PM:

Many of the generic versions of drugs available in the $4 drug program are not available from domestic suppliers. But, I guess if you believe paying a lot more money to have a pharmacist located in a unionized grocery store sell you the same drugs from the same factory overseas somehow makes you safer, more power to ya. They make placebos for folks like you.

they are money hungry because they offer low cost drugs?

what about all the pharmacies/grocery/big-box retailers that charge more than $4.

mdnumber32 said on June 28, 2009 at 8:57 PM:

If this is such an issue, the FDA should be at blame for allowing the 4th largest retail pharmacy in the country to sell these drugs. Also, other pharmacies sell drugs manufactured by Ranbaxy, not only walmart, but i understand it being the scapegoat for "megacorporations".

John Crissman said on June 28, 2009 at 9:18 PM:

Give me a break - unions don't like WalMart because they've always successfully stopped them from unionizing the workforce.

So when WalMart cures the sick with cheap medicine, the union still criticizes them for it.

I could just see unions in the year 30... "Sure, Jesus is curing the blind and infirm! But he's using outsourced God power to do it. Did you know that he created a flood that killed every living thing - you're trusting him to cure you!?"

thomas said on June 28, 2009 at 9:31 PM:

Sorry to say this CVS gets its drugs too from Indian pharmaceutical company's, to be honest with you all mail order companies use oversea pharmaceutical companies, next time you get your RX just google the names on it.

Christopher Plambeck said on June 28, 2009 at 9:39 PM:

Speaking as someone who is no longer able to pay for his medication because Rite-Aid stopped price-matching the $4 List on 24 June,* all the report shows is that the system works. A drug manufacturer falsified data and has been punished, and the drugs banned, even though no evidence was found that the drugs did not meet US standard.

I am sure many other retailers also got their drugs from these suppliers, and so to point out Walmart is just anti-Walmart propaganda.

Chris Plambeck

* Together my meds cost me ~$32/month once we worked it out so that everything I needed was on the $4 List. Now, ONE of them is $88 alone. I used to pay about $300/month in Rx costs before the $4 List; as a comparison, I pay $450 in RENT for my shared 2 bedroom apartment in Redmond, WA.

JohnH said on June 29, 2009 at 8:50 AM:

You do know that Walmart and EVERY other retail chain including Walgreens, CVS, Rite Aid, Target, Kroger, etc... all buy from Ranbaxy. In fact, Teva, the largest generic drug maker in the workd is based in Isreal. There are very few manufacturers of generic drugs in the US. This is a silly article as all retain chain pharmacies all purchase drugs from the same suppliers and manufacturers.

Jason said on July 6, 2009 at 3:02 PM:

I am no fan of Wal*Mart and the way it treats its labor, but there are enough legitimate complaints about Wal*Mart out there that this sort of thing just makes CtW and WakeUpWalmart look petty. Seriously, this is like watching a mafia don giving a street kid an apple out of pity, then complaining loudly that the apple wasn't organically grown.

NumYummy said on August 26, 2009 at 2:17 PM:

I'm on Thyroid medicine. After getting a 3 month supply for $10 from Walmart, I couldn't figure out why I was feeling so bad. Joint pain, hair falling out, fatigue, etc.. My doctor told me to only get the name brand drug, and guess what... all the symptoms went away! The $4 crap doesn't work. Beware.. you get what you pay for.