Kevin, M.D - Medical Weblog

Prilosec and price

Prilosec OTC is now touting its price in their DTC ads.



So, is 68 cents a day a good deal? Let's compare with the prescription PPIs.

For a 30-day supply (from drugstore.com):
Prilosec OTC $20 (68 cents x 30 tabs)
Nexium 20mg $120.99
Protonix 40mg $103.99
Prevacid 15mg $124.44

In most health plans, the co-pay for the prescription PPIs are third tier ($25 to $45 for a one month co-pay).

How about the H2-blockers?

For a 30-day supply (from CVS.com):
Zantac $17.99
Ranitidine (generic) $11.99
Pepcid AC $21.99
Famotidine (generic) $11.99

So, the bottom line - Prilosec OTC seems like a pretty good value if you need a PPI. $20 is still cheaper than many third tier co-pays. However, the H2-blockers will still always be cheaper and are quite effective for the initial treatment of GERD.

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Comments

  1. Yea, except ...if you really need a PPI, the OTC strength isn't strong enough ... so you have to go to prescription strength.

    So the OTC is still not a value and going with Zantac or one of the others you mentioned is still a better idea!
  2. Anonymous Anonymous  

    Prilosec OTC is a PPI. But you sure sound confident!

    Prilosec OTC is a PPI, it works well on one pill a day for most people.

    I found Zantac didn't work sell for me at all. Pepcid works for me, but it only works for about 8 hours give or take.
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