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Generic Cialis is a highly effective orally administered drug for treating erectile dysfunction, more commonly known as impotence. Recommended for use as needed, Cialis can also be used as a daily medication. Cialis soft generic is a "new brand" of the famous drug that makes it "easier to take" than the original. It is supposed to be cheaper per pill. But in a study published the journal Pharmacotherapy in June, researchers at the Universitat Pompeu Fabra and Complutense University in Madrid found that the drug did very little to fight pain. A review of several studies generic versions the drug has found that taking generic pills in combination with standard-strength drugs is no better than taking drug at all, but the results for new brand are less clear-cut. The question of how much generic drug use hurts the overall health care system is also hotly debated in the Netherlands, where country's national health insurance plan (Auviagra) is now using a so-called "discovery" strategy to reduce drug costs, with specific campaigns that warn about the risk of generic pills causing kidney damage and heart failure. Drug prices are high everywhere. But in the United States, where drugs account for the biggest share Generic cialis 20mg uk of health care spending, the pharmaceutical industry spends about $140 billion a year on advertising. The industry says this advertising is aimed at improving prescribing patterns and keeping drugs on the market. Pharmaceutical firms say there is just no competition for new drugs, and that they pay the federal and state governments as much $30 billion a year — and sometimes much more in rebates, patent protection and other fees. "We're not opposed to competition," said Matthew A. Price, CEO of Mylan, the giant drug maker that owns Shkreli's generics. "Let's not forget that the U.S. is world's largest taxpayer." But critics of generic drug manufacturers say the industry is taking advantage of consumers' lack information about drugs' cost and benefits to sell products at unfairly low prices. Generic drugs have to compete with each other not just brand-name drugs, but also with drugs from different manufacturers. And many generic drugs are not as good or even safe for some of the same conditions that they are meant to treat because many people cannot afford the top-end drugs they were originally prescribed, critics say. The new pill Aspirin's patent expires in 2019, and that has led to rapid development of generics. Last year, Pfizer (PFE) announced that it had developed two cheap generics of its popular painkiller, which is often called nonsteroidal anti-inflammatory drugs or ibuprofen. And Merck (MRK) said last December that it would start selling generic versions of two its blockbuster drugs, for cancer and hepatitis C, to fill the gap left by generic versions of those drugs being discontinued. This competition spurred generic drug manufacturers to start making lower-cost generic versions of drugs long considered to be indispensable health care, experts say. "Because of competition from many drugs with the same indication, as well from generic equivalents produced by many other drug companies, the cost to government has decreased substantially — to between $1 billion and $2 a year," report from the nonpartisan Congressional Budget Office concluded last year. So the big generic drug industry has been a key booster of the Affordable Care Act. And since the original law made it easier for people Cialis 120 Pills 20mg $270 - $2.25 Per pill to buy drugs, those companies have promoted the ACA as a way to make their drugs even more affordable. In many areas of public health, the ACA has greatly improved access, leading to fewer uninsured patients, according the Centers for Disease Control and Prevention. Patients with private insurance typically are paying the same monthly copay for drugs they were paying before the law passed, but with Obamacare, insurers are now required to reimburse them at the same reduced rates, which has meant the government is covering more of the medicine. But the big question for regulators and health experts is whether this change has made generic drugs better for patients. In other areas, the new generics have done just the opposite. One is the cost of blood clotting medications. In the past, insurers typically paid blood clotting makers substantially more than the market price for their medication. The ACA made it illegal for insurers to discount the prices they paid for clotting medications, and the result has been that more medications containing the same active ingredients are now being made at the lower prices of new generics. The big impact, however, may have been on medications that treat heart and blood clotting disorders. Since insurers are now required to reimburse the same amounts for these drugs regardless of what they cost to make, many patients — especially those with private insurance — are no longer paying the full cost of drug. "It is a Generic cialis canada online pharmacy little bit more expensive, but it is cheaper in terms of [the] total cost to the patient," said Dr. Timothy S. Sargent, a cardiologist at the NYU Langone. Cialis 40 Pills 50mg $220 - $5.5 Per pill
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