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Target first to offer $4 drugs in state - Small pharmacies call programs a gimmick

In the battle of the price cutters, Target Corp. scored a blow against Wal-Mart this week by offering $4 generic prescriptions nationwide, including in Connecticut.

Consumers in the New Haven area can get a 30-day supply of low-cost drugs at Target stores in Milford, Orange and North Haven. Wal-Mart plans to go nationwide by the end of January.

I n d e p e n d e n t p h a r m a c i s t s , though, say they'll fight back against the heavyweights with two weapons: loyalty and service.

" U l t i m a t e l y , people realize the value of the service that we provide," said Scott Silver, co-owner of Silver's Drug Shop in West Haven. "The value of the integrity of the pharmacist is priceless."

In other words, picking up your Lovastatin isn't as simple as buying a new throw rug for the guest room.

Treating drugs as a loss leader ultimately won't help the consumer, Silver said, because knowing patients' medical histories and helping them find alternatives to save money while avoiding dangerous drug interactions is a major part of the pharmacist's art.

Critics of the discount program, including union-led groups and the National Community Pharmacists Association, which represents independent pharmacies, have called it a publicity stunt that covers only a fraction of the 8,700 generic drugs approved by the Federal Drug Administration. Target's list of generics, called a formulary, comprises about 300 drugs.

Silver said it costs a pharmacy $9 per prescription, on top of the cost of the drug itself, given labor, overhead, insurance and other costs.

"Somewhere along the line, they've got to come up with that same figure to make it work," he said of the big discounters. Either they raise prices on other items or count on customers to buy other things in order to justify the low price, Silver said.

Silver's does offer $3 prescriptions through the Hospital of Saint Raphael's Project MotherCare, a clinic in a traveling 18-wheeler, which serves low-income pregnant women. But that wouldn't work for his business as a whole, he said.

Other pharmacists said they weren't worried Target would take away much of their business. "A majority of our clientele are covered with prescription benefit plans, so I don't see this as a problem at this point," said Frank Cocchiaro, who owns Howes Drug Store in downtown Milford.

Gerard Acampora, owner of North Haven Pharmacy on Maple Avenue, called low-cost generics a gimmick, and said, "We take pride that we've treated our patients fairly over the years."

Acampora, who has recently set up a consultation area, and Cocchiaro, who offers free delivery, said their business has been growing in the last year.

Customers at Silver's, which was bustling late Tuesday afternoon, backed up the faith their pharmacists have in them.

"I wouldn't change because I got all my records here and (there's) good service," said Alex Stewart of West Haven.

Stacey Ellis, also of West Haven, said she doesn't trust generic drugs, although her insurance sometimes makes her get them instead of the name brands. "I'd rather my kids have the real thing," she said.

Wal-Mart isn't worried about the competition from Target, according to a spokesman. "We said all along since we rolled out the $4 generic program that we welcome other retailers joining us in bringing affordable prescriptions to the customers who need them," said Kevin Gardner. "Wal-Mart's glad to be the leader in providing a wide range of generic prescriptions to those who need it the most, including working families and senior citizens."

Target did not return a call Tuesday seeking comment.

Target, based in Minneapolis, is the nation's No. 2 retailer behind Wal-Mart. It operates 1,494 stores in 47 states, though not every store has a pharmacy. Wal-Mart's program is now in 3,009 in-store pharmacies in 38 states.