[SEPARATOR]
[SEPARATOR]
[SEPARATOR]
[SEPARATOR]
[SEPARATOR]

Purchasing Chinese Herbs: Comparing Value

 [IMAGE]
Elsewhere on this site you can read about HealthPoint’s commitment to the safety and efficacy of the traditional Chinese herbal formulas that we prescribe for our patients where clinically indicated. In this newsletter we’ll address the issue of value.

Economic value includes not only the price paid at the point of purchase, but also measures of convenience, utility, results, and the long-term expense of use. These are the things that most of us desire with any economic exchange (i.e., when we purchase goods or services).

So what does any of this have to do with purchasing Chinese herbal medicines? The price that you pay for Chinese herbs can vary among clinics. And while purchase price is not unimportant, it is nowhere near as important a measure as value.

Chinese herbal medicinals can be processed, sold, and administered in a variety of formats including bulk-dispensed herbs for decoction, tea-pills, capsules, tinctures, and powdered extracts, to name several. With one of the most varied TCM herbal pharmacies in the Twin Cities, HealthPoint carries all of these in order to meet the wants and needs of our many patients. We also try very hard to be sensitive to patient’s budgets in light of the generally high cost of health care.

The table below compares several different approaches to pricing for the same TCM medicinal formula across two formulating companies. The pricing variances reflect differences in administration method (e.g., tea-pills vs. capsules), potency, dose and supply quantity. Just to add to the confusion, one of these companies offers the example formula in two different product lines where the formula differs only in administration method, potency, and quantity, but where the ingredients are the same. Our example pertains to prepared (manufactured) formulas as opposed to bulk-dispensed herbs. The ingredients of each are exactly the same.


 TCM Rx. A
 TCM Rx. B
 TCM Rx. A-Lrg
 TCM Rx. B-Lrg
 TCM Rx. C
Admin
tea-pill caplettea-pillcapletcapsule
Count
100 90360270120
Pills/dose
4 3433
Doses/day
3 2322
Pills/day
12 61266
Days supply
8 15304520
Doses/bottle
25 30909040
Price
$12.50 $16.85$34.00$38.00$25.75
Cost/pill
$0.13 $0.19$0.09$0.14$0.21
Cost/dose
$0.50 $0.56$.38$0.42$0.64
Cost/day
$1.50 $1.12$1.13$0.84$1.29
Cost/
30 day supply
$45.00 $33.70$34.00$25.33$38.63

Note that the retail price for the herbal tea-pills, Rx-A is the lowest of the three. But we need to look beyond the point-of-sale retail price to determine the true cost of use and actual value.

Herbal tea-pills are a fairly dated method of administration. The potency ratio is 5-to-1 (5:1), meaning that 1 gram of the herbal extract used to make the formula is equal to 5 grams of the bulk (“raw”) herbs. On the other hand, the caplets are a 7:1 ratio. Capsules are the most potent at a 10:1 ratio.

Again, on the basis of retail price alone, Rx-A appears to be the best value. Of course, it also contains the least supply (25 doses). Also the tea-pill format is the least potent, meaning one has to ingest typically twice the amount of either caplet or capsule formats (in fact, up to 180 pills more per month). This can present a hassle for busy individuals.

But look carefully at the cost for a 30-day supply. Here we see that the large bottle of caplets are the best overall value. However, keep in mind that capsules (the last column) offer the greatest potency. Because higher potency generally contributes to the patient improving faster, the potential cost per dose or cost per day for the capsule is only marginally greater than, say, Rx-B. Still, the cost per month will be the greatest for this approach. 
 
There are a number of factors one should consider when purchasing a TCM herbal formula (not the least of which is safety as we wrote about previously). HealthPoint offers one of the widest selections of potent and safe TCM herbs and formulas. In fact, we try to carry, or if necessary obtain, most forms in order to accommodate our patient's varying budgets and/or preferences. 

We always welcome your questions about Chinese herbal medicinals:  651-698-1404

[IMAGE]
Self-managed web sites powered by iEditWeb, Inc.