Health care is expensive, even for those with insurance. My treatment with the breast cancer drug Herceptin cost $5,000 every three weeks for 52 weeks. Insurance paid 80 percent; I was responsible for 20. That's $1,000 every three weeks. Not exactly affordable.

What many of us don't know is that we can play an active role in cutting our health care bills. We can shop around for everything, for example. Before filling a prescription, consider comparing prices offered at mail-order and online pharmacies with those of larger retailers. You may even find that mom and pop shops offer competitive rates since they can set their own pricing. Don't forget about generic drugs too. Ask your doctor if a generic version of your medication is just as good as a brand name drug. If so, go for the price break.

Did you know that lab work is more expensive if you get it at a hospital? Ask your doctor for other trustworthy locations and save a few bucks.

Prescription drugs purchased online from Canadian pharmacies were intercepted before they reached the US, and after preliminary laboratory tests were found to be counterfeit. The U.S. Food and Drug Administration (FDA) is warning consumers who may have obtained prescription drugs from Mediplan Prescription Plus Pharmacy or Mediplan Global Health in Manitoba, Canada not to take the medication as it may not be safe.

The drugs in question are Lipitor, Diovan, Actonel, Nexium, Hyzaar, Ezetrol or Zetia, Crestor, Celebrex, Arimidex, and Propecia. Most of the drugs are prescribed for cholesterol disorders and high blood pressure; Actonel for osteoporosis in postmenopausal women; Nexium for gastroesophageal reflux disease; Celebrex for arthritis-related pain; Propecia for male-pattern baldness and Arimidex is a breast cancer chemoprevention medication.

Interestingly, the FDA conducted an investigation last year and discovered that nearly half of the imported drugs they confiscated from four selected countries were shipped to fill orders that consumers believed they were placing with Canadian pharmacies. The drugs did not come from Canada. According to the FDA, 85 percent actually came from 27 other countries around the globe. Buyer beware.

Pfizer announced that Chantix (varenicline), a drug designed to help smokers quit smoking, is now available in US pharmacies. This is the first new prescription drug for smoking cessation treatment approved by the U.S. Food and Drug Administration (FDA) in a decade. When prescribed Chantix, smokers will be offered a chance to participate in a behavioral modification program called GETQUIT Support Plan at no extra cost.

Chantix acts on the areas of the brain affected by nicotine and helps those who smoke cigarettes to quit smoking in two ways: by providing some nicotine effects to ease the withdrawal symptoms and by blocking the effects of nicotine from cigarettes if they start smoking again. There is no magic bullet here, although in clinical trials the drug quadrupled the chances of a smoker quitting and was shown to be twice as effective as the currently prescribed drug Zyban.

Pfizer Helpful Answers has a program available for people without prescription coverage. People with low incomes may even qualify for free medications. For more information about Chantix and the free GETQUIT program, visit the Chantix website.

I was in my oncologist office yesterday and noticed a new poster hanging on the wall advertising an on-line system for managing health care -- for scheduling appointments, confirming appointments, locating test results, paying bills, and more. Founded in 1999 and headquartered in Emeryville, California, RelayHealth is the premier provider of secure on-line healthcare communication services that link patients, healthcare professionals, payors, and pharmacies in matters that are medically non-urgent. The website also features news and customer stories and aims to improve the delivery and accessibility of healthcare to patients -- in a seamless manner.

I haven't done much with this service yet -- but I did take a short tour and made a simple search for my physician whose information promptly popped up on my screen. That part was easy. And once I register with a username and password, I will have more access to more information pertaining to me and my healthcare team. And you can too.

Nevada is home to the loneliest road in America, legalized brothels and Las Vegas. Now -- according to a spokesman for Gov. Kenny Guinn -- the state government will help Nevadans with the ability to purchase low-cost prescription drugs from Canada via the internet by providing direct web links to pharmacies in Canada. Nevada is not listening to the staunch objections from the U.S. Food and Drug Administration to the fact that it is illegal. The legislators state that the import option is needed because many people pay twice as much for similar prescriptions in this country and often cannot afford the drugs they need to live. Lawmakers contend that the federal policies regarding the ability to obtain low-cost prescription drugs are simply a disgrace.

Nevada lawmakers passed the measure allowing Nevadans access to less expensive prescription drugs from Canada, and Nevada regulators have given approval to move ahead with implementing links to pharmacies in Canada. There will be a warning on the state website saying that the federal government views getting prescriptions filled in Canada with non-FDA-approved drugs an illegal act. The state website and links to Canadian pharmacies is scheduled to go live today.