DEAR DR. GOTT: I saw a written advertisement from BTM (Better Than Medicine) that sells medications at far lower prices than I can currently buy them. They state I can save up to 85 percent on my prescriptions, the program is free, there are no deductibles or restrictions on who can join, and the program can be used along with Medicare at no cost to me. What's your opinion? It kind of sounds too good to be true.

DEAR READER: There's an old expression that says, "If it sounds too good to be true, it probably is." I have reviewed their ad and can certainly see how some people might be swayed to join the plan. And, for all I know, it may be legitimate. The company is based out of Winnipeg, Manitoba, Canada. The website is impressive, there are no co-pays, no deductibles and the prices are inviting. They do indicate that all drugs shipped are generic equivalents and not brand-name drugs. Unfortunately, there are some medications that do not yet have generic equivalents. I guess those would either be unavailable through BTM or would be shipped at a higher price.

I must say I was put off by the fact that I can make inquiries through the same site to purchase airline tickets, car insurance and inquire about foreclosures as well. Call me naive, but personally, I'd like to know that my pharmaceutical supplier is just that — my pharmaceutical supplier. When I choose to purchase auto insurance, I'll go to my local agent.

When I attempted to run BTM through the Better Business Bureau, I came up empty. Giving them the benefit of the doubt, perhaps I didn't follow through correctly.

The US federal government issued a statement some 3½ years ago indicating it was generally illegal for individuals to import prescription drugs into the United States, but Customs had largely ignored small shipments for personal use. Since then, our government has taken an almost hands-off approach and allowed the trafficking to continue.

If you happen to have a Wal-Mart in your area, a one-month supply of many medications is available for $4, a three-month supply for $10. And they ship for free. Target has $4 prescriptions as well, with the added bonus of free flavoring on liquid medications. Perhaps both sources of supply cross borders, but I would feel more comfortable purchasing locally. The choice has to remain with you. Speak with your physician for his or her guidance.

DEAR DR. GOTT: I don't want to take bisphosphonates for osteoporosis. My doctor insists. Can I refuse? He discounts the heavy-duty resistance exercises I do daily.

DEAR READER: Yes, you can. Your physician can strongly recommend a medication or course of treatment and indicate why he feels it is necessary, but the bottom line is that it's your body. I am sure that he has your best interests at heart, but perhaps a calcium plus vitamin D supplement will suffice. Therefore, before getting into any shouting match, I suggest you speak with him and review all options.