Save on Prescription Costs

Health costs in the United States of America are spiraling up out of control. There is no reason for a brand name pill cost $20 a pill, when almost everywhere else outside teh US, the same companies are selling same medication for a fraction of that price. There is something to said about government  regulation when it comes to people's health and lif e is at stake.  Don't think that you have insurance , so you don't have to worry about cost of prescription drugs. Your co-pays would keep spiraling up the same way the cost of drug is. Every chance they get, employers would find a way to  boost co-payments and placing restrictions on what medicines are covered under company insurance plans. And though Medicare Part D has helped pay for millions of prescriptions, many seniors still struggle with the cost of their medications. Until we wake up and find some way to control the prescription prices without calling it socialism, we have to find ways to save money to cut down the cost of procuring medication.

Pharmacies, drug companies and Web sites are helping cut the costs they helped to creat in the first place. But rather than blaming the system, lets try to get any saving that we can get.  Here's what you need to know to get started on trimming your medicine bills:

 

Check your policy, if you have one. If your health insurance covers prescription drugs, it may have lower co-pays for generic drugs. A typical co-pay is $10 or $20 for a generic prescription and $25-30 or more for a brand-name version.

Ask your doctor, if he would prescribe a generic version of the medication. Ask whether a prescription is necessary. There are plenty of over-the-counter medications that often work as well as their prescription counterparts. Some of these OTC remedies, such as Claritin for allergies or Prilosec for heartburn, were once prescription-only.

Many insurers have arrangements with mail-order pharmacies that allow patients to get three-month supplies of many "maintenance," or long-term, medications, either at a discount or with lower co-pays -- one or two months' worth of co-pays, for example, instead of having to pay for all three months. Your policy also may cap how much it will pay out annually for prescriptions or pay only for drugs on its formulary, which is a preferred list of medications.

Ask about drug alternatives. If a prescription is necessary, find out first if there is a generic version that might work for you. Generics are basically former brand-name drugs whose patents have expired. The average prescription for a generic cost $29.82 in 2005, according to the National Association of Chain Drug Stores, while the average brand-name prescription cost $101.71.

There isn't always a generic equivalent. That's where "pill splitting" can come in handy. Since increased dosages of a drug often don't cost substantially more, your doctor can in some cases prescribe a larger pill that you can slice using a splitter available for $5 at most pharmacies. Not all pills can or should be split, though, and this is not a do-it-yourself project. Talk to your doctor first.

Other OTC medicines have a long history of effectiveness. Consumer Reports recently noted, for example, that nonprescription drugs containing antihistamines -- such as Benadryl, Nytol, Sominex, Tylenol PM and Unisom -- can be just as helpful for occasional sleeplessness as more heavily promoted (and expensive) prescription medications such as Ambien, Lunesta, Rozerem and Sonata.


If you're overweight, don't get enough exercise, eat a lousy diet or constantly are stressed, fixing those issues also can save you a bundle in the long run.


Don't feel shy about asking your doctor for samples.  If there's no generic equivalent, your doctor may be able to supply you with enough free samples of a prescription drug to at least reduce your costs somewhat. Most physicians have a closet full of prescription-drug samples, thanks to free-handed drug vendors.

Shop around. Once you've got your prescription in hand, a little time spent on the Web and on the phone can save bundles of money. By the way, you should put as much or even more effort into shopping for your generic prescriptions as you do for your brand-name ones. The price you pay for a generic can vary by 80% or more, depending on where you buy it, while a brand-name drug's cost typically varies by only 10% or so.

Take advantage of the generic-drug price war. Kmart and Wal-Mart kicked off the trend, and now it's spread to other big chains. Wal-Mart, Sam's Club and Target offer hundreds of generic prescriptions for $4 a month while Kmart offers more than 200 generic prescriptions for $15 for a 90-day supply.

Prices may be higher in some states; California, for example, has a law against pricing drugs below their cost, so some prescriptions on the list will be more expensive there.

Look for coupons and deals. Head to a brand-name drug's official Web site to see whether there are coupons or other rebates available.

Use your flexible-spending plan. These workplace plans allow you to put aside pretax money to pay for health care and medicines. (Over-the-counter drugs are often included; ask your human-resources department for details.) You have to estimate in advance how much you'll spend, and you must use up the money before the plan's year ends, or you'll lose it. But every $1,000 you contribute saves you $250 in taxes if you're in the 25% federal tax bracket, so it's a great break for many families. There is however a downside to this. You must guess very accurately as any money left in the account at the end of the year will be gone.

Sign up for prescription assistance. If you're low income, you may qualify for discounted or free drugs from a patchwork of state, nonprofit and drug-company programs. One place to start looking is the Partnership for Prescription Assistance. Other resources include NeedyMeds, the American Society of Health-System Pharmacists, the Eldercare Locator and the Access to Benefits Coalition.

Go to Canada or Mexico. There's no question many drugs are significantly cheaper north or south of the border than they are in the United States. The problem is that it's against the law to "re-import" drugs made in the U.S. and sold outside our borders. (A "personal use" exception exists only for drugs that aren't approved for use in the U.S.) Of course, the legal restrictions don't stop millions of Americans from crossing the borders for drugs, but the U.S. Food and Drug Administration cautions that there are potential safety issues. Consider yourself warned.
 

 


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