What to do if my prescription is too expensive?

Asked by: Hayley Jerde III  |  Last update: March 20, 2025
Score: 4.1/5 (25 votes)

Ask your insurance company about lower-cost alternatives – For each medicine that has a high cost, ask your insurance company for the name of a medicine that works in the same way but has better coverage so you can ask your doctor about switching to it.

What if I can't afford my prescription?

Many pharmaceutical companies, state programs and nonprofits have drug assistance programs (PAPs) that offer free or low-cost medicines if you don't have insurance or are underinsured and can't afford your medicine. Programs and program benefits vary.

How can I reduce the cost of my prescription?

Medications can make up a big chunk of your health care expenses, but these strategies can help you save money. It all begins with understanding your options.
  • Cost-saver #1: Use medications covered by your health plan. ...
  • Cost-saver #2: Ask about generics. ...
  • Cost-saver #3: Choose a network pharmacy. ...
  • Cost-saver #4: Stock up.

Can a pharmacist change a prescription amount?

“A pharmacist may change the dosage form of the prescription if it is in the best interest of patient care, so long as the prescriber's directions are also modified to equate to an equivalent amount of drug dispensed as prescribed.”

Can I ask my doctor to prescribe cheaper medications?

If you happen to be on something unaffordable, you can talk to your doctor about switching, or you could talk to the pharmacist about cheaper alternatives. Depending on the drug, your pharmacist may be able to suggest changing to something similar but less expensive.

Prescription drug dilemma: what to do when costs are too high

38 related questions found

What if my medication is too expensive?

Call the pharmacist to check for alternatives.

However, if the pharmacist has alternatives, the doctor may be willing to prescribe a lower-cost option. Don't assume those savings will come by asking for the generic brand of your prescription. Generics aren't always the less expensive option.

Is it legal for a doctor to charge for a prescription?

In California, it's generally legal for a doctor to charge a consultation fee for providing a prescription that you intend to fill at a pharmacy outside of their office.

What is the 28 day prescription rule?

It refers to the number of days you may need to wait between refills of 30-day prescriptions that are considered controlled substances. If you have a medication that follows the 28-day rule on a 30-day supply, it means you can get a refill no earlier than 2 days before the 30 days are up.

What do I do if the pharmacy gives wrong amount?

If you notice the amount of medication doesn't match your prescription, stop taking the pills and contact the pharmacy immediately. Document the error and consult your doctor to ensure there are no health risks. If the error caused harm, consider seeking legal advice.

Can a pharmacist override a doctors prescription?

Can a pharmacist change prescriptions? In most cases, a pharmacist must follow the doctor's exact prescription, but there are a few exceptions. If the pharmacist finds interactions, dosing instructions, or other factors preventing the medication from working, a change may be necessary.

Why is my prescription suddenly so expensive?

Higher cost to the manufacturer is one of the most common causes of a price increase, and you will see the difference passed on to you at the pharmacy.

How to make prescriptions cheaper?

9 ways to help save on prescriptions
  1. Choose a network pharmacy. ...
  2. Check into home delivery options. ...
  3. Order online. ...
  4. Use discount programs. ...
  5. Ask for generics when you can. ...
  6. Switch to a different form of the same drug. ...
  7. Ask for a 90-day supply. ...
  8. Reach out to assistance programs.

How many years before a drug can go generic?

Most brand drugs are developed under patent protection for up to 20 years. This means that no one else is allowed to make and sell the drug. When the patent expires, other drug companies can start selling a generic version of the drug. But, first, they must test the drug and the FDA must approve it.

How can I lower my prescription costs?

6 Ways to Reduce Prescription Drug Costs
  • Use Generic Instead of Brand Name Medications. ...
  • Ask About Medication Options. ...
  • Compare Different Pharmacies. ...
  • Take Advantage of Coupon Savings. ...
  • Learn About Patient Assistance Programs. ...
  • Don't Skip Important Medications.

What happens if I don't pay for my prescription?

How penalty charges are calculated. If you're sent a PCN, you'll be asked to pay both: the original NHS prescription or dental treatment charges. an additional penalty charge.

What is the income limit for low income subsidy?

It is also known as the Part D Low-Income Subsidy (LIS). If your monthly income is up to $1,976 in 2025 ($2,664 for couples) and your assets are below specified limits, you may be eligible for Extra Help (see the Extra Help income and asset limit chart for details).

What to do when a prescription is too expensive?

Communicate With Your Pharmacist or Insurance Company
  1. Your doctor: If your doctor prescribes you a medication that is too expensive, you can ask them about clinically equivalent prescriptions. ...
  2. Your pharmacist: You could also talk to your pharmacist or prescription provider about lower-cost alternatives.

Can you sue for getting the wrong prescription?

To successfully sue for wrong medication, you must prove the following: Duty of care: The healthcare provider or pharmacy owed you a duty of care. Breach of duty: They breached this duty by providing the wrong medication. Causation: The breach directly caused your injury or harm.

Who is responsible for pharmacy errors?

Can a Pharmacist Be Liable for Pharmacy Mistakes? Just like doctors and nurses, pharmacists may be held accountable for malpractice if their carelessness causes preventable harm. Pharmacists have a legal responsibility to use sound professional judgment and proper care in filling prescriptions.

Can a doctor refuse to refill a prescription if you owe them money?

While doctors generally have discretion over prescribing and refilling medications, there are cases where a refusal could cross into negligence—especially if it puts your health at risk.

How to get a refill on a prescription without refills?

Individuals can contact the pharmacy to refill their prescriptions. They need to provide them with details such as the name of the medication, dosage, prescription number, and insurance card, if applicable. In some cases, people may need to call their primary care doctor to get a prescription refill.

What is 3x a day in prescription?

If you are told to take a medicine 3 times a day, then that usually means to take it at close to even intervals while you are awake. It does not mean you have to get up in the middle of the night to take your medicine unless your doctor or pharmacist has specifically told you to do so.

What happens if you can't pay for a prescription?

Some nonprofits offer free medicines or financial assistance programs for prescription drugs, insurance premiums, or copays to individuals and families with limited income. If you cannot afford prescription drugs, check if you qualify for an assistance program offered by a nonprofit.

Do doctors get paid for prescribing expensive drugs?

Federal law forbids doctors from receiving a commission for prescribing a specific drug. However, the law permits pharmaceutical companies to offer other legal incentives to doctors if they prescribe that company's drugs.

Who is exempt from paying prescription fees?

You're entitled to free NHS prescriptions if you're: Under 16. Aged 16-18 and in full time education. Aged 60 or over.