Buying prescription drugs can be an adventure.
Are you insured? Is it covered? Does your plan cover another medication? Yikes.
There are often not easy answers, but we always recommend: ask what it will cost.
Many people don’t pay cash for their prescriptions, but if you do, you’ll be interested in this map from our recent partnership with the Brian Lehrer show at WNYC public radio in New York. We collected 600 price points for common pills in the New York area, and WNYC’s data team mapped them.
Here are a few good resources we’ve seen recently on the topic of buying prescriptions.
Your medications could easily be cheaper if you pay cash, without your insurance card. That’s right: cheaper without insurance. There are a number of reasons for this, and it’s not always true, but we have been told time and again that buying on cash, depending on the medication and the pharmacy, can be cheaper. Always ask.
Are generics always cheaper? No. Listen to our friend Leslie Ramirez from leslieslist.org.
Do you expect your co-pay to be the same every time? Well, stop it. Listen to Charles Ornstein as he tries to figure out a co-pay for a prescription.
The insurance company coverage is often governed by a formulary, or list of approved medications. Those formularies can change, and so one should always check with the insurance company or pharmacy benefits manager on coverage.
Here’s a nationwide formulary resource that we have not completely vetted, but at a glance it looks to be valuable (in my quick test it was 50 percent right). It’s free, and it lets you search any plan in any state. But! As with any information you find on the web, always check.
Are those drug discount cards really a bargain? Maybe not. Listen to Richard J. Sagall, M.D., who wrote this post for costsofcare.org.
Are manufacturers coupons a bargain? Also maybe not. Joseph S. Ross, M.D., and Aaron S. Kesselheim, M.D., J.D., M.P.H. explain in the New England Journal of Medicine.
if you have big prescription costs, or if you’re very organized, take a look at this guest post that we ran from a woman who is extremely smart about all this. She has advice not only about shopping for the drugs she and her family use, but also medications for pets. She has a binder with printed lists, and every time she goes to the doctor, she has a conversation about medications. It’s a great example.
Thinking about buying prescriptions online? Here is a blog post about resources for checking up on whether that pharmacy’s legit.
You might also be interested in NeedyMeds, a nonprofit helping people in need find medications. They have information about patient assistance programs, which typically help people with expensive medications.
This blog post links to a site that gives the average price that pharmacies are paying for every drug in every size in the U.S. — it’s a great resource.
One way to think about prescription drug prices is a site called goodrx. It’s a web site with a search tool that lets you put in the name of a prescription drug and a location, then supplies a list of places that sell the drug and the prices. Often a coupon is involved, and that means money’s changing hands somewhere. The prices aren’t the lowest we’ve seen, but it certainly gives you an idea of how to shop around.
Newer entrant: prescriptionbluebook.com. The front page says: “We provide the wholesale cost (the price pharmacies pay) on your prescription medications. A yearly subscription to PrescriptionBlueBook.com reveals the wholesale cost on thousands of brand name and generic drugs for you, your family and even your pets! PrescriptionBlueBook.com also provides the ‘Fair Retail Price’ for each drug you access. It’s best not to pay more than the ‘Fair Retail Price’ for your medications.”
So it’s a subscription, for $4 a month; with this information, the site suggests, you can shop around wisely. The site says it was launched in 2013, by a South Carolina pharmacist named Steve Patton. We’ve not subscribed, and we know less about medication prices than about procedure prices, so can’t offer quality judgments.
We also love our legacy project, a crowdsourced PriceOfBC map of people’s contributions on the price of their birth-control pills. It was an early experiment (from 2011), and we are still very fond of it.
Beyond that, here are a few posts from the blog.