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Why do drugs cost so much?

What are out-of-pocket prescription costs?

How much do patients and doctors talk with each other about prescription costs?

Is it important to raise concerns about your costs with your doctor?

Is it common to have so many prescriptions?

What about over the counter treatments, including alternative and complementary medicines?

 

Why do drugs cost so much?

There are many reasons that contribute to the high cost of prescription medicines. New drugs cost a lot of money to develop, and for every drug that is developed, many more never make it to market. Also, many drugs provide a lot of benefit, and people understandably are willing to pay a lot of money to live longer or better. Even though you may pay a lot for your prescription medicines, keep in mind that most people are only paying part of the actual total cost of the prescription. This is the out-of-pocket cost. Back to top


What are out-of-pocket prescription costs?

Out-of-pocket prescription costs refer to any money that the patient pays from his or her own pocket to obtain a prescription. This includes co-payments for a prescription, monthly premiums, and the annual deductibles of a health care plan. For those who do not have a health insurance, any amount spent on prescription drugs constitutes the out-of-pocket prescription cost. Overall, in the United States about 50% of prescription costs are paid out-of-pocket. The rest of the costs are paid by other organizations like insurance companies, employers, and the government. Back to top


How much do patients and doctors talk with each other about prescription costs?

Some patients and doctors talk frequently about the patient's prescription costs. Other times, these conversations may be important yet neglected. There are several things that may prevent patients and doctors from communicating about prescription costs. For example, both patients and doctors may feel pressured for time, or they may feel uncomfortable discussing costs. Sometimes, patients may worry that they will get a second-best treatment if they raise their concerns. Also, information about the costs of a prescription may not be available for doctors of patients until the prescription is filled at the pharmacy. Back to top


Is it common to have so many prescriptions?

Excellent question. For some patients, there may be good reasons for taking all of the prescription medicines that they do. Certain conditions, such as hypertension or diabetes, require several different prescription medicines to manage. But you should know what each of your medicines is for, so ask your doctor and if it's helpful, write down why you take each medicine. Keep in mind that having a list of your medications can be quite helpful. Back to top


What about over the counter treatments, including alternative and complementary medicines?

Nearly one in three Americans regularly takes an alternative or complementary medicine, such as an herbal supplement. Many more Americans also take over-the-counter medicines, such as treatments for headaches or the common cold. The costs of these treatments also adds up, and your doctor may not be aware that you are taking them. It is important that you mention these medicines when you see your doctor, so that your doctor knows all of the different treatments that you are using. Back to top