How I Save Money on Prescription Medication
For the past three years, May has become annual exam month for my entire family. I visit my OB-GYN, BabyGirl visits our PCP (as of this year, also the OB-GYN), and Precious has her wellness visit/annual vaccines at the Vet. Needless to say, medical expenses in May exceed any other month of the year. So far, I’ve spent $356 in medical expenses, which include co-pays, Rx, and OTCs. Now that the month is over, I want to share how I saved money on Rx.
Information Gathering: When I stopped by the pharmacy to pick up two Rx - one for myself and one for BG - the cashier said my total was $100. What?!?! Wait a minute. I already pay $91 for premiums every pay period and $30 for each specialist visit. I could not understand why I had to pay so much for an Rx, which is usually $7-$20 each.
I asked the pharmacist if there were any generics available and she said no. Now what the heck kind of special medication is this with no generic version? Then I asked for the name of the meds so I could go home and look them up online. When I logged into my insurance provider’s website, I searched for the Rx name, its purpose, side effects, alternatives, etc. After about 10 minutes, I found exactly what I was looking for…and a bonus…the primary active ingredients. Armed with information and a better understanding, I made a few phone calls.
First up, I called my insurance company. I wanted to know WHY my out of pocket costs (OOPC) were $50 for each Rx. I was told because the meds were “non-formulary” which is just another word to mean “not on the HMO preferred list so you’re on your own sucka!” Yea…ok.
First Rx: Then I called my doctor’s office to explain the situation. I asked the nurse if there was a reason the doctor prescribed THAT specific med. I explained that my insurance company had a “preferred med list” and there was another med with the same % of the primary active ingredient. I also asked if she could call in an alternative Rx, which would make my out of pocket costs $10 vs. $50. We discussed the purpose of the original med and why my doctor preferred that specific brand. I don’t have a medical degree, so I was not about to press the issue, but that didn’t mean I had to like it. After hearing the hesitation in my voice, the nurse asked:
Nurse: How close are you to the office?
Single Ma: I’m at home right now. About 15 minutes away without traffic. Why?
Nurse: We might have a sample here in the office. Let me check.
Single Ma: [on hold]
Nurse: Yes, we have a sample. Will that solve the problem for you?
Single Ma: Of course.
Nurse: We close at 2pm today. Stop by to pick it up when you can.
Single Ma: Great, thanks!
OOPC: $50 –> $0
Second Rx: I called BG’s doctor and had a similar conversation. They didn’t offer a sample, but they agreed that one of the alternatives would work just fine - reducing my out of pocket costs from $50 to $10. The nurse called in the alternative Rx and I was all set.
While waiting for the prescription to be filled, I browsed on my insurance provider’s website. I discovered that a 30 day supply would cost $10 but a 90 day supply would cost $20. Hmm…another $10 savings. So I called the pharmacy to make sure they received the alternative Rx and asked if they could fill a 90 day supply. I was told the doctor would have to authorize it because some meds have to be restricted. Otherwise, they could only dispense a 30 day supply.
You know what I did right? I called BG’s doctor back! LOL I asked them to call the pharmacy again and specify a 90 supply with 3 refills vs. a 30 day supply with 11 refills. She said no problem, and within minutes, it was done. Great!
OOPC: $150 for 90 day supply ($50/30 days) –> $20 for 90 day supply
This experience taught me a very important lesson. In order to save money on Rx, I should:
- Understand the Rx
- Understand the details of my insurance coverage
- Ask for FREE samples first
- If #3 is N/A, ask for the generic alternative
- Never be afraid to ask the doctor to explain their med choices
One of my girlfriends thought I was out of my mind to question WHY my doctor prescribed a certain med, then had the nerve to ask for an alternative. LOL I told her these doctors are “practicing” but I’m not a guinea pig. Besides, this is MY body, MY money, and ultimately MY decision - so I have a right to know, ask questions, and understand. And you do too!
At the end of the day, we received the appropriate meds and saved $180.



Since my 

