Getting Help With Prescription Costs: 4 Places to Start Looking
Help is usually available for those who can't pay for their prescriptions. The trick is knowing where to look.

powered by healthline

Average Ratings

Prescription Costs Help Getting Help With Prescription Costs: 4 Places to Start Looking

There's no denying some prescription medicines can be expensive. And while there are a few ways to cut costs, they don't always pan out. Not every drug on the market has a generic alternative, for instance.

But a trip to the pharmacy doesn't have to kill your budget. The truth is there are lots of financial assistance programs out there. Some are tailored for people without health insurance. Others focus on Medicare recipients on a limited income. The trick is in finding them. Here are four places to start looking right away.

1. Your state government. Every state has some kind of prescription assistance program. The rules vary, of course, but the most common programs provide help for:

  • Children
  • Senior citizens
  • HIV medications
  • Mothers and newborns

Some states require that you use their Medicaid programs, but that's not always the case. If you can't qualify for Medicaid, you still might be able to find another program. Contact your state's Department of Human Services to learn what's available.

2. Pharmaceutical companies. There are more than 150 drug manufacturers who offer some kind of financial assistance. Of course, they usually cover only the costs of their own medicines. They can't really help you pay for competitor's products. But even a little help is better than none at all.

To find out if your drug maker has a program, talk to your doctor or pharmacist. Or try visiting the drug company's Web site. You can also contact the Partnership for Prescription Assistance, which maintains a database of pharmacy assistance programs. Other organizations with similar databases include Rx Hope, Needy Meds, and Patient Assistance.

3. Medicare. If you're a Medicare recipient on a fixed income, you might qualify for the Extra Help program. Also called the Low Income Subsidy, Extra Help gives you added discounts on prescription premiums, deductibles and copayments. It also exempts you from the coverage gap known as the donut hole.

The eligibility requirements are complicated, though. You'll need a representative to help you with the paperwork. Contact your local Social Security office and schedule an appointment to get started.

4. Your local community. There may be plenty of untapped resources right in your own backyard. For instance, many hospitals have programs for qualifying patients. To learn more, contact a social worker or patient advocate.

And even if your hospital doesn't have such a program, you may be able to find help elsewhere. This might include a community clinic, religious organization or other nonprofit charity. Remember to be as thorough as possible. Leave no stone unturned, as the old saying goes. You never know what you'll turn up.

By Gregg Newby, Staff Writer
Created on 08/17/2009
Updated on 08/17/2009
  • Center for Medicare Advocacy. Finding help to get prescription drugs.
  • U.S. Social Security Administration. Understanding the Extra Help with your Medicare prescription drug plan. April 2009.
  • Partnership for Prescription Assistance. Participating patient assistance programs.
Copyright © OptumHealth.
Top of page
General Drug Tools
General Drug Tools view all tools
Tools for
Healthy Living
Tools for Healthy Living view all tools
Search Tools
Search Tools view all tools
Insurance Plan Tools
Insurance Plan Tools view all tools

What is a reference number?

When you register on this site, you are assigned a reference number. This number contains your profile information and helps UnitedHealthcare identify you when you come back to the site.

If you searched for a plan on this site in a previous session, you might already have a reference number. This number will contain any information you saved about plans and prescription drugs. To use that reference number, click on the "Change or view saved information" link below.

You can retrieve information from previous visits to this site, such as saved drug lists and Plan Selector information.