How can I lower the cost of my medications?

There are a number of programs, benefits and strategies available that may help lower the cost of your medications. Here is a brief list of some of the services and programs we can look into to find assistance for high medication costs.

Patient Assistance Programs:

A number pharmaceutical companies offer patient assistance programs for individuals with no or limited prescription drug coverage. Some companies will also consider applications from people who are in the Medicare donut hole. Each program has different eligibility and application requirements. Our staff can help to screen and assess your eligibility and provide the applications and instructions to you.

Private Foundations:

Many individuals with chronic illnesses and conditions are not eligible for state or federal assistance because they have private insurance or an income over the Federal Poverty Level. We know that these individuals and families are, however, spending a significant portion of that income on healthcare needs and medications. There are private foundations that have been created to assist those who do not qualify for other benefits by offering medication co-pay assistance. Some foundations also provide assistance with other costs related to the treatment of many chronic and serious conditions.

Prescription Advantage:

Prescription Advantage is the State Pharmacy Assistance Program (SPAP) available to Massachusetts residents. It can be a primary insurance coverage for some individuals or secondary for Medicare beneficiaries. As described in the Medicare Part D section of our website, Medicare prescription drug plans have a gap in coverage called “the donut hole”. Prescription Advantage helps with members’ co-payments during this coverage gap. Members are placed in one of six different assistance levels based on income and household size. For more details and to see if you might be eligible click here.

Special Generic Pricing:

As part of our medication review service, we may recommend generic alternatives to some of the common name brand medications that are routinely prescribed. There are many special generic pricing programs now available at local pharmacies and through mail order programs that offer low, cash prices for over 300 common generic medications. Talk to your doctor to see if these alternatives may be right for you.

For more information on any of these benefits and programs and to request applications, contact the MCPHS Pharmacy Outreach Program at 866.633.1617.