If managing your prescriptions feels like a second job—with more stress than payoff—you’re not having some sort of moonage daydream.
For nearly 8 million seniors – 14% of Medicare beneficiaries 65+ who say they skip taking or sometimes don't even fill their prescriptions because of the cost – staying healthy now means walking a daily tightrope between what the body needs and what their budget can swallow.
If you’ve recently typed “Help, I can’t afford my meds” into a search bar, you’re in crowded company. But here’s the problem: in today’s online marketplace, the line between help and harm is razor-thin. If you're not careful, in the end, some “solutions” can cost you far more than money.
The money squeeze is real – the good news, not-so-good news
Drug pricing is shifting. Congress recently passed a health funding bill that includes prescription cost reforms, and some big manufacturers are finally blinking. Johnson & Johnson, for example, has announced price cuts on several high-cost medications used to treat serious conditions.

That’s the good news.
The not-so-good news? Those changes don’t always show up right away at the counter at CVS or Walgreens or any pharmacy. Even with Medicare’s new drug cap, a JAMA study found many seniors—especially those dealing with cancer or chronic illness—continue to send their billfold into a dither more than they can justify.
That gap is exactly what pushes people online looking for cheaper options.
Danger stranger
Search terms like “cheap drugs online” or “no prescription pharmacy” are magnets for scammers.
Not long ago, the DEA went full mongrel on more than 200 fake pharmacy websites tied to an international criminal operation. Like most scams these days, the sites looked legit with real U.S. addresses, real FDA logos, and we-wish-they-were-real deep discounts.
What they were shipping? Counterfeit pills laced with fentanyl or methamphetamine – not the blood pressure, cholesterol, and other meds people were expecting.
The DEA didn't sit on its laurels, sending thousands of warning letters to seemingly unaware Americans who bought from these sites. In plain terms: people thought they were ordering heart meds or sleep aids—and got street drugs instead.

Know this: you can save money on Rx
You do have safer options:
- Ask at the pharmacy counter. The old adage of "if you don't ask, you won't find out" continues to keep way too many consumers from saving money – money that companies are ready and willing to give them. Many stores have unadvertised discounts or senior pricing that only appears if you ask.
- Check state assistance programs. Many states offer prescription help that fills gaps Medicare doesn’t.
🔽 State Pharmaceutical Assistance Programs (SPAPs)
Alabama
• Alabama AIDS Drugs Assistance Program
• SenioRx
Alaska
• Senior Benefits Program
Arizona
• Arizona AIDS Drug Assistance Program
• Arizona CoppeRx Card
Arkansas
• Arkansas Ryan White Part B/ADAP Program
California
• AIDS Drug Assistance Program
• California Drug Discount Program for Medicare Recipients
Colorado
• Bridging the Gap Colorado
Connecticut
• CT ADAP
Delaware
• Delaware Prescription Assistance Program
• Chronic Renal Disease Program (CRDP)
District of Columbia
• DC ADAP
Florida
• Florida AIDS Drug Assistance Program
• Florida Discount Drug Card Program
Georgia
• Georgia AIDS Drug Assistance Program
Idaho
• Idaho ADAP
Illinois
• Illinois AIDS Drug Assistance Program
Indiana
• HoosierRx
Kansas
• Kansas ADAP
Kentucky
• Kentucky ADAP
• Kentucky Pharmacy Assistance Program (KPAP)
Louisiana
• Louisiana Health Access Program
• Louisiana Dept. of Health STD/HIV/Hepatitis Program
Maine
• Maine Drugs for the Elderly and Disabled
• Maine Rx Plus
Maryland
• Maryland AIDS Drug Assistance Program
• Maryland Senior Drug Assistance Program
Massachusetts
• Prescription Advantage
Michigan
• Michigan Drug Assistance Program (MIDAP)
• Michigan Prescription Savings Program (MiRx)
Mississippi
• MS ADAP
Montana
• State of Montana HIV Treatment Program
• Big Sky Rx Program
Nevada
• Nevada Disability Rx Program
• NV SRx Program
New Hampshire
• New Hampshire AIDS Drug Assistance Program
New Jersey
• NJ AIDS Drug Distribution Program
• PAAD
• NJ Senior Gold Discount Card Program
New Mexico
• New Mexico Medical Insurance Pool (NMMIP)
• New Mexico Prescription Drug Assistance Program
New York
• NYS Elderly Pharmaceutical Insurance Coverage (EPIC) Program
• NYS Uninsured Care Programs
North Carolina
• North Carolina HIV Medication Assistance Program (HMAP)
North Dakota
• North Dakota AIDS Drug Assistance Program
• North Dakota Prescription Connection
Ohio
• Ohio HIV Drug Assistance Program
• Ohio Golden Buckeye Program
Oklahoma
• Rx for Oklahoma Prescription Assistance
Oregon
• CAREAssist
• Oregon Prescription Drug Program
Pennsylvania
• Chronic Renal Disease Program (CRDP)
• PACE & PACENET
• Special Pharmaceutical Benefits Programs
Rhode Island
• Rhode Island State Pharmaceutical Assistance to the Elderly (RIPAE)
South Carolina
• South Carolina AIDS Drug Assistance Program
South Dakota
• South Dakota Dept. of Health Ryan White Part B Care Program
Tennessee
• Tennessee Ryan White Part B Program
• CoverRx
Texas
• Texas Kidney Health Care Program
• Texas HIV Medication Program
Utah
• Utah Ryan White Part B
Vermont
• VPharm
• Healthy Vermonters Discount Program
Virginia
• Virginia Medication Assistance Program (VA MAP)
Washington
• Washington HIV Care
• Washington Prescription Drug Program (WPDP)
West Virginia
• West Virginia ADAP
Wisconsin
• SeniorCare
• Wisconsin ADAP
Wyoming
• Wyoming ADAP
• Wyoming Prescription Assistance Program
Source: National Conference of State Legislatures SPAP table (2026)
- Go straight to the manufacturer. On top of places like GoodRx, Mark Cuban's Cost Plus Drugs, and NeedyMeds, Drugmakers often offer coupons or patient assistance programs—especially after recent price cuts.
🔽 Drugmaker Patient Assistance & Coupon Programs
Industry-Wide Search Tools
• PhRMA Medicine Assistance Tool – search many manufacturer programs
• NeedyMeds Patient Assistance & Coupons
Brand Manufacturer Support Programs
• AbbVie Patient Assistance Programs – free or discounted AbbVie meds for eligible patients
• Boehringer Ingelheim Cares Patient Assistance – support for qualifying patients
• Merck Patient Assistance Programs – access to Merck medicines and vaccines for eligible patients
Examples of Manufacturer PAPs (phone contact listings)
• Alcon Patient Affordability Programs – copay assistance & discounts
• AstraZeneca US Patient Support – savings and copay programs for several medicines
• Pfizer RxPathways & Patient Assistance – help with Pfizer meds (search by drug)
• Bayer US Patient Assistance Foundation – medications for qualifying patients
Support & Discount Programs Often Available
• Many manufacturers have **copay cards or coupons** that reduce out-of-pocket costs for insured patients — useful for brand-name drugs with high deductibles or coinsurance
• **Copay assistance** helps cover deductibles, copays, and coinsurance on covered drugs; eligibility varies by insurer and program
Note: Eligibility rules and offerings vary by company, drug, income and insurance status. Call the program or use the links above to check specific criteria before applying.
If you buy online, verify everything
Stick to verified, licensed pharmacies only. The single best way to verify those is the NABP's Buy Safely tool that instantly checks if a website is accredited and safe. If the site isn’t verified, don’t click "buy".
And remember: if a website is willing to sell you prescription drugs without a prescription, it’s also willing to sell you something that could seriously hurt—or kill—you.
Stay smart. Stay safe.
Sources
Sources in addition to the ones listed in this article include:
https://www.fda.gov/drugs/buying-using-medicine-safely/besaferx-resources-consumers
https://www.fda.gov/drugs/besaferx/locate-state-licensed-online-pharmacy
https://www.fda.gov/drugs/besaferx/considering-online-pharmacy
https://www.dea.gov/press-releases/2026/02/04/dea-operation-meltdown-shuts-down-hundreds-illegal-online-pharmacies

