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The Price of Health: Meds, Money, and Staying Out of Danger

Every state offers Drug Assistance -- use it!

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.

J&J Price Cuts Could Affect Drugs Many Seniors Rely On
Xarelto, Invokana, Zytiga, Darzalex, Imbruvica, others may be included, but no guarantee

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.

Buying Medication From Overseas: What Seniors Should Know Before Clicking ‘Order’
Canada? India? Online pharmacies? Here’s what’s legal, what’s risky, and what’s a hard no.

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

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