7 Tips for Managing Prescription Costs on a Fixed Income

Updated on July 30th, 2025

Save up to 88% on your medications

Written and medically reviewed by Dorcas Morak, Pharm.D

If you've ever stood at the pharmacy counter and hesitated before filling a prescription because of the price, you're not alone. Many patients—especially seniors and those with chronic conditions—face this challenge daily. The good news? There are ways to make medications more affordable without sacrificing your health. Here's how to lower your prescription costs while maintaining your well-being .

1. Can Generic Medications Help You Save? Yes—switching to generic versions is one of the most effective ways to cut prescription costs. Generics contain the same active ingredients as their brand-name counterparts and are FDA-approved for safety and effectiveness. They typically cost 80% to 85% less. Examples:

Ask your doctor or pharmacist if a generic version is available for your prescription.

2. What If the Generic Isn't Available or Doesn’t Work for Me? Some medications don’t have generic equivalents, and in some cases, patients tolerate brand-name drugs better. If that’s the case:

  • Ask about therapeutic alternatives that may be lower-cost
  • Check if your plan covers the medication on its preferred drug list (formulary)
  • Use the RxLess® Assurance Plan to compare prices and find savings—even on brand-name options

3. Can Comparing Pharmacies Make a Difference? Yes—prices can vary dramatically from pharmacy to pharmacy. Example: Atorvastatin might cost $4.50 at one pharmacy and over $100 at another. Use the RxLess® app to:

  • Instantly compare prices at 70,000+ pharmacies nationwide
  • Find neighborhood options with the lowest costs
  • Access digital coupons directly on your phone

Independent and grocery store pharmacies often offer better prices than chain drugstores, so don’t assume the closest option is the cheapest.

4. How Do Prescription Coupons and Discount Cards Work? Prescription savings cards and coupons—like those offered through the RxLess® Assurance Plan—can significantly lower your out-of-pocket costs. They work regardless of insurance status and are especially helpful for:

  • Insured patients with copays higher than $10
  • Uninsured or underinsured individuals
  • People prescribed medications not covered by their plan

Savings can be as high as 88% off retail prices, and the coupons are accepted at major pharmacies like CVS, Walgreens, Walmart, and Rite Aid.

5. Are There Patient Assistance Programs (PAPs)? Yes, and they can provide free or deeply discounted medications if you qualify based on income and insurance status. Many brand-name drug manufacturers offer these programs. To get started:

  • Visit the manufacturer's official website
  • Ask your doctor or pharmacist for assistance
  • Search programs through nonprofit resources or community health centers

For more, see our article: Patient Assistance Programs: How They Work and Who Qualifies

6. What If I Still Can’t Afford My Medications? Skipping medication is never a safe option. It can lead to worsened health conditions, hospitalizations, and higher medical expenses. If cost is a barrier:

  • Talk to your doctor—they may recommend lower-cost alternatives or adjust your dosage
  • Ask for free samples
  • Use the RxLess® Assurance Plan to check for lower prices at nearby pharmacies
  • Apply for applicable PAPs or local aid programs

7. Can 90-Day Supplies or Pill Splitting Help? Yes—both can offer significant savings when used appropriately and with your doctor’s approval.

  • 90-day supplies often cost less per dose than monthly refills. Some pharmacies offer deep discounts on extended fills, while others may not.
  • Use the Day Supply filter in the RxLess® app to compare 30-, 60-, or 90-day options and find the best saving for your medication.
  • Pill splitting can also be a cost-saving strategy. For example, buying a higher-dose tablet (like Sertraline 100 mg) and splitting it into two 50 mg doses may be cheaper than purchasing two smaller-dose tablets. However, not all medications are safe to split, so always ask your provider first.

Final Thoughts

Prescription costs can be a heavy burden, especially for those living on a fixed income. But with the right strategies—like switching to generics, comparing pharmacy prices with the RxLess® Assurance Plan, and exploring patient assistance resources—you can keep your treatment on track without breaking the bank.

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