The pharmacy business is shifting and market share is moving to a smaller number of players. CVS and Walgreens are taking a huge volume of prescriptions. Many with employer insurance use mail order pharmacies. Others are free agents using supermarkets, warehouse clubs or independent pharmacies. If you don't have pharmacy benefits, check your options. Take Walmart's $4 Rx list with you to doctor appointments for direct prescribing there and save. Know that the cheapest overall place is Costco pharmacy, and Good Rx provides transparency and potential discounts. Some pharmaceutical manufacturers provide help with costly prescriptions. Some PBM - pharmacy benefit managers via employment - will not approve some costly meds. If you have an Rx benefit that turns you down for coverage, many drug companies offer enormous help with a coupon to obtain that med free for a year or at a monthly discount. The more questions you ask and the more you look around, the more you'll save.

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