Why Did My Prescription Price Go Up? The Truth About Insurance, Generics, and Deductibles
Confused about prescription costs? A Cedarville pharmacy expert explains insurance, generics, and savings options.
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Prescription prices, insurance plans, deductibles, and discount cards can feel overwhelming — but they don't have to be. In this sponsored Ask the Pharmacist segment, Dr. Shannon Yarosz, Assistant Professor of Pharmacy Practice at Cedarville University, breaks down how medication insurance coverage really works and why your prescription costs may suddenly change.
Dr. Yarosz explains why insurance companies typically cover generic medications over brand-name drugs. Generics contain the same active ingredient as brand medications but are more cost-effective, which is why they are often preferred on insurance plans. She also clarifies what it means when a medication is labeled “preferred” or “non-preferred" and how prior authorizations and additional paperwork can affect coverage.
If you have ever wondered why your medication suddenly costs more, several factors may be involved. Insurance formularies can change during the year. Deductibles often reset at the beginning of the year, increasing out-of-pocket costs. Coupons may expire. Dr. Yarosz encourages patients to call the number on their insurance card or speak directly with their pharmacist to better understand their coverage.
She also outlines practical options if insurance will not cover your medication, including talking with your healthcare provider about alternatives, exploring manufacturer coupons, or asking your pharmacy about available discounts.
Ask the Pharmacist connects you with trusted experts from Cedarville University School of Pharmacy, providing clear answers to real-world health and medication questions.
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In this Ask the Pharmacist segment, Dr. Shannon Yarosz from Cedarville University explains why insurance companies prefer generic medications, what “preferred” drugs mean, and why prescription prices may increase. She also shares practical steps patients can take if insurance will not cover a medication, including speaking with providers or pharmacists and exploring available discounts.