How can I lower prescription costs?

Ask about generics, compare pharmacy prices, check manufacturer or discount programs, and confirm each drug’s formulary tier before choosing a plan.

Why are specialty drugs so expensive?

Specialty medications sit on the highest formulary tiers, often with coinsurance rather than a flat copay, which is why they can cost hundreds per fill.

Prescription Drug Cost Estimator

Drug costs depend on the plan formulary tier of each medication. This tool gives a rough annual estimate by tier. Your actual cost depends on your specific plan and pharmacy.

Your details

Generic (Tier 1) prescriptions filled per month

Preferred brand (Tier 2) per month

Specialty (Tier 4/5) per month

Your estimate

Your estimated prescription cost is about $24/mo ($288/yr) at typical copay levels.

Generic (Tier 1): $24/mo
Preferred brand (Tier 2): $0/mo
Specialty (Tier 4/5): $0/mo
Estimated monthly total: $24
Estimated annual total: $288

This is an educational estimate, not a quote or medical or financial advice. Actual costs depend on your specific plan, state, age, and health. Figures use published federal tables and typical market ranges as of 2026-01-15.

Frequently asked questions

How can I lower prescription costs?: Ask about generics, compare pharmacy prices, check manufacturer or discount programs, and confirm each drug’s formulary tier before choosing a plan.
Why are specialty drugs so expensive?: Specialty medications sit on the highest formulary tiers, often with coinsurance rather than a flat copay, which is why they can cost hundreds per fill.

Sources

Medicare.gov — the official U.S. government Medicare site · reviewed 2026-01-15
KFF (Kaiser Family Foundation) — health policy research · reviewed 2026-01-15
OLYRON HealthMatch editorial methodology — how we source and rate options · reviewed 2026-01-15

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