Survey Revealed High Costs Impact Medication Habits
Nearly half of American adults are unaware of their prescription costs until they reach the pharmacy counter.
Updated on Sept. 29, 2026 in Diabetes
Live Poll
Do you find it difficult to afford your regular prescription medications due to uncertain pricing?
A new survey by Model N found that 35% of U.S. adults have delayed or skipped medications due to cost uncertainty. Additionally, 46% of respondents reported they did not know the price of their prescriptions until arriving at the pharmacy.
Why it matters
Pricing transparency and rebate structures influence how patients access essential treatments. Uncertainty regarding these costs often leads patients to alter their usage, potentially impacting health outcomes for millions.
A survey of U.S. adults found 76% of respondents possess little to no knowledge of pharmacy benefit managers, who negotiate rebates for health plans. Among the 7.7 million Americans who use insulin, 40% report monthly costs exceeding $150.
The players
Model N
This organization conducted and published the national survey regarding American prescription medication habits.
State of Florida
The state has initiated legal action against major pharmacy benefit managers and insulin manufacturers.
State of Iowa
The state is currently challenging a court ruling that previously blocked laws intended to regulate pharmacy benefit managers.
The details
Pharmacy benefit managers facilitate agreements between drug manufacturers and health plans to establish coverage lists and negotiate rebates. Patients frequently face confusion regarding these internal pricing mechanisms, contributing to widespread cost-related treatment avoidance.
Timeline
September 2026: Model N published survey findings on medication usage.
Health Landscape
This study highlights a disconnect between the complex administrative practices of pharmacy benefit managers and the public, whose awareness of these entities remains minimal. This lack of transparency contrasts with the ongoing state litigation against pharmacy benefit managers currently unfolding across the nation.
Patients may face unpredictable costs at the pharmacy that affect their ability to maintain consistent treatment regimens. Consumers are encouraged to verify out-of-pocket costs with their pharmacy or insurer before arrival to avoid unexpected financial barriers.
The takeaway
Patients who face confusion over drug pricing can often find relief by proactively asking pharmacists for price comparisons or checking coverage via their insurance portals. Understanding the factors driving medication costs helps empower individuals to navigate their healthcare options more effectively.
Further reading
For additional context on how drug pricing affects treatment adherence, visit the Diabetes section.
Source note: This article includes information reported by WOWO 1190 AM | 107.5 FM.
Live Poll
Do you find it difficult to afford your regular prescription medications due to uncertain pricing?
