For medication profile #12 below i need

For medication profile #12 below i need help with answering following questions, Note: i have already completed 1-4 in criteria in second table shown below. Questions are: describe strategies can the nurse employ to assist patients in being able to afford medications. Did the cost of medications surprise you? Did the availability of resources surprise you? Would you recommend a patient use multiple pharmacies or resources to find the lowest price? Why or why not? I have already listed medication costs for all the medications in the profile, total monthly costs, brand vs generic and different prices at different pharmacies. Medication Profile #12 Insulin NPH 12 units SQ BID Insulin regular 3 units SQ TID AC Phenytoin 300 mg PO TID Losartan 25mg PO daily Lovastatin 20 mg PO QD Aspirin EC 81 mg PO QD Criteria Exceptional Satisfactory Unsatisfactory 1. Pharmacy resources – Includes more than two pharmacies to determine cost 10 – Includes two pharmacies to determine cost 6 – Includes only one pharmacy to determine costs 4 2. Generic vs. brand costs (without insurance) – Includes generic and brand name costs for all medications from more than two pharmacies (or notes if Brand name not available) 20 – Includes generic and brand name costs for all medications from at least two pharmacies (or notes if Brand name not available) 17 – Includes generic and brand name costs for all medications from only one pharmacy (or notes if Brand name not available) 13 3. Total Monthly Cost (without insurance) – Compares & contrasts total monthly cost (30-day supply) of each medication plus total monthly cost for all medications from more than two pharmacies, Includes retail cost and cost with coupons 20 – Compares & contrasts total monthly cost (30-day supply) of each medication plus total monthly cost for all medications from at least two pharmacies 17 – Includes monthly cost (30-day supply) of each medication plus total monthly cost for all medications from only one pharmacy 13 4. Online and Community Resources – Includes more than two online and community resources to help patients to lower costs 20 – Includes at least two online and community resources to help patients to lower costs 17 – Includes only one online or community resource to help patients to lower costs 13 5. Reflection of findings – Reflection shows deep understanding and appreciation of cost burden 20 – Reflection not deeply reflective, but does show understanding of costs 17 – Minimal level of understanding and reflection 13 Part 1 &2: Pharmacy resources and Generic vs. brand costs (without insurance) Medication 1: Insulin NPH 12 unit SQ BID- Brand Costs Pharmacy Comparison- Pricing Insulin NPH- Humulin N Brand 10mL/100 unit 1 vial Walmart 99.86 Walgreens 106.36 Publix Pharmacy 106.86 CVS 107.36 Costco Pharmacy 107.36 Pharmacy Comparison- Pricing Insulin Novolin N Brand 10mL/100 unit 1 Vial Publix Pharmacy 140.91 CVS Pharmacy 143.00 Kroger Pharmacy 146.45 Sam’s Club Pharmacy 146.94 Walmart Pharmacy 149.44 Medication 1: Insulin NPH 12 unit SQ BID- Generic Costs Please Note *- As of Feb 25,2023 Insulin NPH generic only comes in one generic offered only through Walmart Pharmacy Novolin N Rely On 10mL/100 unit 1 vial Walmart 25.00 Medication 2: Insulin regular 3 units SQ TID AC- Brand costs Pharmacy Comparison- Pricing Insulin Regular- Humulin R Brand 10mL/100-unit 1 vial Harris Teeter 67.00 Walmart 99.86 Walgreens 106.36 Publix 106.86 CVS Pharmacy 107.36 178.99 Pharmacy Comparison- Pricing Insulin Regular- Novolin R Brand 10mL/100 unit 1 vial Walmart 137.00 Publix 140.91 CVS 143.00 Kroger 146.45 Harris Teeter 146.45 Medication 2: Insulin regular 3 units SQ TID AC- Generic costs Please Note *- As of Feb 25,2023 Insulin regular generic only comes in one generic offered only through Walmart Pharmacy Novolin R Rely On 10mL/100 unit 1 vial. Walmart 25.00 Medication 3: Phenytoin 300 mg PO TID- Brand Costs (Dialatin) Pharmacy Comparison Costs- Dilantin 100 mg, 90 capsules/30day supply Walmart 145.73 Walgreens 146.23 Publix 146.73 CVS 147.23 Costco 147.23 Medication 3: Phenytoin 300 mg PO TID- Generic Costs (Phenytoin) Pharmacy Comparison Costs- Phenytoin 100 mg, 90 capsules/30day supply Costco 2.49 Walgreens 9.57 Publix 9.99 Kroger 18.56 Harris Teeter 18.56 Medication 4: Losartan 25mg PO daily- Brand Costs (Cozaar) Pharmacy Comparison Costs- Cozaar 25 mg, 30 tablets/1month supply Kroger 94.92 Publix 96.99 Sams Club 99.92 Walmart 102.42 Medication 4: Losartan 25mg PO daily- Generic Costs (Cozaar) Pharmacy Comparison Costs- Cozaar 25 mg, 30 tablets/1month supply Sam’s Club 8.19 Walmart 9.00 Publix 9.89 Walgreens 10.35 Kroger 14.89 Medication 5: Lovastatin 20 mg PO QD- Generic Costs (generic mevacor) Please note* As of february 25, 2023, Lovastatin brand Mevacor is discontinued. Pharmacy Comparison Costs- Lovastatin 20 mg PO QD, 30 tablets/1month supply Walmart 8.00 Sams Club 8.31 Publix 9.89 Walgreens 10.80 Costco 11.99 Medication 6: Aspirin EC 81 mg PO QD Brand/Generic (acetylsalicylic acid) Please note*-trade name Aspirin and generic aspirin is sold under same name Aspirin Pharmacy Comparison Costs- Aspirin 81 mg PO QD, 30 tablets/1month supply Walmart 0.35 CVS 0.84 Publix 1.24 Walgreens 3.25 Sams Club 3.36 Part 3: Total Monthly Price (Retail Cash Price) Medication 1: Insulin NPH 12 unit SQ BID/720 units needed per month CVS 178.99 Humulin N 10 ml/1000 unit 1 vial Walgreens Humulin N181.00 10ml/1000 unit 1 vial Walmart 25.00 Novolin N 10mL/1000 unit 1 vial Medication 2: Insulin regular 3 units SQ TID AC/ 270 units needed per month Humulin R CVS 178.99 -for 10 mL/1000 units 1 vial Humulin R Walgreens -181.00 for 10ml/1000 units 1 vial Novolin R Walmart -25.00 for 10ml/1000 units 1 vial Medication 3: Phenytoin 300 mg PO TID 90 capsules/30 day supply CVS 38.99 Walgreens 45.00 Kroger 44.00 Medication 4: Losartan 25mg PO daily Walgreens 46.00 CVS 39.59 Kroger 43.50 Medication 5: Lovastatin 20 mg PO QD Walgreens 31.00 CVS 26.59 Kroger 31.50 Medication 6: Aspirin EC 81 mg PO QD CVS 1.20 Walgreens 2.99 Kroger 3.20 Total retail costs of medication without coupons at the cheapest price: 156.37 Part 4: Total Monthly Costs of Medication profile with Goodrx Coupon Medication 1: Insulin NPH 12 unit SQ BID Walmart 25.00 – Novolin N 10mL/100 unit 1 vial Medication 2: Insulin regular 3 units SQ TID AC- Generic costs Walmart 25.00 – Novolin R Rely On 10mL/100 unit 1 vial Medication 3: Phenytoin 300 mg PO TID 90 capsules/30 day supply Costco 2.49 Medication 4: Losartan 25mg PO daily Sam’s Club 8.19 Medication 5: Lovastatin 20 mg PO QD- Generic Costs (generic mevacor) Walmart 8.00 Medication 6: Aspirin EC 81 mg PO QD Brand/Generic (acetylsalicylic acid) Walmart 0.35 Total Medication costs with good rx coupon for my profile at the cheapest price 119.03 Local Assistance Programs in Columbia, South Carolina South Carolina Drug Card is a statewide free prescription assistance program available to all South Carolina residents. The program was launched in 2007 to help uninsured residents of South Carolina afford their prescription. Everyone is eligible to join this free program and there are no enrollment requirements. South Carolina Drug Card provides savings up to 80% on some medications. The program requires proof of SC residency and a one-time,20 dollar application fee, once enrolled individuals receive a pre-activated drug card that doesn’t expire. The program is accepted majority retail pharmacies such as CVS/pharmacy, Walgreens, BI-LO, Kmart, Target and Walmart. As a South Carolina resident if I couldn’t afford my medications, I would apply for one of the the Affordable Care Act (ACA) health insurance plans, also known as Obamacare plans, during the annual Open Enrollment Period which usually occurs from November 1 to December 31 each year. An ACA health plan can help individuals dramatically to reduce medication costs. So, the way it works is an individual in Columbia SC, who doesn’t have any insurance and is paying cash price for medication or using one of the many coupon online resources, can call a local health insurance agency, for instance lourie life health agency is one such agency. The agents there will tailor a health care plan based on the individuals income level and what that individual is seeking in terms of coverage. Individual insurance is carried out through usually through blue cross and blue shield. Medications prices can be cut by up to 80% in many cases and provide cheap out of pocket costs to the consumer than if they would be using a online coupon, i.e. goodrx. If an individual decides not to enroll in ACA open market, due to not working previous year, or significant finical burden and at or below the poverty line, the good news is they can enroll into South Carolina’s Medicaid program, Healthy Connections. It is administered by the South Carolina Department of Health and Human Services (SCDHHS) and provides medical services, including prescription coverage, for eligible low-income and vulnerable South Carolina residents. The Walmart $4 Prescriptions program Not having insurance when you need a life-saving medication can put a lot of stress on an individuals and families. Luckily, Walmart has $4 Prescriptions Program, that’s has been serving local communities around the US for the past 10 years. Every generic medication on the list costs 4 dollars, this program has been a huge help to uninsured individuals. Online Resources to Lower Drug Costs Goodrx An online prescription discount site (such as GoodRx) is a trusted online source used by millions of uninsured individuals to find the lowest price for the medication they need specific to where they live. After registering an account at Goodrx, an uninsured individual input their medication (strength, quantity, and dose) into the app or on the Goodrx website and can filter result to see multiple prices at local pharmacies and the lowest overall price. RxAssist Is an Online website sponsored by drug manufacturers that connects individuals directly to pharmaceutical initiated programs that provide free or affordable medicines and co-pay assistance by inputting the medication needed. RxHope Is another online website that connects individuals who have difficulty paying for their medications to major pharmaceutical companies who provide them with medications at no costs. Patients have to initiate the patient assistance process online by inputting their personal information and medication needed but must have a doctor to complete the application. Once a doctor completes the medication order, the drug companies i.e glaxoccline smith, eli Lilly will provide medication at no costs. Adherence

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