I presume you live in the USA, Sarah? Over here in the UK, you pay a charge for each item on a prescription, but if you are 60 and over, like me, it's free, which I am very grateful for. My son and his family live in the USA. I understand that medical insurance is very expensive on top of taxes, similar to taxes over here, but you still have many of the problems we have here with waiting lists etc. If you look at the pricing lists of items on this site, you will see what we pay if the prescription is a private one.