The drug price makes you sick. Hunting for the prescription discount card.

The burden of high drug prices weighs heavily on the sickest Americans. Started hunting for prescription discount card to get it cheap.

Drug makers have increased prices on therapies for life threatening or chronic conditions like multiple sclerosis, cancer and diabetes. Insurers have shifted more of these costs. Saddled with high deductibles and other out-of-pocket prices that expose them to a medication's increasing list cost, lots of men and women are paying thousands of dollars each month only to survive. People are praying to get cheap prescriptions to reduce the spend on drugs.

For at least a year, President Trump and Democrats in Congress have promised a control on high drug costs, but despite a flurry of suggestions, little has changed. Generic drugs price also went up like rocket in the last few year, Americans are really in the trouble to get in the pharmacy discount.      

These are the stories of Americans living daily with the reality of high-cost drugs. And there are countless others like them. Some drug companies are introduced prescription discount card for regular drug users like sugar and cholesterol patients.       

Shanaya Abigail, 53, Minneapolis

With an annual income of less than $20,000, Ms. Shanaya does not come close to having the ability to pay for the 12 medications her physicians have prescribed for congestive heart failure, diabetes and associated complications. She only depends on a discount prescription medication to reduce her drugs bill.

Shanaya Abigail is one of many who finds herself "in between," as one of her physicians explained, narrowly missing the requirements for help but making too small to afford her medication prescriptions.

Following is a rundown of the math: Ms. Shanaya Abigail’s Social Security disability income of $19,560 in 2017 put her above the cut off for getting additional government assistance for her drug prescriptions, known as Extra Help, although almost every dollar of her earnings is already spoken for, from paying Medicare premiums to food and other household expenses.

Medicare rules prohibit her from using prescription medication co-pay coupons, which are generally used by people who have private insurance. And Novo Nordisk, the company that sells her fast-acting insulin, Novolog, and her diabetes drugs, Victoza, requires low-income Medicare beneficiaries to spend $1,000 on medication in each calendar year until they could qualify for free drugs or medication through its own program. In a cruel twist, Ms. Shanaya Abigail does not have that $1,000 to invest on healthcare, so she resorts to not taking any drugs for months before she reaches the provider's threshold.

These are tough choices in medical diagnosis. Sometimes she stops taking the short-acting Novolog, staying on the longer-acting insulin, Tresiba, in addition to her heart drugs, like bumetanide and digoxin. "I prioritize the heart stuff over the insulin since the centre stuff is more instantaneous," she said.

Ms. Shanaya Abigail understands the dangers; she had been a health educator for those who have H.I.V. and AIDS, helping patients enrol in programs that reduced their healthcare and medication expenses.

Her blood sugar has risen dangerously high, and a bit over a year ago, Abigail had been hospitalized for three weeks since she said she was not on the perfect diuretic to reduce excess fluid.

Last June, she was approved for the Novo Nordisk aid program, allowing her to start taking the Novolog insulin medicine. As of mid-November, Ms. Johnson had spent 2,782 on prescription medication, not counting the price of their free insulin, according to a report supplied by her pharmacy.

For another prescription medication, Entresto, an expensive treatment for heart failure, Ms. Shanaya Abigail participates in a clinical trial that offers the drug at no cost. Once that finishes, she faces another healthcare obstacle: "There is going to be a reduction or I am not going to be on Entresto anymore."

She began all over again. "I am stuck between a rock and a hard place, and I am sure a good deal of other men and women are too"

The prescription drug program, called Part D of Medicare, has been a lifeline for handicapped men and women and seniors. Those with the lowest incomes can qualify for federally subsidized additional Help to lower their costs. However, to be eligible, a person must earn less than $18,210 and a married couple living together can't earn more than $24,690.

In a statement, Novo Nordisk said it supplied some kinds of insulin drug in reduced costs to assist patients that are struggling in healthcare medication. "This individual is an exceptional example, reminding us that we will need to constantly evaluate how we maintain our support programs sustainable when covering as many of those in need as possible."

Stephanie Bostwick, 37, of Tomahawk, Wis.

Ms. Bostwick was diagnosed with multiple sclerosis in 2013. Insurance covered the initial generic drug she chose, Tecfidera, but took her to donate $1,000 per month.

"I did not cry when I was handed the identification of M.S.," Ms. Bostwick said. But after learning how much prescriptions would cost, "That was when I felt really helpless."

Ms. Bostwick, a former journalist, has coverage through her husband's employer because she can no longer function. They struck their 4,500, annual allowance at the very first month of each year since Gilenya, the medication she was carrying until last fall, carried a list price of about $5,500 per month. The couple put aside $375 every month to be certain they could cover that deductible.

The Bostwicks, who recently chose to divorce, have emptied their savings, given up family holidays, and sold a bike, a car, furniture and other possessions just for medical diagnosis. Changes to her husband's employee benefits this season means another $1,000 out of pocket annually. Ms. Bostwick, who's disabled, said she intends to sign up for Medicare coverage after she loses access to her husband's insurance.

Ms. Bostwick suffered severe side effects that led her to quit taking Gilenya, and she has recently been approved to commence a new medication, Ocrevus.

"That is such a massive drug bill and it is not something that we can forgo," she said. "We are your basic middle-class couple. We do not have an extravagant lifestyle or anything like that. But we always appear to fall through the cracks. I always depend on prescription discount card "

Multiple sclerosis drugs' costs have shot up in recent decades. The price of Gilenya, the prescription medication that Ms. Bostwick took, has almost doubled to nearly $92,000 annually because Novartis got approval to it in 2010.

In a statement, Novartis pointed to its patient support program that eliminates monthly out-of-pocket prices for many commercially insured patients (Ms. Bostwick said her household income is too high to qualify for many assistance programs).

Additionally, there are signs that companies might be getting the message. Ocrevus, the medication Ms. Bostwick will soon begin taking, was approved in 2017 and Genentech, its maker, announced it would cost the new prescription medication at 25 percent below the record price of Rebif, the old drug that it beat in clinical trials.

Matthew Botts, 34, Oakland, Calif.

In 2007, Mr. Botts was 24 and three months into his first year at the University of San Francisco School of Law when he was diagnosed with chronic myelogenous leukemia, a blood cancer. His physician prescribed the drug Gleevec, a successful but expensive medication that until recently cost more than $140,000 each year. The price recently started to return in the face of generic competition.

Mr. Botts had no cash to spare for medical diagnosis. For the first months of his treatment, he managed to take another individual's unused medications which were no longer needed (she was dying and his oncologist had attached them). Then, after getting coverage through a former employer, Mr. Botts moved his wedding so he could change to his wife's policy. But between his deductible and out-of-pocket drug expenses, his health care expenses added up. Mr. Botts applied for help through a program run by Gleevec's manufacturer, Novartis, but stated he had been rejected because his wife made slightly too much.

Without choices, Mr. Botts tapped into his law school loans. "At 24, once you're not making any money, you do not really have any choices besides that," he said.

Mr. Botts dropped out of law school. "When everybody else is 24, 25 and going out and partying," he had been worried about ensuring that he had money "so that I could make certain I paid for my chemotherapy drugs and go to class."

He owes over $ 73,000 today. He works in a debt collection company in the Bay Area, managing corporate relationships for banks. The irony isn't lost on him. "We have a massive pile of medical debt which resulted from all this. It just has not been compensated," he said. "I'm paying those up until the day I die."

There is no doubt that Gleevec is a breakthrough cancer drug. Additionally, it is a very costly one whose price has increased sharply through the years. When it was launched in 2001, Gleevec price $26,000 annually. That cost increased significantly, to about $146,000 in 2016, prior to the drug lost its patent protection and started facing generic competition. The drug's price has been decreasing since then, though not as fast as some expected.

In a statement, Novartis, the manufacturer of Gleevec, said it wasn't acquainted with Mr. Botts' situation, but that it "provides among the most crucial patient assistance programs (PAPs) in the business." The business suggests that patients get Patient Assistance Now Oncology, its aid program.

In general, cancer prescription medication prices are rising at a rate much faster than inflation.

The New York Times and ProPublica, the independent, non-profit investigative journalism organization, collaborated on this report.