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Pile of drug blister packs Patients face insurance restrictions on medications in the form of quantity limits, step therapy, prior authorizations and refill-too-soon limits.

The cost of medication continues to be a political football — and with good reason. Since 2014, the list price for all brand-name and generic medications has increased by more than 33%, and the 20 most-expensive drugs each has a list price of at least $28,000.

“But these high-price-tag drugs for relatively rare conditions don’t explain the struggle that so many Americans face in affording their prescriptions,” according to a report from GoodRx. “For most Americans, the struggle with affordable medications isn’t over the ones that cost thousands of dollars. It’s about affording routine drugs for chronic conditions and finding that their insurance doesn’t cover what it used to. In other words, Americans are paying more out of pocket.”

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