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    Drug manufacturers offer coupons for as much as thousands of dollars off the prices of prescription drugs. But new research backs up a common criticism of these programs: that they ultimately enrich the drug makers at patients’ expense. After years of paying $200 for her daughter’s three-month insulin supply, Polina Bryson was relieved to find a way to cut that cost by more than half. Now, she’s able to refill the prescription earlier and for just $70, granting Bryson “a lot more wiggle room now,” and a lot less stress. “This is a life-or-death situation” for her 11-year-old, Bryson said. “It’s given us extra peace of mind.” Drug manufacturers offer co-pay savings or discount cards as apparent deals, which they pitch to consumers as a way to pay “as little as” a specific low price or even as carrying no cost at all. Most people are understandably enthusiastic when finding out about the programs, which aren’t always advertised and allow for consumers to decrease their out-of-pocket costs. When I worked at GNC in my early 20s, I had a regular Friday night crowd of customers: guys looking for what we called “boner pills.” These weren’t middle-aged men with erectile issues—these were usually young, in-their-sexual prime guys, eager to enhance the perfectly normal erections they already had. Now, men like this may have to look no further than the pharmacy aisle at any big-box store for a boost: The drug manufacturer Eli Lilly is vying to make Cialis, a drug presently prescribed for erectile dysfunction, available over the counter. Any man—healthy or otherwise—could soon get his hands on the stuff. This is a good thing for the guys who really need it, whether for E. D., prostate problems, or urinary trouble, says Culley Carson III, M. D., a distinguished professor of urology at the University of North Carolina at Chapel Hill. “If Cialis goes over the counter, more men will have access to it, because, hopefully, the cost will be more affordable,” he says.

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