I am a pharmacist and was surprised to learn that an insurance contract clause may prevent the pharmacist from letting you know that a cash price is less than insurance copay without you specifically asking. One family RX went from a $15 copay to $9 cash. The app for cheap prices helped. Sorry to see that we cannot always go to the same pharmacy where we are known by pharmacist. Price I see on Hospital invoices are often very different from retail pharmacy costs due to contracts. Then we have the shortages and mergers that cause price increases. So sad