In January 2024, 22-year-old Cole Schmidtknecht went to Walgreens to fill a prescription for an asthma inhaler.
He was told the price of the inhaler had increased from $66 to $539 out-of-pocket, reports CBS News.
Unable to afford the cost, Schmidtknecht left the pharmacy without filling his prescription and tried to manage with just his rescue inhaler. Days later, he suffered a fatal asthma attack.
His parents have now filed a lawsuit against both the pharmacy benefits-management company and Walgreens, claiming they are responsible for their son's death.
The Schmidtknechts' lawsuit alleges that the benefits company, Optum RX, owned by UnitedHealth Group, violated Wisconsin law by increasing the prescription's cost without a valid medical reason and failing to provide 30 days’ notice of the price increase.
Seeking damages
The lawsuit claims that the 30-day notice period would have given Cole time to visit his doctor and request an exception to the price increase. It also alleges that he was not offered a free or discounted inhaler while he sought assistance from his provider and that Walgreens informed him that there were no lower-cost alternatives or generic options available.
Cole's parents say he had to choose between paying his rent and covering his medication. Five days later, he suffered a severe asthma attack and died due to cardiac arrest.
WSAZ News contacted Optum Rx for a response to the situation. A spokesperson wrote, “Mr. Schmidtknecht’s death was tragic, and our thoughts are with his family. The claims made are factually inaccurate.”
Walgreens declined to offer a comment.
Cole's death is not an isolated incident. The American Hospital Association reported that nearly 30% of Americans say they haven't taken their medication as prescribed due to the high cost. It also estimates more than a million Medicare patients could die in the next decade because they cannot afford their medications.
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How to deal with soaring prescription drug prices
As the cost of living increases, affording life-saving or even just life-improving medications has become a constant battle for many Americans. However, there are steps you can take to ensure you have the medication you need.
Look for discounts
Some pharmacies offer discounts or generic options for brand-name prescriptions. Always ask the pharmacy if there is a way to lower the price. Websites like GoodRX, SingleCare, or the manufacturer of the drug may also offer discounts if your insurance plan doesn't cover your medication.
Check for a patient assistance program
Many drug companies offer patient assistance programs (PAPs). These programs are designed to help those who can't afford their medications. Most have their own application process, and the requirements can vary. If you are low-income or your insurance does not cover the medication, you may qualify.
Consider other pharmacies
If your current pharmacy won't work with you, consider alternatives. Online pharmacies, like Cost Plus, have lower overhead costs, which allows them to offer prescription drugs at a reduced rate. Advair Diskus, the medication Cole required to treat his asthma, is available on the site for just under $100.
Talk to your doctor
If you're having trouble affording medications, your doctor may be your best resource. They may be able to switch your prescription to one your insurance covers or recommend a PAP to lower the cost. For some medications, the doctor may be able to offer samples or coupons.
Cole's death highlights a growing crisis in the U.S. If you are facing a similar struggle, there are options available.
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Danielle is a personal finance writer based in Ohio. Her work has appeared in numerous publications including Motley Fool and Business Insider. She believes financial literacy key to helping people build a life they love.
