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Double dose, half cost

RETIREE | Pill cutter slices his medications down to the correct size

May 8, 2008

Chicagoan Jonathan Winans, 75, is curtailing costs in this time of high gas and food prices, in part, by zeroing in on prescription costs. The retired Dominick's deli manager has high blood sugar, high cholesterol, arthritis and a heart condition. He's on a dozen medications, and his wife, Elaine, 76, is on pain medication for arthritis.

"I have my doctor write prescriptions for pills at twice the dose and prescribe half a pill," he said.

Then Winans cuts the pills in half with a pill cutter.

"Prescriptions last twice as long with just a little more cost," he said.

With the couple only having Medicare Part D prescription drug coverage, costs are a heavy burden, he said. That's especially true when the "doughnut hole" kicks in for him in the last four or five months of the year, he added. Under Medicare Part D prescription drug coverage, Medicare will pay 75 percent of drug coverage, minus the deductible, up to a total drug cost of $2,225. After that, seniors have to foot the bill for 100 percent of the costs until they've spent $3,600 out-of-pocket and coverage resumes.

While in the doughnut hole, "This is when I mail-order from a Canadian pharmacy," Winans said.

As a result, his out-of-pocket cost is roughly the same as it is in the period before, he said.

The Winans' other cost-cutting ways:

•       •       "I've learned to cut back on gas by 'stacking' errands and routing them to put on the least miles," he said. "I'll sit down and draw a little map and say, 'Well, I'll go to here to here to here.' I'll do all [the errands] on a Saturday or a Sunday so that I can get as many trips out of the way as possible with the least amount of mileage."

•       •       The couple also dine out less. "I've learned how to cook some of those fabulous restaurant meals by watching cooking shows and Googling recipes," he said.