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flag Urban Americans pay nearly twice as much for prescriptions as rural patients due to drug type and access differences.

flag Geographic location significantly affects U.S. prescription drug costs and access, with urban residents paying $79 per fill on average—nearly double the $38 rural patients spend. flag Urban dwellers use more brand-name and specialty drugs, while rural patients rely on older generics. flag Rural patients pay more for Alzheimer’s, dry eye, HIV, and hemorrhoids, but significantly less for fertility treatments, leukemia, psoriasis, and rheumatoid arthritis drugs. flag These disparities stem from differences in provider availability, insurance coverage, and access to specialists, reflecting broader inequities in healthcare infrastructure between urban and rural areas.

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