Dear Savvy Senior: I take several medications for multiple health conditions, and the prices keep going up, even with my Medicare prescription drug insurance. Can you recommend any tips that can help cut my costs? — Tapped-Out Tina

Dear Tina: The high cost of prescription drugs is an ongoing problem that stings everyone, but it usually affects older adults more because they have a greater need for medications and because Medicare doesn’t cover all their drug costs.

While the Inflation Reduction Act, signed into law in 2022, will help older adults save on their medications by negotiating lower drug prices and capping out-of-pocket spending at $2,000, it will be a few years before the law is fully enacted.

In the meantime, here are some different strategies that can help reduce costs so you can afford what you need.

Talk to your doctor

A good first step is to review your medications once a year with your doctor to find out whether any of them can be stopped or reduced. If you’re taking any brand-name drugs, check whether they are available in a cheaper generic form. Also, for any drugs you’re taking long term, ask your doctor for a less expensive three- or six-month prescription rather than a monthly one. And find out whether any of the pills you’re taking can be cut in half. Pill splitting allows you to get two months’ worth of medicine for the price of one. If you do this, you’ll need to get a prescription for twice the dosage you need.

Review your insurance

Carefully review your drug coverage during the Medicare open enrollment period, which runs Oct. 15-Dec. 7. Make sure all your regular medications are covered in the plan’s formulary, that your current pharmacy is in the plan’s network and that your plan covers additional medication coverage in the gap. To shop and compare Medicare prescription drug plans, go to Medicare.gov/plan-compare.

Pay cash

Not using insurance for prescriptions seems counterintuitive, but in some cases it might save you money. For example, many chain pharmacies and big-box stores like Walmart and Costco have their own prescription savings programs that may be lower than your insurance copayment. Or you can use coupons through GoodRx.com or RxSaver.com that can save you up to 80% off the list price of generic and some brand-name drugs in certain pharmacies.

Shop online

You can also save on regularly used medications by having them sent to you from a mail-order pharmacy. Check with your health insurer or regular pharmacy to see whether it will get you a better deal. If not, check online pharmacies like CostPlusDrugs.com or HoneybeeHealth.com. With these, you might spend less in some cases than you might with insurance.

Buy from Canada

Because prescription drugs are often much cheaper north of the border, many Americans have chosen this option for years. While this is technically illegal in most states, the Food and Drug Administration generally does not stop people from doing it. If you want to explore this option, use PharmacyChecker.com, an online tool that will help you identify reputable Canadian and international online pharmacies.

Get more help

If your income is limited, you may also be able to get help through Medicare’s Extra Help program (808ne.ws/extrahelp) or patient assistance programs (808ne.ws/pharmaceuticalassistance). Visit each website to see whether you’re eligible and to apply.

Jim Miller is a contributor to NBC-TV’s “Today” program and author of “The Savvy Senior.” Send your questions to Savvy Senior, P.O. Box 5443, Norman, OK 73070; or visit savvysenior.org.