DEAR SAVVY SENIOR: What tips can you recommend to help me save on my drug costs? I’m 62 years old, and currently take six different prescription medications that I can barely afford. — Poorly Insured

DEAR POORLY: There are a variety of ways you can reduce your medication costs without cutting quality, but you’ll need to take a proactive approach. The following tips can also help seniors with a Medicare prescription drug plan avoid the “donut hole” coverage gap, or reduce their costs once they reach it.

• Check your insurance: If you have drug coverage, your first step is to find out what your plan does and doesn’t cover. You can do this by visiting the insurer’s website or by calling their 800 number on the back of your insurance card. Once you have this information, share it with your doctor so (if possible) he or she can prescribe medications that are best covered by your plan. You also need to find out if your insurer has a mail-order service. This would help you to purchase your medications for 20 to 40 percent less.

• Talk to your doctor or pharmacist: Find out if the medications you’re taking are available in a generic form or a less expensive brand-name drug (you can also look this up online at sites like destinationrx.com). About 75 percent of all premiums drugs on the market today have a lower-cost alternative. Switching could save you between 20 and 90 percent. Many chains like Walmart, Target, CVS and Walgreens sell hundreds of generics for as little as $4 for a 30-day supply and $10 for a 90-day supply.

Another cost cutter is to buy your medications in bulk. Many pharmacies give discounts if you buy a three-month supply of drugs versus a 30-day supply. Also, find out if 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.

• Shop around: Drug prices can vary, so it’s definitely worth your time to compare prices at the different pharmacies in your area. Using U.S.-based online pharmacies is another way to save 25 percent or more. Drugstore.com and familymeds.com are two good sites that provide solid savings, but there are dozens to choose from. If you opt for an online pharmacy, be sure you purchase from ones that have the “VIPPS” seal of approval (see vipps.info) from the National Association of Board of Pharmacy. Seniors enrolled in a Medicare prescription drug plan also need to make sure the online pharmacy they’re buying from is included in their network. Otherwise, the purchase may not count toward their deductible.

• Get a discount card: Many pharmacies have free or low-cost discount card programs that will let you buy generics for $4 or qualify for steeper discounts on other drugs. Other drug card programs worth a look include rxsavingsplus.com, yourrxcard.com, pscard.com and familywize.com.

• Search for drug assistance programs: If your income is limited, you can probably get help through drug assistance programs offered through pharmaceutical companies, government agencies and charitable organizations. Go to benefitscheckup.org, a comprehensive website that lets you easily locate the programs you’re eligible for, and will show you how to apply.

• Buy from Canada: This option offers savings between 50 percent and 80 percent on brand-name drugs, but it’s important to understand that it’s illegal to import drugs from Canada. The FDA, however, does not prosecute anyone who imports prescription drugs for personal use. If you’re interested in this option, see pharmacychecker.com, an independent resource that finds the lowest prices from licensed and reputable Canadian pharmacies. (Note: This is not a good option for Medicare Part D beneficiaries because it will not count toward their deductible.)

Send your senior questions to: Savvy Senior, P.O. Box 5443, Norman, OK 73070, or visit SavvySenior.org. Jim Miller is a contributor to the NBC Today show and author of “The Savvy Senior” book.