"Three other drugs (on the Top 10 list) have alternatives or generic equivalents that are in the same therapeutic category or family," he added. "In most cases, these equivalents will do just as good a job but will be significantly cheaper."

For instance, Lipitor itself does not have a generic equivalent, but Simvistatin is the generic drug for another high-cholesterol drug (Zocor). Both Prevacid and Nexium, drugs used to treat heartburn and ulcers, have plenty of generic options, including some over-the-counter medications.

ASK YOUR DOCTOR

"We're encouraging people to ask their physician or pharmacist if there is a generic alternative available," Giacovelli said. "Typically, there will be a family of drugs that offers equivalents to the brand names.

"Everyone wins with generic opportunities," he added. "And it's not just a cost or money issue. Studies have shown that people with high out-of-pocket expenses are less likely to comply (with physician prescriptions)."

According to the New York State Pharmacy Dispensing Law, pharmacists must fill prescription drugs with generic brands when available unless the physician specifically requests the brand name.

However, patients can become more proactive in their care by checking with their doctors to see if there is an option in the family of drugs available when there's generic for that specific drug, Giacovelli said.

jmeyers@pressrepublican.com