RAPID CITY, SD (KEVN) It is seldom that medical providers have allegiances to specific brands or types of drugs, antibiotics for infections, ADHD, medications, anti depressants or inhaled steroids. We don't often feel that one works way better than the other and often drugs in the same class are as effective. That being said, if your child if prescribed a medication and you arrive at the pharmacy to pick it up and it costs a lot more than you expected you might want to visit with the pharmacist about your options. Insurance companies end up in negotiations with drug manufactures to come up with best prices and there is no way as medical providers that we can keep up to date with every individual insurance company plan and preference for drugs. There are things that you can do, you can look up online to see what medication is most preferred for a specific treatment and then get back to your provider and let us know what the best medicine is. Sometimes your provider does actually prefer a more expensive or a second or third tier drug and in those cases you might need a prior authorization before you can fill that prescription. Your doctor will talk to you about that and work out that paperwork saying that your child has failed a first tier drug or there is some medical contradiction. If you have any questions about this be sure to talk to your provider. This is Dr. Cara Hamilton at Black Hills Pediatrics with your Health Watch.