Abstract

Background: High cost of prescription medications presents a challenging issue in dermatology, particularly for older adults. Such costs are associated with decreased adherence, particularly in older patients with multimorbidities. The topical antineoplastic agent, 5-fluorouracil (5-FU) is an effective treatment for actinic keratosis (AK), a highly prevalent condition in elderly, fair-skinned populations, but it is often associated with high out-of-pocket costs and insurance hurdles. One online pharmacy provides patients with direct access to branded dermatology medications at lower, predictable prices, however, the online platform may be less accessible to older adults.

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