I worked in a Los Angeles County hospital for a while, in the pharmacy, where we were responsible for getting medications for all of the patients, paying or not. We were the office that worked with pharma to get the medications for free or at a discount. The patients never had to pay for anything anyway, but by using the pharma companies' discount programs, we were able to save the hospital a lot of money. Practically every pharma company has free and discount programs, but you have to fill out a lot of forms and give the patients' financial information.