You must not own your own business or work at an independent pharmacy. If you price your drugs at $4 even when the cost is under that you will close your doors. You have a $50 an hour pharmacist, 2 $10-15/hour techs, and a $7-10 clerk...at a minimum. You also have to pay for electricity, water, pharmacy software support, transaction fees, printer ink and paper. The list can go on as I'm quite sure I forgot something. If you expect to stay in business selling prescriptions as your main source of income and you do under 250 Rx's per day, you cannot sell it at $4 even if it cost $1 for you. That's not to say you can't sell it for $8 or $10 or even $15 but you have to make at least a little bit of profit or you're out of a job. You can't help anyone if you can't pay the bills, you have to find a happy medium.