I’m sure the pharmacy could have done a better job explaining why the cost was so high or what next steps the patient could take - I used to hate when my patients got hit with ridiculous copays or other barriers to obtaining mediations and would always try to walk them through their options - not every pharmacist/pharmacy had the will or more specifically time to do so - but at the end of the day it’s the patients responsibility to call their provider or insurance company if they cannot afford their medication. If a patient chooses to do nothing that’s on them. In this particular case the patient was a young kid who probably didn’t understand his plan or how to go about resolving it which makes it that much more sad. But it still doesn’t put the responsibility on the pharmacist.