You really need to find a physician that you like, that understands what you are doing and that you go to see once a year. You may think that things won't change with your health, but the simple fact is that we are all aging and aging isn't always pretty. We changed to physicians in the area where we are spending the winters, to give us more time to have things checked out.
We use Express scripts - get the scripts written for 90 days with 4 refills, that takes us to the next year. We do so because of the requirements of our insurance as mail order pharmacies are usually cheaper. We are also investigating whether it would be cheaper to buy some of the meds from Costco without using our insurance.
Barb