I'm reminded of the time I was in the EU, in an area where tourism isn't common. Due to a lack of planning on multiple levels, I had to stay an extra two weeks. I went to get a refill for a prescription I need.

The pharmacist was clearly unconformable with the discussion that needed to happen. They informed me there would be a charge for the medicine. After some back and forth because neither of us was fluent in the other's language, it turned out they were asking me to pay the cost of the drug, an amount of money less than my normal copay, and something like 5% of what my insurance claimed the drug normally cost.

The pharmacist was most confused why I was happy to pay. I don't think they believed me when I tried to explain how much it normally cost me.