I have used the prescriptions patches from my doctor. I never paid anything like $87.00 for four of them. But that was several years ago I got mine. I did not notice than they work any better than the over the counter type which cost much less. I think the only thing better about the patches for me was that they made me less sleepy than the kind you can buy in the store. Actually You can go to the pharmacist and ask for a product called Meclizine which is the generic non drowsy formula of motion sickness med for much less.