I stopped smoking on the 2nd of this month, and I am using the patches.
I am in London, not the USA.
My patches, which are the highest dose (they go from 21, to 14, to 7), are about 7 quid a box, for 7 days worth, at Boots.
Also, you can get them through the NHS, and they give you a months worth, for like 7.40, or whatever the regular cost of a script is.
So, I don't think they are cheaper in the USA.