In a previous blog post, we explored “clawback” and how it affects the prices of prescriptions. In short, Pharmacy Benefit Managers (PBMs) negotiate copay prices for insurers that are often higher than the cash price paid by uninsured patients all while instituting a “gag rule” for pharmacists to forbid them from revealing the price discrepancy to patients unless asked directly. A number of states have already passed laws banning clawback and gag rules, though a group of bipartisan U.S. senators have introduced a bill the ban gag clauses for PBM-negotiated contracts nationwide. A recent study by Journal of the American […]
Tag: co-pay
What is a Clawback & How it’s Affecting Your Prescription Copays
Americans may be surprised to learn that they could be paying more for their medications with their insurance copay instead of the cash price available to those without insurance. A study published last week found that Pharmacy Benefit Managers (PBMs) undermine claims that negotiated “rebates” with pharmaceutical companies are passed on to consumers. This follows a federal lawsuit filed over the summer after a California woman paid a $164 copay on a medication that can be purchased for $92 from the same pharmacy by anyone not using insurance. This practice is known as “clawback” and is instituted by PBMs who […]
Resources for Advocates
Here at NeedyMeds our focus has always been to help patients who can’t afford their medications and healthcare costs with information on patient assistance programs, free-clinics, co-pay assistance and more. Beyond working directly with patients in need, we also have a variety of resources available to help patient advocates. The patient advocate community plays an essential role in our mission to help people who cannot afford the costs of healthcare. Many patients do not have access to a computer or the Internet, and rely on patient advocates to help them. In this blog post, we are going to highlight some […]
5 Ways to Find Help with Your Diabetes Costs
Treatment and other diabetes-related costs can be expensive. According to the American Diabetes Association the total costs of diagnosed diabetes was $245 billion in 2012, with $176 billion in direct medical costs. “People with diagnosed diabetes incur average medical expenditures of about $13,700 per year, of which about $7,900 is attributed to diabetes. People with diagnosed diabetes, on average, have medical expenditures approximately 2.3 times higher than what expenditures would be in the absence of diabetes.” Here are 5 ways available to find help with these costs on the NeedyMeds website. 1. Apply for free or reduced prescription medications through […]
Patient Assistance Program F.A.Q.
Patient Assistance Program F.A.Q. Here at NeedyMeds we are dedicated to providing information on how to save money on your medications and other health-related costs. One of our primary resources is our database of Patient Assistance Programs. Today we answer some of the most frequently asked questions about Patient Assistance Programs. If you have any questions that are not covered here please leave us a comment and we will get you an answer! What is a PAP? – Patient Assistance Programs are usually run by pharmaceutical companies to help uninsured and underinsured patients get their medication at free or low-cost. […]