Prescription Drugs

Clawbacks – How You Can Overspend On Your Prescription Drugs

Prescription drug overpayments (also known as “clawbacks”) occur when commercially insured (e.g. Employer Sponsored Medical Plans) patients’ copayments exceed the total cost of the drug to their insurer or pharmacy benefit manager.

While the practice has been acknowledged and discussed in the media, it has never been quantified in large samples. The sad part is this reality is the Pharmacist knows about the increased prices that you’re paying and are not allowed to tell you. https://healthpolicy.usc.edu/research/overpaying-for-prescription-drugs/

Here is an example of how a patient paid a $285 copay for a $40 drug.

https://www.pbs.org/newshour/health/why-a-patient-paid-a-285-copay-for-a-40-drug 

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