article thumbnail

PBMs and insurers want your prescription money

World of DTC Marketing

anti-kickback law that the drugmaker said prevented it from helping heart failure patients, many with low incomes, afford the medicine that costs $225,000 annually. For many, these coupons represent the difference between filling a prescription and going without lifesaving care, but there is a lot more here than just a co-pay coupon.

Insurance 226
article thumbnail

Insurance companies putting profits ahead of patients

World of DTC Marketing

Five of America’s largest health insurers reported more than $11bn in profits in the second quarter – a decline from the same period last year when the Covid-19 pandemic helped drive sky-high profits yet they are having more of a say on patients’ treatments even when HCPs disagree. Then there is prior authorization.

Insurance 225
Insiders

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

Trending Sources

article thumbnail

Good Rx? Actually not

World of DTC Marketing

When they say compare prescription drug prices, they mean the cost of a prescription if you aren’t using insurance. Pharmacists have to reverse the billing they have done, enter the information like an insurance card, rebill, and print new paperwork. And advertising? It doesn’t work that way.

article thumbnail

Less Is More—A Sharper Focus on Patient Needs Improves Adherence

PM360

“Drugs don’t work in patients who don’t take them,” C. 2021 revealed that roughly one in four prescriptions were never filled. 1 In addition, of patients who began therapy, more than 70% were no longer on their prescribed medication after 12 months. 2021 revealed that roughly one in four prescriptions were never filled.

article thumbnail

Insurer Tools to Save Seniors Money on Prescription Drugs Could Put Them at Higher Risk of Stroke

Pharmacy Times

Insurer and pharmacy benefit manager policies used to cut the cost of drugs could be so time consuming that they could put newly diagnosed atrial fibrillation patients at risk of stroke.

article thumbnail

The financial toxicity of treating cancer

World of DTC Marketing

(Stat News) Today, a study followed 380 patients being treated at community oncology groups across the U.S. They told the researchers that insurance didn’t protect them from serious money problems. Cancer patients may struggle to pay out-of-pocket expenses due to the high expenses incurred, the medical debt, or loss of work.

Insurance 273
article thumbnail

Biden proposes subsidizing drug middlemen for insulin

World of DTC Marketing

Under the bill proposed, Medicare beneficiaries and those insured through private plans would pay no more than $35 for a 30-day insulin prescription, or the lesser of $35 or 25% of the plan’s negotiated price for a 30-day prescription. Even with health insurance, some people pay up to $1,000 a month for insulin.

Insurance 240