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PBMs and insurers want your prescription money

World of DTC Marketing

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. Health insurers have started effectively stealing co-pay coupons, leaving patients on the hook for far higher expenses. Let’s take a step back for a minute.

Insurance 226
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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
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PhRMA keeps pummeling PBMs, launching fresh attack on power over pharmacy choice

Fierce Pharma

PhRMA has rounded up its attack ad team once again for another broadside against pharmacy benefit managers, zeroing in this time on the potential for insurers to profit from where prescriptions get | PhRMA has rounded up its attack ad team once again for another broadside against pharmacy benefit managers, zeroing in this time on the potential for (..)

Insurance 279
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Report: Fewer Adults Are Interested in Weight Loss Drugs If Not Covered by Insurance

MedCity News

However, just 16% of adults are still interested in taking weight-loss drugs if they’re not covered by insurance. About half of adults, or 45%, said they are at least somewhat interested in taking a “safe, effective weight-loss drug,” according to a new survey by KFF.

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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.

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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.

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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