DPC News

When paying cash for prescriptions beats using insurance

By Theo Thimou

It’s usually taken on faith by health care consumers that you can save big money on prescriptions when using your insurance company’s mail-order pharmacy program. But there are some instances where it’s a heck of a lot of cheaper to pay cash for a medication at the pharmacy counter, rather than to order it through your insurer’s pharmacy benefits manager program. PBS News Hour recently ran a piece that spotlighted the story of one woman and her husband who were going on a trip and needed to stockpile a 90-day supply of telmisartan. The woman was prescribed the drug to control her blood pressure after a mini-stroke about two years ago. The husband tried to order the generic drug through Express Scripts, the pharmacy benefits manager (PBM) that also provided a mail-order service for their insurer Anthem. But here’s the rub: The couple had paid $285 for a 90-day supply of the drug about a month earlier. Because 90 days hadn’t passed, Express Scripts refused to sell an additional 90-day supply to the couple.

READ FULL STORY …

SOURCE: https://clark.com/health-health-care/prescriptions-paying-cash-vs-insurance/

Advertisements

Categories: DPC News

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out /  Change )

Google photo

You are commenting using your Google account. Log Out /  Change )

Twitter picture

You are commenting using your Twitter account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )

Connecting to %s