![]() ![]() Moreover, they say, copay coupons do not reduce the overall price of a drug but simply shift the cost to health plans, which increases premiums. Opponents argue copay coupons incentivize the use of brand-name drugs over generics or lower cost brand-name drugs, contributing to higher health insurance premiums. Second, the value of the coupon may also be applied to a patient’s annual cost-sharing requirement, like deductibles. First, they reduce the amount a patient pays at the pharmacy counter when they fill their prescription. These assistance programs are intended to help limit patients’ out-of-pocket costs in two ways. Manufacturers may offer copay assistance coupons to patients to help offset the cost of their prescriptions. Additional research shows specialty drugs make up 37.7% of retail prescription drug spending, even though they account for a small portion of prescriptions filled. In one analysis, researchers evaluated the prices of six specialty drugs between 20 and found prices rose on average 57%, while prices for generics decreased 35%. Many chronic conditions are treated with biologics (drugs made from living cells), brand-name or “specialty” drugs, which can be particularly costly. In fact, data from a Kaiser Family Foundation poll shows 1 in 4 Americans reporting difficulty affording their medicine. Prescription drugs are often a vital part of a person’s daily health regimen, but the cost of treatment can be a barrier for some. ![]()
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