rmaxey

Right now, copay accumulator programs are one of the hottest and most controversial topics being discussed in our industry. This tactic represents a change in prescription drug benefit plan designs offered by pharmacy benefit managers (PBMs) to plan sponsors. Using names such as “out-of-pocket protection” and “coupon adjustment: benefit plan protection,” these programs are designed to shift specialty drug costs to patients and pharmaceutical manufacturer assistance programs, thereby saving plan sponsors money. TrialCard has designed a solution that mitigates the negative impact of this new benefit design. THE PROBLEM In traditional plan designs, copay assistance programs offset costs otherwise [...]