June 18, 2018 News

The Million Dollar Question You Didn’t Know You Could Ask Your Pharmacist

There is a simple and potentially cost-saving question patients may not know they can ask their pharmacists.

NPR reports that patients “can pay a lower cash price for prescriptions instead of using their insurance and doling out the amount the policy requires.”

But, the pharmacist is often banned from offering this information, so patients have to know to ask.

Pharmacists often operate under a “gag clause” that prevent them from offering this information. According to NPR, in 2013, one in four Part D medications were overpaid for by patient beneficiaries, who had higher copayments than the drug’s list cash prices. For 12 of the 20 most commonly prescribed drugs, patients overpaid by more than 33 percent.

Although pharmacy benefit managers have retorted that such gag clauses are not “typical,” Kala Shankle, a policy and regulatory affairs director for the National Community Pharmacists Association attests to cases where pharmacist are “punished” by insurers for violating terms of gag orders, and are dropped from the network.

Read more here at NPR.


Patients For Affordable Drugs is the only independent national patient organization focused exclusively on achieving policy changes to lower the price of prescription drugs.