by BetterRxCard
4. January 2010 20:06
I saw this article (well, it's more of a response from one pharmacist, an owner/operator) and thought it provided some good perspective on the challenges of co-pays.
Here, the pharmacist talks about how they are helpless to do much about charging you less than the copay for the drug your doctor prescribed. And he's right. The pharmacy can get in trouble if they try to deviate in any way from what the rules are as laid out by the pharmacy benefit manager (PBM) and/or the "payer" (your insurance company basically).
Okay, so what do you do about high copays? You can complain to your benefits person at your company. While they may empathize, there is probably little they can do about it.
The better way would be to work with your doctor to see if there is another drug on your formulary that would work just as well for you, but cost less. You can go out and research this on websites, take notes, then find out how much the new drug costs and if it is on your formulary at all. The next time you are in the doctor’s office you can strike up that conversation and see where it goes.
Or you can try a service like EquivaMeds, the option we've added to the BetterRxCard discount drug program. EquivaMeds does all this for you, typically providing multiple options for your doctor to consider. This information is new to your physician since they don't know how much drugs cost or what you pay for them at the pharmacy.
So eureka! You and your doctor now both have access to new information you didn't have before, and it all takes about 3 minutes. Risk free? Yeah, pretty much, since the service won't charge you anything unless it can first save you at least $120/year. And with the BetterRxCard, you can save 75% off the one-time fee of $19.95 if you choose to; like I said, it's an option.
Frankly, I think any pharmacist would love to have something like this to provide to patients. It would be a nice option for their customers and would save the pharmacist, physician, and customer time and money. That makes it a win/win/win!
