Clawbacks & Hidden Fees: Are you paying too much for your prescriptions?

Do you pay a co-pay for your prescriptions? You could be overpaying for your prescriptions and giving Pharmacy Benefit Managers (“PBMs”)—insurance industry middlemen that most people have never even heard of—money to line their pockets! PBMs are using a “clawback” scheme to make more money off of consumers. You might think you are saving money or that your health plan is actually providing you a benefit by only paying your co-pay for your prescriptions, but in reality your co-pay might be higher than the actual cost of the drug. So who gets the extra money you are spending while your health plan pays nothing? The PBMs are “clawing back” the difference from your pharmacy to make more money for themselves.



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