(Newswire.net — January 22, 2019) — If a few cases are any indication, Corpus Christi health insurance consumers are hoping to pay less for generic drugs in the future. Recently, some insurance providers are beginning to offer lower-priced alternatives to their customers. For example, the non-brand name insulin medication, Basaglar, saves healthcare patients over $800 per year compared to the branded version.
Typically, drug manufacturers have minimized competition via volume-based drug rebates to insurers and pharmacy benefit managers who act as intermediaries. The details of the agreements which are not publicly disclosed, results in branded drugs having higher prices and entirely removing generic options from the menu or “formulary” offered to patients of health insurance in Corpus Christi. The net effect is patients are forced to obtain the higher-priced prescription unless they purchase with no assistance from their insurance or with a bigger copay.
In addition to rebate agreements, restrictive ingredient inclusions and complex patent arrangements ultimately make it difficult for generic drugs to even enter the marketplace to provide financial relief for consumers. Fortunately, the problem has become more difficult to continue to ignore. Both state and federal governments have begun to look into legislation to remedy the issue. The Department of Health and Human Services has proposed changing protections that shield pharma rebates from being viewed as illegal kickbacks but currently no rule change has occurred. Members of Congress have also publicly declared they would like to consider legislation in 2019 to assist patients.
Rick Thornton, a Corpus Christi health insurance agent, is measured in his thoughts on progress. “The larger drug makers have incredibly deep pockets and will aggressively protect their market share. But I also believe we are beginning to see a pushback from the public as the mark-ups on these drugs aren’t aligned with normal inflation. I’m hoping this could be the beginning to more transparency and lower prices in the future.” And with more independent research slowly revealing the disproportionate usage of generic drugs, financial relief may very well be on its way to prescription drug consumers.
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