What many people do not know is that there are various ways to cut the cost of those expensive prescriptions that can sometimes cut into their budget. The 2 most common ways to save members money is to 1) research the particular medication the member is taking and the frequency (dosage and how many times a day/week/month the medication being used), and explore opportunities to save money, such as the use of a drug savings copay card 2) obtain additional information from the member to see if they may qualify for the manufacturer’s pharmaceutical financial assistance programs that are available (usually eligibility is based on gross household income for these programs).
For example, if a member is prescribed Lipitor from their physician, there is a savings card called the LIPITOR Choice Card. This card is not insurance, but can be used at many participating pharmacies and can be financially beneficial to the Employer as well as the employee. Here’s how it works:
-You will pay $4 for a 30-day supply (30 tablets) if: you use commercial/private insurance and your out-of-pocket expense for a 30-day supply of name-brand LIPITOR is $130 or less.
-You will pay $30 for a 30-day supply (30 tablets) if: you do not use prescription health coverage to purchase your name-brand LIPITOR under this program or you use commercial/private insurance and your out-of-pocket expense for a 30-day supply of name-brand LIPITOR is $130 or more.
For all eligible patients, you can qualify for up to $2500 of savings per calendar year. After a maximum of $2500, you will pay usual monthly out-of-pocket costs or the primary insurance deductible will have already been met and would then be covered under your primary insurance.
Another example would be the medication Humira. This is a very costly medication to both the employer and the member, and the typical price is @ $3,000.00. However, with the manufacturer coupon the cost to the member can be as little as $5.00 when they pick up their prescription at the pharmacy.
Please have the member contact Suzanne Garcia for assistance. She will need the name and dosage of the medication and a general idea of the household income.