Express Scripts recently published an article that tackles the idea of keeping copays as affordable as possible for patients. Express Scripts highlights the "copay clawback" topic that basically requires the patient to pay a full copayment for a prescription drug even though a retail pharmacy's price for the drug may cost less than their copayment under their pharmacy benefit. What happens next is that they then require the pharmacy to return the difference between the copay amount and the price for the drug back to them.
What's most important to Express Scripts is that their members always have 24/7 access to their drug coverage information along with copay amounts. Know your copay amount before filling your prescription.
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