Bill Signed to Prohibit Pharmacist Gag Orders

November 27, 2018

Congress has passed and President Trump has signed legislation that bans pharmacist “gag orders.” These gag orders are often included in contracts pharmacies have with insurance companies or pharmacy benefit managers. They prohibit pharmacists from informing patients that they would pay less for their prescription by paying the out-of-pocket cash option than using their insurance. Copayments or coinsurance are more expensive than the cash price for nearly 1 in 4 drugs purchased through the Medicare Part D program.

 

Under many plans, these cash purchases will not count toward the out-of-pocket maximum, which may discourage individuals from using this option. Plans may consider revising their procedures to allow individuals to apply these cash payments to the out-of-pocket maximum.

Please reload

Featured Posts

HIPAA Fines--Not Going Away!

January 15, 2016

The Office of Civil Rights (OCR) of the U.S. Department of Health and Human Services recently announced a resolution agreement with Triple-S Managemen...

1/3
Please reload

Recent Posts
Please reload

Archive
Please reload

© 2019 by Ledbetter Parisi LLC.