It’s a familiar scenario for most of us. You get sick and go to the doctor. Your doctor takes your medical history, examines you, and makes recommendations about your treatment. Your doctor writes you a prescription. But, for many patients, the process of getting the medication prescribed by their doctor may be far more complicated.Read More
A new trend has more health insurers implementing what are known as co-pay accumulator programs, which change how patients meet their annual deductible. Insurers embrace the programs to increase their revenues and discourage the use of high-cost drugs. But, in so doing, they leave patients with a difficult choice.Read More
Cardiologist Seth Baum, MD, describes a hypothetical patient with a family history of extremely high cholesterol. “He’s not the typical cholesterol patient,” Dr. Baum explains, “And the typical medications, known as ‘statins,’ don’t lower his cholesterol enough.”Read More
What happens when a health plan drives diabetes patients to switch their medication, insulin, or medical device?
For some patients, nothing. But for others, being forced to switch can cause real problems.Read More
If a patient’s condition is stabilized on their current therapy then they have a right to stay on the medicine their doctor has prescribed. This right should persist from plan year to plan year, and continue even if the health plan drops the medicine from its formulary. Only with the patient’s and doctor’s consent should a health plan or a pharmacy be able to switch a patient to a different therapy.
Content created by Keep My Rx.