Working the counter of a pharmacy, you hear it all. “Why is my copay so high? I thought I met my deductible? Is this the doctor’s office?”
No, it’s not the doctor’s office.
But when it comes to the cost of your prescriptions, if you’re wondering even just a little bit whether or not you’re overpaying, you probably are.
According to a recent study conducted by the University of Southern California, nearly 1 in 4 prescriptions processed had an overpayment of over $7. The majority of these overpayments were for Generic Prescriptions. The study had a sample size of 9 million prescriptions, thats a total lifetime overpayment amount of $135 million.
$135 million! For 9 Million prescriptions! Do you know how many prescriptions were filled in 2017 alone? 4 Billion. Do the math (Please dont, you won’t like the number), and that’s a whole lot of money taken from our pockets.
Why are these overpayments happening? Clawbacks.
Here’s a great graphic from Jared Hopkins of bloomberg.com, that shows just how Clawbacks work:
So are you overpaying for your generic prescriptions? Well here are the symptoms to look out for:
5. You only want to take half your pills just to make them last longer.
This is a very common way to save money on your prescriptions. Your doctor can prescribe a higher dose, and you can cut it in half. But please consult your doctor and pharmacist before you do so, because not all medications can be cut in half and have the same efficacy.
4. You ask “how much is it” every time you go to pay at the pharmacy counter.
Is this you? If it is, don’t feel bad at all. You’re clearly not the only one getting a bad deal on your meds.
3. You say “I thought I met my deductible?”
High deductible plans are on the rise, with deductibles as high as a used car sometimes, it’s no wonder people like you are unaware. Keeping consumers in the dark is benefiting someone’s pockets.
2. The pharmacist or clerk is apologizing when they’re ringing you up.
She tilts her head a little, and you hear the pity in her voice. Quick ask her what the cash price is for your medication!
1. Your copay is $10 or more every dang time… Sorry your insurance sucks.
So how do you get rid of your nasty case of Clawbacks? Ask. Yup it’s that easy. Ask the pharmacist if you can get a better price without insurance. Most times, they will be happy to tell you!
You can also compare against our wholesale pricing to make sure you’re getting the best deal.
Stop overpaying for your prescriptions, ask questions, compare your pricing, and shop smarter!
And no this is not the doctor’s office!
Photo by Sharon McCutcheon