Think Twice Before Using a Free Drug Coupon

Questions often come up about the pros and cons of drug coupons, discount cards, or assistance programs.

Many new drugs these days come with a program to reduce co-pays. Think of these as an alternative to drug samples.

And there are all kinds of free Rx discount cards online.

But many of these programs have limits on max amounts, duration, etc...and some may increase overall health care costs in the long run.

Drug coupons INITIALLY lower or eliminate co-pays on brand-name drugs. But they're often a way for manufacturers to hide true co-pays so patients stay on higher-cost Rxs even after coupons expire.

Point out that patients with any gov't funded Rx insurance (Medicare, Medicaid, TRICARE, etc) can NOT use co-pay coupons...because they may be considered kickbacks. Some states may also limit use.

Discount or savings cards may be offered by a variety of companies...and are usually an ALTERNATIVE to insurance.

They tout savings of up to 75% or more on brand OR generic Rxs.

But in reality, they don't always give a big discount...most charge hefty transaction fees...and the companies marketing these cards may make money by selling personal info.

Assistance programs are provided by some states or drug companies.

But these vary. Some give discounts or free meds for patients withOUT insurance or with limited coverage...and some can help with costs when patients hit the Medicare Part D donut hole.

Offer comprehensive med reviews to help patients find ways to reduce med costs...and use cost-effective meds right off the bat.

Get more info on assistance programs and cost-saving tips with our PL Chart, Guide for Helping Patients Afford Their Meds. And share our Technician Tutorial, Billing for Rx Drugs, with your techs.

Key References

J Manag Care Pharm 2013;19:765. N Engl J Med 2014;371:97. J Health Care Poor Underserved 2011;22:24.



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