No More Pharmacist Gag Clauses

If you didn’t know, agreements between pharmacies and insurance companies kept some pharmacists from disclosing cheaper drug options to consumers. Amazing, right?  This is why many of us DPC docs use for our patients to find the cheapest option.  Most bogus insurance plans do NOT always give the patient the lowest price.  I remember a corticosteroid cream costing $260 with insurance for a patient but if they paid cash then it would be $26 using Goodrx (tell me why we need these insurance companies again?).

President Trump just signed the “Know the Lowest Price Act” and the “Patients’ Right to Know Drug Prices Act “. This stops “gag clauses” in agreements between pharmacies and pharmacy benefit managers, the middlemen who administer prescription drug programs for insurance companies, which pharmacists say kept them from disclosing cheaper drug options to consumers.

Let’s see: PBMs and insurance companies rigged the game and this is a major blow to their scam.  Why wasn’t this done before?  Who were they paying off on the back end to stop this legislation?


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