people are struggling to get the medications they need...
even though they have health insurance.
Because of rising out-of-pocket costs driven by pharmacy benefit managers (PBMs) and copay accumulator programs.
What are PBMs?
Little-known middlemen in the healthcare system whose practices have contributed to rising out-of-pocket costs for patients.
What are Co-Pay Accumulators?
"Copay accumulator adjustment programs" deny patients the benefits of manufacturer coupons and other assistance applying to deductibles, resulting in unexpected bills at the pharmacy counter.
"When our son, Brannen, was diagnosed with Ulcerative Colitis (UC), we struggled for 10 months to find a medication that was effective in treating his unbearable symptoms.
Just six months later, our insurance company, stated that the medication would no longer be covered by insurance."
Brannen's mother, Melissa Whirledge