Same Drug, Two Prices: Why The Higher Price Prevails

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Corporate giants from Amazon to CVS are investing billions into primary-care practices. It’s part of a sweeping shift in U.S. healthcare to a more value-based model. Here’s what that means for doctors, patients and health insurers.

Patients are paying hundreds of dollars more for a prescription than they would if their health plan chose to cover a lower-priced twinThe way medicines are paid for in the U.S. has become so convoluted that some drugmakers are setting two prices for the same drug—and many health plans are choosing to cover the more expensive version.

The decisions mean some patients are paying hundreds of dollars more in out-of-pocket charges to fill a prescription for an identical medicine made by the same company.This copy is for your personal, non-commercial use only. Distribution and use of this material are governed by our Subscriber Agreement and by copyright law. For non-personal use or to order multiple copies, please contact Dow Jones Reprints at 1-800-843-0008 or visit www.djreprints.com.

 

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