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Health insurers cover fewer drugs and make them harder to get

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Insurance companies are covering fewer drugs than they used to, and patients have to jump through more hoops to get many of them. When shopping for insurance, check for coverage of the drugs you need.

Insurance coverage isn’t what it used to be when it comes to prescription drugs.

Commercial plans likely cover even fewer drugs than Medicare plans do because they’re not bound by the same federal coverage mandates as Medicare, Marsh says. “Their way to kind of combating the jump in prices or the jump in spending is to really kind of hardball negotiate with drug companies,” says Ballreich.

The trade group for pharmacy benefit managers, the Pharmaceutical Care Management Association, took issue with the GoodRx report.

 

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