{"id":11763,"date":"2026-03-04T07:24:20","date_gmt":"2026-03-04T07:24:20","guid":{"rendered":"https:\/\/medical-article.com\/?p=11763"},"modified":"2026-03-04T07:24:20","modified_gmt":"2026-03-04T07:24:20","slug":"real-world-experience-with-insurers-pushing-back-on-copay-cards","status":"publish","type":"post","link":"https:\/\/medical-article.com\/?p=11763","title":{"rendered":"Real world experience with insurers pushing back on copay cards"},"content":{"rendered":"<p>As reported by <a href=\"https:\/\/kffhealthnews.org\/news\/article\/expensive-drug-copay-card-discount-bill-of-the-month-february-2026\/\">Kaiser Health News<\/a>: <\/p>\n<p> The value of drugmakers\u2019 copay cards has become more unpredictable as insurers try to restrict their use. Many insurance plans, for instance, do not count the money from a copay program\u00a0<a href=\"https:\/\/kffhealthnews.org\/news\/article\/drugmaker-copay-assistance-backfires-patient-deductibles\/\">toward a patient\u2019s deductible<\/a>.<br \/>And patients who use a copay card can wind up paying full or nearly full price rather than the discounted rate negotiated by their insurer\u2019s pharmacy benefit manager.<br \/>\u201cWhen you purchased your medication a Manufacturer Coupon was used,\u201d Mishra\u2019s explanation of benefits statements read, in tiny letters. The amount the copay card covered \u201cwas not applied towards your Deductible and Out of Pocket Maximum.\u201d<br \/>Caroline Landree, a spokesperson for UnitedHealthcare, said that \u201cthe copay card is an arrangement between the patient and the pharmacy. It is used outside of insurance.\u201d<br \/>In an emailed statement, Elissa Snook, a spokesperson for Amgen, expressed a different view of who was responsible for Mishra\u2019s dilemma: \u201cCopay assistance programs are designed to help patients start and stay on prescribed therapy, but the value of that assistance can be exhausted more quickly when a health plan requires patients to pay the full list price of a medicine.\u201d   <\/p>\n<p>What do patients do when insurers do not honor the copay card?  Medication adherence drops dramatically.<\/p>\n<p> \u2026wary of what the drug would cost in November and December, Mishra said, he tried to spread out the pills he had left from the starter pack and the first two months\u2019 supply. He skipped some days and took only half of the prescribed dose to stretch the supply for two more months, knowing he would get a new copay card with the new year. Many of his symptoms returned, he said. <\/p>\n<p>You can read the full story <a href=\"https:\/\/kffhealthnews.org\/news\/article\/expensive-drug-copay-card-discount-bill-of-the-month-february-2026\/\">here<\/a>.<\/p>","protected":false},"excerpt":{"rendered":"<p>As reported by Kaiser Health News: The value of drugmakers\u2019 copay cards has become more unpredictable as insurers try to restrict their use. Many insurance plans, for instance, do not count the money from a copay program\u00a0toward a patient\u2019s deductible.And patients who use a copay card can wind up paying full or nearly full price&#8230;<\/p>\n","protected":false},"author":0,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[2],"tags":[],"class_list":["post-11763","post","type-post","status-publish","format-standard","hentry","category-articles"],"_links":{"self":[{"href":"https:\/\/medical-article.com\/index.php?rest_route=\/wp\/v2\/posts\/11763"}],"collection":[{"href":"https:\/\/medical-article.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medical-article.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"replies":[{"embeddable":true,"href":"https:\/\/medical-article.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=11763"}],"version-history":[{"count":0,"href":"https:\/\/medical-article.com\/index.php?rest_route=\/wp\/v2\/posts\/11763\/revisions"}],"wp:attachment":[{"href":"https:\/\/medical-article.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=11763"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medical-article.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=11763"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medical-article.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=11763"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}