Cut Clawback
You should also ask about the out-of-pocket price for your medications if you have a copayment for prescriptions, said Christopher K. Lee, a healthcare consultant who also shares insights and advice at the PurposeRedeemed website.
“Based on your insurer’s or pharmacy benefit manager’s set rates, your copay with insurance might — on rare occasions — exceed the cash price for the drug,” said Lee. “This is known as a clawback, and the extra cash goes back to your insurer.”
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