Copay Programs, Coupons And Other Risky MC Maneuvers

Originally published by our sister publication Specialty Pharmacy ContinuumBy Gina ShawAs pharmacy benefit managers (PBMs) expand the use of copay accumulators, copay maximizers, alternative funding programs (AFPs), and prescription discount cards, specialty pharmacies are finding themselves caught in benefit designs that shift financial risk while obscuring who ultimately controls access to therapy.These programs are drawing heightened scrutiny as specialty drug spending continues to rise, manu