Same drug, two prices: why the higher price prevails

Wall Street Journal

8 November 2023 - Patients are paying hundreds of dollars more for a prescription than they would if their health plan chose to cover a lower-priced twin.

The way medicines are paid for in the US 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.

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Michael Wonder

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Michael Wonder

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Medicine , US , Health plans , Pricing