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Out-of-pocket costs based on list prices

According to new analysis from Amundsen Consulting, in spite of robust negotiations between biopharmaceutical companies and payers, health plans dont pass along the savings to patients.

By Marlene Y. Satter | Updated on March 29, 2017
The loser in this is not just the patient, but also the independent pharmacy dispensing the medication, the report says. (Photo: iStock)

Commercially insured patients forking over money out of pocket for brand-name medicines are paying based on the full list prices of those drugs, and cost sharing on nearly one out of five brand-name prescriptions is also based on list price.

That’s according to new analysis from Amundsen Consulting, a division of QuintilesIMS, which found in spite of “robust negotiations between biopharmaceutical companies and payers,” health plans don’t pass along the savings achieved via rebates and discounts on the price of medicines, but instead still require patients with high deductibles or coinsurance to pay up based on the medications’ full list price.

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