Strategies for Helping Patients Navigate High Prescription Drug Costs
Oct 21, 2024
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Hussain S. Lalani, a primary care physician at Brigham and Women's Hospital and Harvard instructor, joins to tackle the critical issue of high prescription drug costs. He discusses effective strategies for patients to cut down expenses, including the use of copayment cards and patient assistance programs. The conversation also introduces a tailored algorithm for clinicians, emphasizing patient-centered approaches. Additionally, Lalani warns about online pharmacy scams and shares tips for navigating the complex landscape of medication affordability.
Utilizing real-time prescription benefit tools allows clinicians to identify cost-effective options for patients during the prescribing process.
Encouraging collaboration between patients and clinical staff, alongside access to trustworthy online resources, enhances patients' ability to manage their medication costs effectively.
Deep dives
Navigating Prescription Drug Costs
Several strategies can assist patients in managing high prescription drug costs. One notable approach is utilizing real-time prescription benefit tools, which help clinicians identify a patient’s insurance coverage and costs during the prescribing process. Copayment cards, offered by brand-name drug manufacturers, can further reduce financial burdens for privately insured patients. Additionally, patient assistance programs provided by manufacturers or non-profit organizations aim to offer medications at little to no cost, significantly easing expenses for those in need.
Utilizing Algorithms for Care
An algorithm designed to match patients with appropriate strategies based on their insurance type and the medication prescribed enables clinicians to streamline the prescription process. For example, if a patient is prescribed a brand-name drug like Eliquis, the clinician can use the algorithm to explore options such as a manufacturer copayment card or consider alternatives if the costs are too high. For those on Medicare or without insurance, the algorithm suggests looking into public assistance programs, emphasizing personalized care when addressing drug affordability. This systematic approach helps ensure patients access the medications they require without unnecessary financial strain.
The Role of Health Care Professionals and Online Resources
While clinicians have a significant role in helping patients, a collaborative approach involving patients and clinical staff can effectively navigate medication costs. Both clinic staff and patients can utilize online platforms to access coupons or find affordable drug options, increasing patients' agency in their healthcare. However, caution is essential when exploring online pharmacies, as scams can occur; thus, patients are advised to consult their healthcare provider and use reputable services like Pharmacy Checker. Overall, encouraging the use of trustworthy resources fosters safer transactions and enables patients to find cost-effective solutions for their medications.
High prescription costs are a major barrier to the optimal treatment of many health conditions. Prescribers need tools to help patients find the lowest drug costs. Author Hussain S. Lalani, MD, MPH, MSc, of Brigham and Women's Hospital and Harvard Medical School joins JAMA Senior Editor Anne R. Cappola, MD, ScM, to discuss "Strategies to Help Patients Navigate High Prescription Drug Costs." Related Content: