SAR HP 353 Lecture Notes - Lecture 10: Biosimilar, Coronary Artery Disease, Generic Drug

• School: Boston University
• Department: Health Physiology
• Course: SAR HP 353
• Professor: Pesanelli

Document Summary

Gag clause: pharmacist cannot tell the patient that there are cheaper options (not paying with your insurance plan). It is to hide the clawback: pharmacists managers make contracts with the insurance plan. Some states are banning clawbacks and gag clauses. Cigna (health care provider) is being sued for this. With the gag clause, the customer cannot ask about the out-of-pocket price vs insurance plan. However, you can say you want to pay out of pocket then you can. The pharmacist cannot tell you directly how much you would save for the drug. You can ask, but legally they cannot answer. They cannot say: don"t use your insurance because it is more expensive. The cost of a lot of cancer drugs are very expensive they are thinking about doing generic drugs for this. Also, they are trying to make regulations on medication commercial they want to add price so that everyone knows what the real price is.