Drug prices lower than copay

Researchers found that generic drug co-payments in the U.S. cost more than the medicines themselves about 28 percent of the time – or for more than one in four prescriptions.
Pharmacy benefit management companies, enter into contracts with pharmacies to collect patient co pays, even if the copay amount exceeds the original cost of the drug. This is called a “Claw back”. Claw backs allow pharmacies to keep the full customer copay amounts, even if it’s more than the reimbursement. For example, if a patient’s copay is $10 and the PBM reimburses the pharmacy for the cost of the generic drug plus a dispensing fee for roughly $6, the PBM pockets the extra $4 paid by the patient.
Some pharmacies are under a "gag clause," which says they are not allowed to tell customers about the price difference and the fact that they would pay less for their prescriptions by not using their insurance.
Patients should shop around for the best price on prescriptions to avoid price gouging, and ask pharmacists if paying cash would be cheaper than using insurance.
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