What Is a Self-Funded Health Plan?
As more people begin to recognize that the pharmacy pricing system needs to change, promising alternatives have arisen. One of the most popular alternatives is “cost plus,” in which patients pay the cost of the medication, plus a percentage-based markup to the pharmacy. It sounds good – there is no confusion over pharmacy reimbursements from third-party pharmacy benefit managers. The cost is, in theory, lower for patients, especially those without prescription insurance or who have high deductible plans. Unfortunately, many of these models rely on a faulty premise on which they set their prices – NADAC.
