The nation’s largest Pharmacy Benefit Manager (PBM) Express Scripts has announced that it will exclude 48 new drugs from insurance coverage in 2019. If you have got health insurance, it’s time to pay attention and prepare yourself for the upcoming changes. Every year, PBMs like Express Scripts and Caremark make changes in the formulary after… [Read More…]
Insurance Companies Are Dropping Coverage from These 80+ Drugs If you have got health insurance, it’s important to pay attention to changes in prescription drug coverage. Each year, health insurance companies and drug manufacturers make changes in the “formulary” ( prescription coverage) that can bring surprises for many consumers heading to the pharmacy. Here we… [Read More…]
Edna is a 76-year-old woman with a wonderful daughter, Sylvia, who helps her out with her weekly errands every Saturday. Edna changed her insurance plan at the end of 2013, and purchased a new plan that went into effect starting on January 1, 2014. Her insurance premiums on her old plan were getting to be… [Read More…]
Prescription insurance companies are not required to cover every medication available in the marketplace. In fact, most insurance companies have formularies, or lists of medications they do cover, and medications not on the formulary are not covered by their plan. Occasionally medications that are not on formulary may be approved if the insurance company receives… [Read More…]
