Non-Medical Switching
Health plans and policymakers may think it’s “no big deal” to switch people from the medications that keep their hearts healthy. They couldn’t be more wrong. That’s the burden of non-medical switching.
Drug Price Negotiation Program
Studies suggest that health plans that administer Part D will increase financial exposure because of the reforms Congress implemented in 2022 that were meant to help patients. PBMs and their health plans are already blunting their financial impact by increasing average out-of-pocket costs by 32% in 2025 for medications that have had their price capped by Medicare.
Blogs
When Insurers Push Heart Patients off Their Medication
Finding the right medication for a heart condition can be tricky and time-consuming. So what happens when the insurance company then compels patients to switch?
CVS Caremark "Switch" Puts Heart Patients at Risk
Millions of people susceptible to blood clots started 2022 at higher risk of stroke. Why? Their health plan’s pharmacy benefit manager decided to stop covering their blood thinner.
Insurers are Deepening America's Cardiovascular Epidemic
Every new COVID-19 variant reignites fears of untimely deaths. Yet heart disease continues to kill more people than the coronavirus every single year.
Graphics
Is Your Insurance Company Making Medical Decisions for You?
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You Know the Difference
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No Big Deal
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What's the Big Deal About Cardiovascular Disease?
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Letters & Statements
Non-Medical Switching Poses a Danger to Medicare Patients
Letter to CMS on the need to monitor non-medical switching protocols to protect patient access.
Solicitation for Public Comments on the Business Practices of Pharmacy Benefit Managers and Their Impact on Independent Pharmacies and Consumers
Letter to FTC requesting public comments on the business practices of PBMs.
Papers
Non-Medical Switching and Cardiovascular Health
As Americans come to terms with the more than half a million victims of COVID-19, many overlook a startling fact. Cardiovascular disease exacts an even larger toll on public health every year.
Videos
Non-Medical Switching: No Big Deal?
When your health plan switches your heart medication, it IS a big deal.