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Express Scripts, CVS Health and Medicaid rank among the prescription benefit managers banning specialty drugs from health plan coverage in an effort to keep costs down, Bloomberg reported.
When doctors prescribe and dispense drugs directly to patients, they often inflate the price significantly, causing insurers to pay hundreds of millions of dollars unnecessarily.
Legislation recently introduced in the California House of Representatives would limit yearly out-of-pocket expenses for prescriptions and other medical costs at $5,950 for an individual and $11,900 for a family.
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