“The way it works is really damaging to patients,” agreed Carl Schmid, executive director of the HIV+Hepatitis Policy Institute. “Patients don’t know this is happening, and they’re picking up the drug thinking their copay assistance is counting, and all of a sudden they get stuck with a $1,000 bill,” he said in a phone interview in January. “The insurance companies are double-billing because they’re collecting all that coupon money and now they’re collecting from the patient.”
CMS rules for insurers punt on drug copay relief
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