United Benefit Advisors Insight and Analysis Blog

Prescription Drug Copay Trends: Five-Tier Plan Benchmarks Emerge, Large Employers Hike Rates in Three-Tier Plans

Posted by: Bill Olson    Aug 16, 2016 10:30:00 AM

UBA’s Special Report – Trends in Prescription Drug Benefits explores our Health Plan Survey findings in more detail, particularly examining what’s happening with prescription drug plan design among different group sizes, regions and industries. When it comes to copay amounts, median retail prescription drug copays are $10/$30 for two-tier plans, $10/$35/$55 for three-tier plans, and $10/$35/$60/$100 for four-tier plans. These amounts have remained largely flat from 2014.

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Topics: UBA Health Plan Survey, multi-tier prescription drug plans, prescription drug cost, prescription drug trends, prescription drug copays

Which Employers Are Incentivizing Generic Drugs Over Brand Name?

Posted by: Bill Olson    Aug 4, 2016 10:30:00 AM

According to UBA’s new Special Report – Trends in Prescription Drug Benefits, 61.8% of plans required employees to pay more when they elect brand-name drugs over an available generic drug (a 5.5% increase from 2014); 37.9% of those plans require the added cost even if the physician notes “dispense as written.” On the other hand, only 1% of plans offer no coverage for brand-name drugs if generics are available and 37.2% offer no added cost coverage. So while most employers aren’t completely penalizing those who choose brand-name drugs, more and more plans are requiring employees to pay higher copays when they elect brand-name drugs.

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Topics: UBA Health Plan Survey, prescription drug cost, Scott Deru, prescription drug trends, brand-name vs generic drugs

Mail Order or Not?

Posted by: Mary Delaney, MSPT, CWP    Jul 29, 2016 10:37:19 AM

In 1990, Health Affairs* reported “The escalating costs of prescription drugs and competition among pharmaceutical firms for customers are drawing the attention of policymakers, pharmacies, and individual and institutional purchasers. Mail-order pharmacies recently have grown in prominence as a competitive alternative to the local community pharmacy.”

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Topics: prescription drug cost, mail order drug benefits, prescription drug trends, Brenda Motheral, Mary Delaney