Milliman Study Commissioned by PBM Trade Association Debunks Insurers' Own Myths
MYTH: This Legislation Will Cost Texans Millions
FACT: This report does not lay out ANY new costs to insurers.
Read MoreProtecting Texans from Non-Medical Switching→
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For patients living with chronic and complex diseases, it can take months or even years to find a treatment that works. But increasingly, arbitrary insurance policy changes – such as higher copays, formulary changes, or new prior authorization requirements – are forcing patients to forgo the treatments that keep them stable. That practice is called non-medical switching.
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Non-Medical Switching: Myth vs Fact→
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Myth: Health plans will have to freeze their formularies.
Fact: Health plans can continue to update their formularies as needed. They just can’t reduce coverage for patients’ preexisting prescriptions.
Read MoreNon-Medical Switching Leave Behind→
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HB 1646 by Rep. Stan Lambert and SB 1142 by Sen. Judith Zaffirini will help Texans stay stable on medications that keep them stable, as long as they stay on the same health plan.
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Read MoreFacts About Texas Legislation→
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SB 580 and HB 2099 would end non-medical switching for people in Texas with chronic conditions. View the fact sheet to learn about the legislation and how lawmakers can ensure Texans have continued access to their prescription medications.
Read MoreA Study of the Qualitative Impact of Non-Medical Switching
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AfPA’s report details the findings of two in-person focus groups as well as a national poll of 800 patients who experienced non-medical switching firsthand.
Read MoreTexas Patient Sentiment toward Non-Medical Prescription Drug Switching by Health Insurance Companies
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Although formularies and other utilization management techniques may help contain costs for third-party payers, potential savings often come at the expense of patients’ health.
Read MoreNon-Medical Switching: Myth vs. Fact→
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There are many myths about non-medical switching and the impact of legislation that ensures continued patient access to the treatments they need.
Read MoreVideo: Understanding Non-Medical Switching→
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Patients with chronic or serious medical conditions must sometimes work with physicians for months to identify a medication that’s effective for them.
Read MorePatient Perspectives on Medication Switching
/An infographic of findings from a national survey of stabilized autoimmune patients that explored their perspectives on switching prescribed biological medicines.
Read MoreFact Sheet: The True Costs of Non-Medical Switching
/An easy to understand explanation from the US Pain Foundation on how non-medical switching impacts health outcomes and drives up the cost of health care.
Read MoreFact Sheet: What to Know and What to Say: Non-Medical Switching
/Easy to follow guidance on “what you need to know” and “what to say” if you face a non-medical switching situation.
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Fact Sheet: Non-Medical Switching 101
/An easy resource to help you better understand non-medical switching.
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