Understanding the future of Copay Maximizers

Understanding the future of Copay Maximizers COPAY MAXIMIZERS – Gone tomorrow? What is a Copay Maximizer? Copay Maximizers are programs deployed by Pharmacy Benefit Managers (PBMs) that allow a payer to capture the pharmaceutical manufacturers’ funding that is designated to offset patient copays and further offset payer costs. This is done by applying the funding…

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Medicare Prescription Payment Plan

Medicare Prescription Payment Plan What is Copay Smoothing and How can Part D Plan Sponsors Prepare? Issue at a Glance Thanks to the Inflation Reduction Act (IRA), the Medicare Part D benefit will undergo a major redesign in 2025. As part of this, all plan sponsors will be required to offer all beneficiaries the Medicare…

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