A small but growing number of 'cash' pharmacies take no insurance, instead selling generic drugs, often at far lower prices than customers pay with insurance.
. Systemic change, however, is slow going. For now, the best advice for patients, according to drug pricing experts like Ciaccia, is to shop around to figure out what makes the most sense for their particular needs.The cost savings for customers at cash pharmacies can be eye-popping, depending on their specific medications and insurance plan benefits.
“Typically, what we see is that the drugs that are the most overinflated are the ones that are most recent to market on the generic side,” Ciaccia said. This happens because generic medications are overall cheap to make, so when a drug loses its patent, the cost for a pharmacy to purchase it can fall dramatically. But those savings often are not immediately passed on to patients in the insurance-based system.
Working with insurance is expensive, said Hux. The various fees, rules and processing time that come with accepting insurance affect how pharmacies like Pickerington operate, and push up labor costs. It takes more staff as well. Hux typically has one to two people working at Freedom daily and three to four at Pickerington.
“You have these two different options depending on what you actually need,” she said. She and her husband are on high-deductible insurance plans that don’t cover much of their prescriptions below the deductible, but her father is on Medicare and takes several medications that do not have cheaper generic options.
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