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I believe the pharmacy, who contracts with the insurance company, is obligated to charge you according to their agreement with the insurance co.
by evancox100 8y ago
I believe the pharmacy, who contracts with the insurance company, is obligated to charge you according to their agreement with the insurance co.
- maxerickson 8y agoThat would be quite a contract that obligated them to ensure a customer was not also a customer of a particular insurance company.
- dragonwriter 8y agoDrug manufacturers have discount programs for uninsured customers (it's price discrimination to get as much money as possible from both insure and uninsured clients); so, if this was involved, requiring that customers had no applicable insurance known to the retailer wouldn't be a surprising contract term at all.
- sjg007 8y agoNo they are not. You can just take your prescription elsewhere (e.g. to another Walgreens or whatever). For example, say you lose a pack of pills. If you want a refill you then have to pay for it out of pocket since the insurance won't pay. If the pharmacy charges an inflated cash price to an insurance customer vs a regular customer (without a coupon or something) then that would be a major lawsuit waiting to happen. You can use a drug manufacturers coupon too (e.g. they give a PBM code).