Is your health insurance company overcharging you for prescriptions?
Health care insurance companies might be charging a copay that is higher than the price of certain prescription drugs. If your health insurance is Humana, United Healthcare, and Cigna or any other health insurance where you paid more than the price of your prescription, we want to talk to you. Insured people who paid more than the price of the drug may have a claim against their health insurance company.
Call us at (501) 286-4622
Did you pay a copay that was higher than the price of your prescription drug? You may have a claim if you overpaid for your medications.
Health insurance companies use copays to share the costs of health care with their insured clients. However, health insurance companies might be using copays to make a profit on lower cost drugs when the price of the drug is less than the copay the insured paid. For instance, if you filled a prescription for a drug that costs $5 but paid $20 because your health insurance copay required the higher copay, you may have a claim against your health insurance company.
Call us at (501) 286-4622
Did you purchase prescription drugs and pay a copay higher than the cost of the drug?
Pharmacies are required to collect a copay or coinsurance payment from customers when they fill a prescription if their health insurance plans requires it—and they can’t waive the fee or reduce it thanks to contracts and rules about health insurance. However, there are times when prescriptions’ prices are lower than the amount you might pay and you’re paying more than the price of the drug, just because of that copay requirement.
For instance, you might pay $20 in a copay for a prescription prescribed by your doctor. The drug may only cost $5 and your health insurance company may “clawback” to the price and give $5 to the pharmacy as payment for the drug. The health insurance then keeps the extra $15 without returning it to you.
In other words in this scenario, your health insurance would have overcharged for your medication by $15 and kept that money.
This can quickly add up over time if you’ve been filling the same prescription a few times every month or so. Some health insurance companies claim overpayments go to keep health insurance costs down but it’s a hidden fee you’re not aware of when you go to the pharmacy.
You might be on the hook for more than your drug actually costs, just because of a copay.
There are numerous medications that might exceed your copay amount and it can be hard to tell if you’re being overcharged. Pharmacies are often under “gag orders” as part of their agreements with health insurance companies. If you ask your pharmacist, they might not be able to tell you. “Clawbacks” where insured individuals were overcharged are extremely common. 83% of pharmacists said they saw more than 10 instances of “clawbacks” in one month, according to the National Community Pharmacists Association. Pharmacists also noted that most of these “clawbacks” come from the same companies over and over and Medicare Part D plans are often the cause of these “clawbacks.”
We have collected a list of medications that some insured individuals were overcharged for but your health insurance plan might be different:
| Alcortin A | Phentermine | Sprinter |
| Reloxifine | Alcortin | Valsartan HCTZ |
| Alprazolam | Bystolic | Fluticasone |
| Cyclobenzapine | Estrogen | Diazepam |
| Lisonopril | Vitamin D | Oxybutynin |
| Meloxicam | Guaifenesin (cough medicine) | Oxycodone |
| Tizanidine | Venlafazine | Zonisamide |
If you believe you may have overpaid for a prescription, we would like to speak with you about your experience.
Do I qualify? What is required?
We would like to speak with you about your experience buying prescription drugs if you believe you have been overcharged for your medications. As a class representatives, consumers represent many people who may have been taken advantage of in class action cases.
You may qualify if you have records of the purchase of your medications. Often, you can obtain these records from your pharmacy. If you would like to find out more, please fill out the form below and we will be in touch to learn more about your experience purchasing your medications.