David Grande, JAMA, The Hidden Costs of Prescription Drug Coupons

David Grande, JAMA, The Hidden Costs of Prescription Drug Coupons

Are physicians and their patients overlooking the hidden costs of using pharmaceutical company coupons to purchase prescription drugs?, asks LDI Senior Fellow David Grande in an article in JAMA. Grande, Assistant Professor of Medicine at Penn's Perelman School of Medicine, writes that "drug coupons raise 2 primary financial concerns. First, coupons can increase out-of-pocket spending for the coupon user in either the short or long term because co-pays may still be higher compared with therapeutic alternatives (ie, direct costs). Second, coupons can increase health care spending for coupon users and nonusers by increasing aggregate health spending and thus health insurance premiums (ie, indirect costs)."