Savannah, Ga. (WTGS FOX 28) -- Prescription medication can be pricey, but sometime's there a cheaper option that pharmacists can’t tell you about unless you ask them.
A gag clause is put into their contracts. This keeps them from telling patients if they pay an out-of-pocket cash price rather than going through their insurance, it can be cheaper.
If they do tell customers about cheaper alternatives to the medication covered under insurance, they can be penalized and kicked out of the plan.
However, if you ask the pharmacists, “What is the cash price,” then they can tell you.
Congressman Buddy Carter practiced pharmacy for more than 30 years and said this makes no sense.
He's sponsoring a bill that would make these gag clauses illegal.
It was approved by the House Energy and Commerce Committee Monday. One committee member had a shocking example of this.
“One of our members said only a couple weeks ago, her husband is very sick and takes a lot of medication, that she was gonna have a copay of $1,300 and she had the where with all to ask the pharmacist, well if I pay cash for it how much will it be? $40,” said Carter.
He said there is no legitimate reason that there was that big of a difference in price.
This has nothing to do with name brand versus the generic brand.
This means some insurance companies add extra costs that make the co-pays more expensive.
The next stop for this bill is the House floor. But for now, be sure to ask the pharmacist about the cash price for your medication to get the lowest price option.