RX ASSISTANCE MYTHS DEBUNKED
1. Myth: If my prescription gets rejected at the pharmacy, that means it’s not covered.
Truth: This is not always true. A rejected medication is simply a notification for members to reach out to us so we can detect potential savings opportunities.
2. Myth: A patient assistance program is the same thing as a copay card.
Truth: A copay card is run after insurance is billed. This means that insurance pays a portion of the charged amount and then the member is left with a small copay amount. A patient assistance program is an income-based program run by the drug manufacturer. If a member is approved for a patient assistance program, the medication is completely free! It doesn’t even get run through insurance.
3. Myth: Patient assistance programs require a mountain of paperwork.
Truth: MotivHealth’s Prescription Assistance team completes most of the paperwork required to qualify for a prescription assistance program. There is just a small portion of the application that a member must fill out, and then their medication is completely free! Believe us, the paperwork is worth it.
4. Myth: I shouldn’t take anything besides the exact medication that my doctor prescribed.
Truth: Every insurance company has a formulary (a.k.a. an official list giving details of medicines that may be prescribed for various ailments) that they manage, and we manage ours in a way that helps our members lower costs. If we recommend a more affordable medication in place of what your doctor prescribed, that medication will be just as effective.
5. Myth: MotivHealth lowers medication costs by lowering medication quality.
Truth: High cost does not equate to high quality. We use innovative tools to make high-quality medication more affordable. For example, we have programs that work directly with drug manufacturers to get exclusive discounts on high-cost medications. Oftentimes our members qualify for free medications, especially with diabetes or other chronic conditions.