- Docket No.
- 3:26-cv-01705
- District Court
- Connecticut
Goal
- Certify class
- Compel defendant action
- Declaration that defendant action is unlawful
Issues
Litigation Content
Why This Matters:
Why This Matters:
An individual challenges a private insurer’s policy of not applying financial support from a drug manufacturer towards a patient’s deductible or annual out-of-pocket maximum as a violation of the Employee Retirement Income Security Act. Coupons and other discount programs for branded drugs can help consumers with chronic conditions reduce their out-of-pocket costs at the pharmacy counter. But there are concerns that such measures encourage patients to use more expensive medications over less costly treatments and contribute to higher health care spending and thus higher premiums.
Potential Impact:
Potential Impact:
Policies related to copay accumulator programs can impose higher out-of-pocket costs on patients and promote the use of more expensive branded prescription drugs, which may contribute to higher drug spending and higher premiums for all consumers.