50% of the Plan's allowance of the drug?!


Question: 50% of the Plan's allowance of the drug!?
Drug Benefit will pay 50% of the Plan's allowance of the drug!. What does that mean!? In plan english!Www@Answer-Health@Com


Answers:
The plan's allowance is the amount of the total that is contracted at the pharmacy as the price of the drug!. For example if the plan's allowance is $100 and they charge $150, plans allowance is still just $100!. Generally speaking, drug prices don't get cut back unless the pharmacy is gouging!. 50% of plan allowance means 50% of the $100 or $50!. In nearly all cases plans allowance will equal the charge!. So just think of it as half the charge!. Only times I ever saw plans allowance have to take a deep cut is in the case of hospital pharmacies that are always overcharging!.Www@Answer-Health@Com

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