Pulled Off a Medication That Was Working: How Formulary Changes Push Patients Toward Pricier Drugs
Millions of Americans have experienced the unsettling surprise of arriving at the pharmacy counter only to learn that a generic medication they have taken for years is no longer covered under their plan. Behind this disruption lies a calculated system involving pharmaceutical manufacturers and pharmacy benefit managers that can quietly redirect patients toward more expensive alternatives. Understanding how this system works — and how to push back — can mean the difference between affordable care