Low cost generic prescriptions are being kept off formularies, so sky high prices can be charged. I’m seeing seniors with estimated 2026 Rx costs in the thousands and tens of thousands.
Most people don’t realize is that if an Rx is not included on a plan formulary or if it is filled outside of the plan (such as using a discount card), the $2,100 cap does not apply, and the sky’s the limit for drug pricing.
I’m not suggesting collusion between insurers. However, it seems odd the exact same generic drugs have been omitted from all the formularies of the major carriers, and the cost to fill with each of their plans is astronomical.
This situation requires legislative intervention I’m not against Medicare for all but there needs to be more legislative limits and protections for consumers. Currently, there is too much wiggle room for corruption. However, it is a problem that can be solved.
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