{"id":238928,"date":"2020-10-20T16:37:20","date_gmt":"2020-10-20T20:37:20","guid":{"rendered":"https:\/\/allergyasthmanetwork.org\/?page_id=238928"},"modified":"2025-03-06T17:49:06","modified_gmt":"2025-03-06T22:49:06","slug":"access-to-medications-for-people-with-allergies-and-asthma","status":"publish","type":"page","link":"https:\/\/allergyasthmanetwork.org\/access-to-medications-for-people-with-allergies-and-asthma\/","title":{"rendered":"Access to Safe, Effective and Affordable Medications and Treatment Options"},"content":{"rendered":"<style>.kadence-column238928_34f943-ac > .kt-inside-inner-col{padding-top:20px;padding-bottom:20px;}.kadence-column238928_34f943-ac > .kt-inside-inner-col,.kadence-column238928_34f943-ac > .kt-inside-inner-col:before{border-top-left-radius:0px;border-top-right-radius:0px;border-bottom-right-radius:0px;border-bottom-left-radius:0px;}.kadence-column238928_34f943-ac > .kt-inside-inner-col{column-gap:var(--global-kb-gap-sm, 1rem);}.kadence-column238928_34f943-ac > .kt-inside-inner-col{flex-direction:column;}.kadence-column238928_34f943-ac > .kt-inside-inner-col > .aligncenter{width:100%;}.kadence-column238928_34f943-ac > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column238928_34f943-ac{position:relative;}.kadence-column238928_34f943-ac, .kt-inside-inner-col > .kadence-column238928_34f943-ac:not(.specificity){margin-right:20px;margin-left:20px;}@media all and (max-width: 1024px){.kadence-column238928_34f943-ac > .kt-inside-inner-col{flex-direction:column;}}@media all and (max-width: 767px){.kadence-column238928_34f943-ac > .kt-inside-inner-col{flex-direction:column;}}<\/style>\n<div class=\"wp-block-kadence-column kadence-column238928_34f943-ac\"><div class=\"kt-inside-inner-col\"><style>.kadence-column238928_9392fd-f8{max-width:800px;margin-left:auto;margin-right:auto;}.wp-block-kadence-column.kb-section-dir-horizontal:not(.kb-section-md-dir-vertical)>.kt-inside-inner-col>.kadence-column238928_9392fd-f8{-webkit-flex:0 1 800px;flex:0 1 800px;max-width:unset;margin-left:unset;margin-right:unset;}.kadence-column238928_9392fd-f8 > .kt-inside-inner-col,.kadence-column238928_9392fd-f8 > .kt-inside-inner-col:before{border-top-left-radius:0px;border-top-right-radius:0px;border-bottom-right-radius:0px;border-bottom-left-radius:0px;}.kadence-column238928_9392fd-f8 > .kt-inside-inner-col{column-gap:var(--global-kb-gap-sm, 1rem);}.kadence-column238928_9392fd-f8 > .kt-inside-inner-col{flex-direction:column;}.kadence-column238928_9392fd-f8 > .kt-inside-inner-col > .aligncenter{width:100%;}.kadence-column238928_9392fd-f8 > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column238928_9392fd-f8{position:relative;}@media all and (min-width: 1025px){.wp-block-kadence-column.kb-section-dir-horizontal>.kt-inside-inner-col>.kadence-column238928_9392fd-f8{-webkit-flex:0 1 800px;flex:0 1 800px;max-width:unset;margin-left:unset;margin-right:unset;}}@media all and (max-width: 1024px){.kadence-column238928_9392fd-f8 > .kt-inside-inner-col{flex-direction:column;}}@media all and (max-width: 767px){.wp-block-kadence-column.kb-section-sm-dir-vertical:not(.kb-section-sm-dir-horizontal):not(.kb-section-sm-dir-specificity)>.kt-inside-inner-col>.kadence-column238928_9392fd-f8{max-width:800px;-webkit-flex:1;flex:1;margin-left:auto;margin-right:auto;}.kadence-column238928_9392fd-f8 > .kt-inside-inner-col{flex-direction:column;}}<\/style>\n<div class=\"wp-block-kadence-column kadence-column238928_9392fd-f8\"><div class=\"kt-inside-inner-col\">\n<p>Allergy &amp; Asthma Network supports patient access to safe, affordable and effective medications and treatments. We know that medications and treatments are essential to manage chronic conditions such as allergies and asthma.<\/p>\n\n\n\n<p>Lack of access to affordable medicines has led to patients not filling a doctor\u2019s prescription, reducing the dosage to make a supply last longer, buying medicines from foreign countries or substituting alternative therapies. Patients sometimes make these decisions about their treatment due to challenges with:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>prior authorization requirements<\/li>\n\n\n\n<li>limited and changing drug formularies<\/li>\n\n\n\n<li>specialty tiers and co-pay accumulators that shift costs to patients<\/li>\n<\/ul>\n\n\n\n<p>For this reason, we monitor these issues and advocate on behalf of people with allergies, asthma and related conditions. Below is more detailed information about current issues that impact patient access to safe and affordable medications and treatments.<\/p>\n<\/div><\/div>\n<\/div><\/div>\n\n\n<style>.kadence-column238928_947122-14 > .kt-inside-inner-col{padding-top:20px;padding-bottom:20px;}.kadence-column238928_947122-14 > .kt-inside-inner-col,.kadence-column238928_947122-14 > .kt-inside-inner-col:before{border-top-left-radius:0px;border-top-right-radius:0px;border-bottom-right-radius:0px;border-bottom-left-radius:0px;}.kadence-column238928_947122-14 > .kt-inside-inner-col{column-gap:var(--global-kb-gap-sm, 1rem);}.kadence-column238928_947122-14 > .kt-inside-inner-col{flex-direction:column;}.kadence-column238928_947122-14 > .kt-inside-inner-col > .aligncenter{width:100%;}.kadence-column238928_947122-14 > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column238928_947122-14{position:relative;}.kadence-column238928_947122-14, .kt-inside-inner-col > .kadence-column238928_947122-14:not(.specificity){margin-right:20px;margin-left:20px;}@media all and (max-width: 1024px){.kadence-column238928_947122-14 > .kt-inside-inner-col{flex-direction:column;}}@media all and (max-width: 767px){.kadence-column238928_947122-14 > .kt-inside-inner-col{flex-direction:column;}}<\/style>\n<div class=\"wp-block-kadence-column kadence-column238928_947122-14\"><div class=\"kt-inside-inner-col\"><style>.kadence-column238928_ee700a-de{max-width:800px;margin-left:auto;margin-right:auto;}.wp-block-kadence-column.kb-section-dir-horizontal:not(.kb-section-md-dir-vertical)>.kt-inside-inner-col>.kadence-column238928_ee700a-de{-webkit-flex:0 1 800px;flex:0 1 800px;max-width:unset;margin-left:unset;margin-right:unset;}.kadence-column238928_ee700a-de > .kt-inside-inner-col,.kadence-column238928_ee700a-de > .kt-inside-inner-col:before{border-top-left-radius:0px;border-top-right-radius:0px;border-bottom-right-radius:0px;border-bottom-left-radius:0px;}.kadence-column238928_ee700a-de > .kt-inside-inner-col{column-gap:var(--global-kb-gap-sm, 1rem);}.kadence-column238928_ee700a-de > .kt-inside-inner-col{flex-direction:column;}.kadence-column238928_ee700a-de > .kt-inside-inner-col > .aligncenter{width:100%;}.kadence-column238928_ee700a-de > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column238928_ee700a-de{position:relative;}@media all and (min-width: 1025px){.wp-block-kadence-column.kb-section-dir-horizontal>.kt-inside-inner-col>.kadence-column238928_ee700a-de{-webkit-flex:0 1 800px;flex:0 1 800px;max-width:unset;margin-left:unset;margin-right:unset;}}@media all and (max-width: 1024px){.kadence-column238928_ee700a-de > .kt-inside-inner-col{flex-direction:column;}}@media all and (max-width: 767px){.wp-block-kadence-column.kb-section-sm-dir-vertical:not(.kb-section-sm-dir-horizontal):not(.kb-section-sm-dir-specificity)>.kt-inside-inner-col>.kadence-column238928_ee700a-de{max-width:800px;-webkit-flex:1;flex:1;margin-left:auto;margin-right:auto;}.kadence-column238928_ee700a-de > .kt-inside-inner-col{flex-direction:column;}}<\/style>\n<div class=\"wp-block-kadence-column kadence-column238928_ee700a-de\"><div class=\"kt-inside-inner-col\">\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe title=\"Access to Asthma Medications\" width=\"720\" height=\"405\" src=\"https:\/\/www.youtube.com\/embed\/dZkBu-LlLOE?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe>\n<\/div><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\">What is step therapy (fail first)?<\/h2>\n\n\n\n<p style=\"padding-bottom:var(--wp--preset--spacing--60)\">Step therapy is a practice health insurance plans use to manage the cost of medications. These insurance policies require the least expensive drug to be prescribed to a patient first, rather than the medicine originally prescribed by the doctor. This practice can result in serious negative consequences for consumers and the public health system. By limiting the medication options, both doctors and patients are forced to compromise their treatment decisions in a way that is dangerous, time consuming and more expensive in the long-term. Asthma medications are especially prone to step therapy because health plans frequently change the list of preferred medicines they will cover. Therapies prescribed by a healthcare provider are centered around patient care, and shared decision-making follows after the patient and provider establish a trusted relationship. When insurers interfere in this process any change in the course of treatment can jeopardize a patient\u2019s well-being.<\/p>\n<\/div><\/div>\n\n\n<style>.kadence-column238928_936bbe-7c{max-width:800px;margin-left:auto;margin-right:auto;}.wp-block-kadence-column.kb-section-dir-horizontal:not(.kb-section-md-dir-vertical)>.kt-inside-inner-col>.kadence-column238928_936bbe-7c{-webkit-flex:0 1 800px;flex:0 1 800px;max-width:unset;margin-left:unset;margin-right:unset;}.kadence-column238928_936bbe-7c > .kt-inside-inner-col,.kadence-column238928_936bbe-7c > .kt-inside-inner-col:before{border-top-left-radius:0px;border-top-right-radius:0px;border-bottom-right-radius:0px;border-bottom-left-radius:0px;}.kadence-column238928_936bbe-7c > .kt-inside-inner-col{column-gap:var(--global-kb-gap-sm, 1rem);}.kadence-column238928_936bbe-7c > .kt-inside-inner-col{flex-direction:column;}.kadence-column238928_936bbe-7c > .kt-inside-inner-col > .aligncenter{width:100%;}.kadence-column238928_936bbe-7c > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column238928_936bbe-7c{position:relative;}@media all and (min-width: 1025px){.wp-block-kadence-column.kb-section-dir-horizontal>.kt-inside-inner-col>.kadence-column238928_936bbe-7c{-webkit-flex:0 1 800px;flex:0 1 800px;max-width:unset;margin-left:unset;margin-right:unset;}}@media all and (max-width: 1024px){.kadence-column238928_936bbe-7c > .kt-inside-inner-col{flex-direction:column;}}@media all and (max-width: 767px){.wp-block-kadence-column.kb-section-sm-dir-vertical:not(.kb-section-sm-dir-horizontal):not(.kb-section-sm-dir-specificity)>.kt-inside-inner-col>.kadence-column238928_936bbe-7c{max-width:800px;-webkit-flex:1;flex:1;margin-left:auto;margin-right:auto;}.kadence-column238928_936bbe-7c > .kt-inside-inner-col{flex-direction:column;}}<\/style>\n<div class=\"wp-block-kadence-column kadence-column238928_936bbe-7c\"><div class=\"kt-inside-inner-col\">\n<h2 class=\"wp-block-heading\">What is non-medical switching?<\/h2>\n\n\n\n<p>Non-medical switching occurs when patients on stable therapies are switched off their medication by their health insurers. This is done by:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Assigning a higher co-pay to the medication;<\/li>\n\n\n\n<li>Increasing patients\u2019 out-of-pocket requirements;<\/li>\n\n\n\n<li>Reducing the maximum plan coverage amount for prescription medications;<\/li>\n\n\n\n<li>Eliminating coverage for certain medications; and<\/li>\n\n\n\n<li>Formulary changes for non-medical reasons.<\/li>\n<\/ul>\n\n\n\n<p>Every patient is unique, and it can take years for patients and their doctors to find the right treatment, particularly patients with chronic conditions like asthma or severe allergies. These patients rely on a stable medication regimen to live healthy and experience no or minimal impact to their quality of life.<\/p>\n\n\n\n<p>Unexpected changes in medications can lead to a return of symptoms, increased healthcare costs, and even death. In the cases of asthma and allergies, important considerations about appropriate therapy are not only related to the medication selected, but also the delivery device that is used. It is important for patients and their physicians to remain in control of treatment decisions, rather than an insurer, government, pharmacy or other third parties.<\/p>\n\n\n\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe title=\"Barriers to Patient Access: Non-Medical Switching\" width=\"720\" height=\"405\" src=\"https:\/\/www.youtube.com\/embed\/Hrh3Ma_u5Uo?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe>\n<\/div><\/figure>\n\n\n<style>.kb-image238928_64e9a4-98 .kb-image-has-overlay:after{opacity:0.3;}<\/style>\n<div class=\"wp-block-kadence-image kb-image238928_64e9a4-98\"><figure class=\"aligncenter size-large\"><img decoding=\"async\" width=\"1080\" height=\"567\" src=\"https:\/\/allergyasthmanetwork.org\/wp-content\/uploads\/2024\/10\/woman-taking-medication-1080x567.jpg\" alt=\"A person holds a pill in one hand and a glass of water in the other, preparing to take medication. The focus is on the person&#039;s face and hands. The background is softly blurred.\" class=\"kb-img wp-image-19379439\" title=\"\" srcset=\"https:\/\/allergyasthmanetwork.org\/wp-content\/uploads\/2024\/10\/woman-taking-medication-1080x567.jpg 1080w, https:\/\/allergyasthmanetwork.org\/wp-content\/uploads\/2024\/10\/woman-taking-medication-300x158.jpg 300w, https:\/\/allergyasthmanetwork.org\/wp-content\/uploads\/2024\/10\/woman-taking-medication-768x403.jpg 768w, https:\/\/allergyasthmanetwork.org\/wp-content\/uploads\/2024\/10\/woman-taking-medication.jpg 1200w\" sizes=\"(max-width: 1080px) 100vw, 1080px\" \/><\/figure><\/div>\n\n\n<style>.kadence-column238928_3e4b6b-5d > .kt-inside-inner-col{padding-top:20px;padding-right:20px;padding-bottom:20px;padding-left:20px;}.kadence-column238928_3e4b6b-5d > .kt-inside-inner-col,.kadence-column238928_3e4b6b-5d > .kt-inside-inner-col:before{border-top-left-radius:0px;border-top-right-radius:0px;border-bottom-right-radius:0px;border-bottom-left-radius:0px;}.kadence-column238928_3e4b6b-5d > .kt-inside-inner-col{column-gap:var(--global-kb-gap-sm, 1rem);}.kadence-column238928_3e4b6b-5d > .kt-inside-inner-col{flex-direction:column;}.kadence-column238928_3e4b6b-5d > .kt-inside-inner-col > .aligncenter{width:100%;}.kadence-column238928_3e4b6b-5d > .kt-inside-inner-col{background-color:var(--global-palette9, #ffffff);}.kadence-column238928_3e4b6b-5d > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column238928_3e4b6b-5d{position:relative;}.kadence-column238928_3e4b6b-5d, .kt-inside-inner-col > .kadence-column238928_3e4b6b-5d:not(.specificity){margin-bottom:29px;}@media all and (max-width: 1024px){.kadence-column238928_3e4b6b-5d > .kt-inside-inner-col{flex-direction:column;}}@media all and (max-width: 767px){.kadence-column238928_3e4b6b-5d > .kt-inside-inner-col{flex-direction:column;}}<\/style>\n<div class=\"wp-block-kadence-column kadence-column238928_3e4b6b-5d\"><div class=\"kt-inside-inner-col\">\n<h3 class=\"wp-block-heading\">Physician\u2019s perspective: asthma and non-medical switching<\/h3>\n\n\n\n<p>Asthma\u2019s prevalence has more than doubled in recent decades, yet the disease remains highly individualized. Patients\u2019 triggers, the severity of their symptoms, their ability to manage their condition, and their success with different treatments and delivery mechanisms varies.<\/p>\n\n\n\n<p>While clinicians recognize this fact, health plans may not. Insurance coverage models too often embrace a one-size-fits-all approach that generalizes care based on rigid disease-state algorithms that prioritize the lowest-priced treatment options. The approach incorrectly assumes that patients are interchangeable, and that children are just small adults.<\/p>\n\n\n\n<p>Increasingly, insurance companies and even pharmacies&nbsp;may drive changes in asthma medication or delivery device that are unnecessary, expensive and even dangerous for patients.<\/p>\n<\/div><\/div>\n<\/div><\/div>\n\n\n<style>.kadence-column238928_4356e6-8e{max-width:800px;margin-left:auto;margin-right:auto;}.wp-block-kadence-column.kb-section-dir-horizontal:not(.kb-section-md-dir-vertical)>.kt-inside-inner-col>.kadence-column238928_4356e6-8e{-webkit-flex:0 1 800px;flex:0 1 800px;max-width:unset;margin-left:unset;margin-right:unset;}.kadence-column238928_4356e6-8e > .kt-inside-inner-col,.kadence-column238928_4356e6-8e > .kt-inside-inner-col:before{border-top-left-radius:0px;border-top-right-radius:0px;border-bottom-right-radius:0px;border-bottom-left-radius:0px;}.kadence-column238928_4356e6-8e > .kt-inside-inner-col{column-gap:var(--global-kb-gap-sm, 1rem);}.kadence-column238928_4356e6-8e > .kt-inside-inner-col{flex-direction:column;}.kadence-column238928_4356e6-8e > .kt-inside-inner-col > .aligncenter{width:100%;}.kadence-column238928_4356e6-8e > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column238928_4356e6-8e{position:relative;}@media all and (min-width: 1025px){.wp-block-kadence-column.kb-section-dir-horizontal>.kt-inside-inner-col>.kadence-column238928_4356e6-8e{-webkit-flex:0 1 800px;flex:0 1 800px;max-width:unset;margin-left:unset;margin-right:unset;}}@media all and (max-width: 1024px){.kadence-column238928_4356e6-8e > .kt-inside-inner-col{flex-direction:column;}}@media all and (max-width: 767px){.wp-block-kadence-column.kb-section-sm-dir-vertical:not(.kb-section-sm-dir-horizontal):not(.kb-section-sm-dir-specificity)>.kt-inside-inner-col>.kadence-column238928_4356e6-8e{max-width:800px;-webkit-flex:1;flex:1;margin-left:auto;margin-right:auto;}.kadence-column238928_4356e6-8e > .kt-inside-inner-col{flex-direction:column;}}<\/style>\n<div class=\"wp-block-kadence-column kadence-column238928_4356e6-8e\"><div class=\"kt-inside-inner-col\">\n<h2 class=\"wp-block-heading\">Co-pay accumulator adjustment programs<\/h2>\n\n\n\n<p>Not everyone can afford the medication they need. To make drugs more accessible, manufacturers sometimes provide co-pay coupons to help patients cover their out-of-pocket pharmacy expenses.<\/p>\n\n\n\n<p>Manufacturers have issued co-pay coupons since the mid-2000s, but they have become more common in recent years. The amount of prescriptions paid for using coupons reached 19 percent in 2016.<\/p>\n\n\n\n<p>Most drugs that have co-pay coupons don\u2019t have lower-cost generic alternatives. For the few that do, these alternatives may not suit the unique characteristics of a patient\u2019s medical history or disease state. Or, a patient has already tried the less expensive option and found it ineffective.<\/p>\n\n\n\n<p>In addition, health plan use a cost-cutting approach called accumulator adjustment programs. These programs still take co-pay coupons but don\u2019t take the cost off your deductible, which can cause an expensive out-of-pocket bill.<\/p>\n\n\n<style>.kb-image238928_1402d5-9a .kb-image-has-overlay:after{opacity:0.3;}<\/style>\n<figure class=\"wp-block-kadence-image kb-image238928_1402d5-9a size-large\"><img decoding=\"async\" width=\"1080\" height=\"567\" src=\"https:\/\/allergyasthmanetwork.org\/wp-content\/uploads\/2024\/10\/Woman-checking-medication-at-the-pharmacy-1080x567.jpg\" alt=\"A woman in a purple sweater holds medication and a prescription while standing in a pharmacy. A pharmacist in a white coat is working in the background, surrounded by shelves with various health products.\" class=\"kb-img wp-image-19377920\" title=\"\" srcset=\"https:\/\/allergyasthmanetwork.org\/wp-content\/uploads\/2024\/10\/Woman-checking-medication-at-the-pharmacy-1080x567.jpg 1080w, https:\/\/allergyasthmanetwork.org\/wp-content\/uploads\/2024\/10\/Woman-checking-medication-at-the-pharmacy-300x158.jpg 300w, https:\/\/allergyasthmanetwork.org\/wp-content\/uploads\/2024\/10\/Woman-checking-medication-at-the-pharmacy-768x403.jpg 768w, https:\/\/allergyasthmanetwork.org\/wp-content\/uploads\/2024\/10\/Woman-checking-medication-at-the-pharmacy.jpg 1200w\" sizes=\"(max-width: 1080px) 100vw, 1080px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe title=\"The Co-Pay Surprise\" width=\"720\" height=\"405\" src=\"https:\/\/www.youtube.com\/embed\/-k_s1wY3lSM?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe>\n<\/div><\/figure>\n\n\n<style>.kadence-column238928_5e1870-f5 > .kt-inside-inner-col{padding-top:20px;padding-right:20px;padding-bottom:20px;padding-left:20px;}.kadence-column238928_5e1870-f5 > .kt-inside-inner-col,.kadence-column238928_5e1870-f5 > .kt-inside-inner-col:before{border-top-left-radius:0px;border-top-right-radius:0px;border-bottom-right-radius:0px;border-bottom-left-radius:0px;}.kadence-column238928_5e1870-f5 > .kt-inside-inner-col{column-gap:var(--global-kb-gap-sm, 1rem);}.kadence-column238928_5e1870-f5 > .kt-inside-inner-col{flex-direction:column;}.kadence-column238928_5e1870-f5 > .kt-inside-inner-col > .aligncenter{width:100%;}.kadence-column238928_5e1870-f5 > .kt-inside-inner-col{background-color:var(--global-palette9, #ffffff);}.kadence-column238928_5e1870-f5 > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column238928_5e1870-f5{position:relative;}.kadence-column238928_5e1870-f5, .kt-inside-inner-col > .kadence-column238928_5e1870-f5:not(.specificity){margin-bottom:29px;}@media all and (max-width: 1024px){.kadence-column238928_5e1870-f5 > .kt-inside-inner-col{flex-direction:column;}}@media all and (max-width: 767px){.kadence-column238928_5e1870-f5 > .kt-inside-inner-col{flex-direction:column;}}<\/style>\n<div class=\"wp-block-kadence-column kadence-column238928_5e1870-f5\"><div class=\"kt-inside-inner-col\">\n<h3 class=\"wp-block-heading\">Physician\u2019s perspective: co-pay accumulator adjustment programs<\/h3>\n\n\n\n<p>Regardless of what may be available, doctors should be trusted to prescribe the most appropriate medication for their individual patients. And when a doctor prescribes a costly regimen, until recently, patients could depend upon co-pay coupons to count toward their yearly out-of-pocket deductible. Many patients relied on this arrangement to access their medications.<\/p>\n\n\n\n<p>Yet for patients across the country, that reality is changing.<\/p>\n<\/div><\/div>\n<\/div><\/div>\n\n\n<style>.kadence-column238928_547cdd-ac{max-width:800px;margin-left:auto;margin-right:auto;}.wp-block-kadence-column.kb-section-dir-horizontal:not(.kb-section-md-dir-vertical)>.kt-inside-inner-col>.kadence-column238928_547cdd-ac{-webkit-flex:0 1 800px;flex:0 1 800px;max-width:unset;margin-left:unset;margin-right:unset;}.kadence-column238928_547cdd-ac > .kt-inside-inner-col,.kadence-column238928_547cdd-ac > .kt-inside-inner-col:before{border-top-left-radius:0px;border-top-right-radius:0px;border-bottom-right-radius:0px;border-bottom-left-radius:0px;}.kadence-column238928_547cdd-ac > .kt-inside-inner-col{column-gap:var(--global-kb-gap-sm, 1rem);}.kadence-column238928_547cdd-ac > .kt-inside-inner-col{flex-direction:column;}.kadence-column238928_547cdd-ac > .kt-inside-inner-col > .aligncenter{width:100%;}.kadence-column238928_547cdd-ac > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column238928_547cdd-ac{position:relative;}@media all and (min-width: 1025px){.wp-block-kadence-column.kb-section-dir-horizontal>.kt-inside-inner-col>.kadence-column238928_547cdd-ac{-webkit-flex:0 1 800px;flex:0 1 800px;max-width:unset;margin-left:unset;margin-right:unset;}}@media all and (max-width: 1024px){.kadence-column238928_547cdd-ac > .kt-inside-inner-col{flex-direction:column;}}@media all and (max-width: 767px){.wp-block-kadence-column.kb-section-sm-dir-vertical:not(.kb-section-sm-dir-horizontal):not(.kb-section-sm-dir-specificity)>.kt-inside-inner-col>.kadence-column238928_547cdd-ac{max-width:800px;-webkit-flex:1;flex:1;margin-left:auto;margin-right:auto;}.kadence-column238928_547cdd-ac > .kt-inside-inner-col{flex-direction:column;}}<\/style>\n<div class=\"wp-block-kadence-column kadence-column238928_547cdd-ac\"><div class=\"kt-inside-inner-col\">\n<h2 class=\"wp-block-heading\">Value-based contracting<\/h2>\n\n\n\n<p>Some patients reap a benefit from breakthrough drugs, others do not. Insurers can reduce their financial risk and give patients access to the innovative prescription drugs their doctor prescribes using a concept called value-based contracting.<\/p>\n\n\n\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe title=\"Understanding Value-Based Contracting\" width=\"720\" height=\"405\" src=\"https:\/\/www.youtube.com\/embed\/qN6SLOdcGaA?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe>\n<\/div><\/figure>\n<\/div><\/div>\n<\/div><\/div>\n\n\n<style>.kadence-column238928_4791fc-c8 > .kt-inside-inner-col{padding-top:20px;padding-bottom:20px;}.kadence-column238928_4791fc-c8 > .kt-inside-inner-col,.kadence-column238928_4791fc-c8 > .kt-inside-inner-col:before{border-top-left-radius:0px;border-top-right-radius:0px;border-bottom-right-radius:0px;border-bottom-left-radius:0px;}.kadence-column238928_4791fc-c8 > .kt-inside-inner-col{column-gap:var(--global-kb-gap-sm, 1rem);}.kadence-column238928_4791fc-c8 > .kt-inside-inner-col{flex-direction:column;}.kadence-column238928_4791fc-c8 > .kt-inside-inner-col > .aligncenter{width:100%;}.kadence-column238928_4791fc-c8 > .kt-inside-inner-col{background-color:var(--global-palette1, #3182CE);}.kadence-column238928_4791fc-c8 > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column238928_4791fc-c8{position:relative;}@media all and (max-width: 1024px){.kadence-column238928_4791fc-c8 > .kt-inside-inner-col{flex-direction:column;}}@media all and (max-width: 767px){.kadence-column238928_4791fc-c8 > .kt-inside-inner-col{flex-direction:column;}}<\/style>\n<div class=\"wp-block-kadence-column kadence-column238928_4791fc-c8\"><div class=\"kt-inside-inner-col\"><style>.kadence-column238928_0173e4-c0{max-width:800px;margin-left:auto;margin-right:auto;}.wp-block-kadence-column.kb-section-dir-horizontal:not(.kb-section-md-dir-vertical)>.kt-inside-inner-col>.kadence-column238928_0173e4-c0{-webkit-flex:0 1 800px;flex:0 1 800px;max-width:unset;margin-left:unset;margin-right:unset;}.kadence-column238928_0173e4-c0 > .kt-inside-inner-col,.kadence-column238928_0173e4-c0 > .kt-inside-inner-col:before{border-top-left-radius:0px;border-top-right-radius:0px;border-bottom-right-radius:0px;border-bottom-left-radius:0px;}.kadence-column238928_0173e4-c0 > .kt-inside-inner-col{column-gap:var(--global-kb-gap-sm, 1rem);}.kadence-column238928_0173e4-c0 > .kt-inside-inner-col{flex-direction:column;}.kadence-column238928_0173e4-c0 > .kt-inside-inner-col > .aligncenter{width:100%;}.kadence-column238928_0173e4-c0 > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column238928_0173e4-c0{position:relative;}@media all and (min-width: 1025px){.wp-block-kadence-column.kb-section-dir-horizontal>.kt-inside-inner-col>.kadence-column238928_0173e4-c0{-webkit-flex:0 1 800px;flex:0 1 800px;max-width:unset;margin-left:unset;margin-right:unset;}}@media all and (max-width: 1024px){.kadence-column238928_0173e4-c0 > .kt-inside-inner-col{flex-direction:column;}}@media all and (max-width: 767px){.wp-block-kadence-column.kb-section-sm-dir-vertical:not(.kb-section-sm-dir-horizontal):not(.kb-section-sm-dir-specificity)>.kt-inside-inner-col>.kadence-column238928_0173e4-c0{max-width:800px;-webkit-flex:1;flex:1;margin-left:auto;margin-right:auto;}.kadence-column238928_0173e4-c0 > .kt-inside-inner-col{flex-direction:column;}}<\/style>\n<div class=\"wp-block-kadence-column kadence-column238928_0173e4-c0\"><div class=\"kt-inside-inner-col\">\n<h2 class=\"wp-block-heading has-text-align-center has-kb-palette-6-color has-text-color has-link-color wp-elements-80a7d0fd6caa45f630ae26bb8d75de88\">Infographics<\/h2>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" width=\"432\" height=\"1080\" src=\"https:\/\/allergyasthmanetwork.org\/wp-content\/uploads\/2024\/10\/AfPA-How-NMS-Hurts-Patients-432x1080.jpg\" alt=\"Infographic titled &quot;How Non-Medical Switching Hurts Patients&quot; with statistics and illustrations about the negative impacts on patients switched to different medications for insurance reasons. Highlights health, work, and emotional well-being issues.\" class=\"wp-image-19378963\" title=\"\" srcset=\"https:\/\/allergyasthmanetwork.org\/wp-content\/uploads\/2024\/10\/AfPA-How-NMS-Hurts-Patients-432x1080.jpg 432w, https:\/\/allergyasthmanetwork.org\/wp-content\/uploads\/2024\/10\/AfPA-How-NMS-Hurts-Patients-120x300.jpg 120w, https:\/\/allergyasthmanetwork.org\/wp-content\/uploads\/2024\/10\/AfPA-How-NMS-Hurts-Patients.jpg 600w\" sizes=\"(max-width: 432px) 100vw, 432px\" \/><\/figure>\n\n\n<style>.wp-block-kadence-advancedbtn.kb-btns238928_599f7a-b2{gap:var(--global-kb-gap-xs, 0.5rem );justify-content:center;align-items:center;}.kt-btns238928_599f7a-b2 .kt-button{font-weight:normal;font-style:normal;}.kt-btns238928_599f7a-b2 .kt-btn-wrap-0{margin-right:5px;}.wp-block-kadence-advancedbtn.kt-btns238928_599f7a-b2 .kt-btn-wrap-0 .kt-button{color:#555555;border-color:#555555;}.wp-block-kadence-advancedbtn.kt-btns238928_599f7a-b2 .kt-btn-wrap-0 .kt-button:hover, .wp-block-kadence-advancedbtn.kt-btns238928_599f7a-b2 .kt-btn-wrap-0 .kt-button:focus{color:#ffffff;border-color:#444444;}.wp-block-kadence-advancedbtn.kt-btns238928_599f7a-b2 .kt-btn-wrap-0 .kt-button::before{display:none;}.wp-block-kadence-advancedbtn.kt-btns238928_599f7a-b2 .kt-btn-wrap-0 .kt-button:hover, .wp-block-kadence-advancedbtn.kt-btns238928_599f7a-b2 .kt-btn-wrap-0 .kt-button:focus{background:#444444;}<\/style>\n<div class=\"wp-block-kadence-advancedbtn kb-buttons-wrap kb-btns238928_599f7a-b2\"><style>ul.menu .wp-block-kadence-advancedbtn .kb-btn238928_cf83d5-b8.kb-button{width:initial;}.wp-block-kadence-advancedbtn .kb-btn238928_cf83d5-b8.kb-button{color:var(--global-palette5, #4A5568);background:var(--global-palette9, #ffffff);border-top-left-radius:20px;border-top-right-radius:20px;border-bottom-right-radius:20px;border-bottom-left-radius:20px;}<\/style><a class=\"kb-button kt-button button kb-btn238928_cf83d5-b8 kt-btn-size-standard kt-btn-width-type-auto kb-btn-global-fill kt-btn-has-text-true kt-btn-has-svg-false wp-block-kadence-singlebtn\" href=\"https:\/\/admin.allianceforpatientaccess.org\/wp-content\/uploads\/2020\/01\/AfPA-How-NMS-Hurts-Patients.pdf\" target=\"_blank\" rel=\"noreferrer noopener nofollow\"><span class=\"kt-btn-inner-text\">Download the PDF<\/span><\/a><\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" width=\"583\" height=\"1080\" src=\"https:\/\/allergyasthmanetwork.org\/wp-content\/uploads\/2024\/10\/the-ugly-co-pay-surprise-583x1080.jpg\" alt=\"Infographic titled &quot;The Ugly Co-Pay Surprise&quot; illustrating co-pay accumulator adjustments as a board game. Pathways show challenges in healthcare payments. Includes visuals of people, ladders, and text about co-pay coupons and deductibles.\" class=\"wp-image-19379003\" title=\"\" srcset=\"https:\/\/allergyasthmanetwork.org\/wp-content\/uploads\/2024\/10\/the-ugly-co-pay-surprise-583x1080.jpg 583w, https:\/\/allergyasthmanetwork.org\/wp-content\/uploads\/2024\/10\/the-ugly-co-pay-surprise-162x300.jpg 162w, https:\/\/allergyasthmanetwork.org\/wp-content\/uploads\/2024\/10\/the-ugly-co-pay-surprise.jpg 600w\" sizes=\"(max-width: 583px) 100vw, 583px\" \/><\/figure>\n\n\n<style>.wp-block-kadence-advancedbtn.kb-btns238928_ed82f9-a5{gap:var(--global-kb-gap-xs, 0.5rem );justify-content:center;align-items:center;}.kt-btns238928_ed82f9-a5 .kt-button{font-weight:normal;font-style:normal;}.kt-btns238928_ed82f9-a5 .kt-btn-wrap-0{margin-right:5px;}.wp-block-kadence-advancedbtn.kt-btns238928_ed82f9-a5 .kt-btn-wrap-0 .kt-button{color:#555555;border-color:#555555;}.wp-block-kadence-advancedbtn.kt-btns238928_ed82f9-a5 .kt-btn-wrap-0 .kt-button:hover, .wp-block-kadence-advancedbtn.kt-btns238928_ed82f9-a5 .kt-btn-wrap-0 .kt-button:focus{color:#ffffff;border-color:#444444;}.wp-block-kadence-advancedbtn.kt-btns238928_ed82f9-a5 .kt-btn-wrap-0 .kt-button::before{display:none;}.wp-block-kadence-advancedbtn.kt-btns238928_ed82f9-a5 .kt-btn-wrap-0 .kt-button:hover, .wp-block-kadence-advancedbtn.kt-btns238928_ed82f9-a5 .kt-btn-wrap-0 .kt-button:focus{background:#444444;}<\/style>\n<div class=\"wp-block-kadence-advancedbtn kb-buttons-wrap kb-btns238928_ed82f9-a5\"><style>ul.menu .wp-block-kadence-advancedbtn .kb-btn238928_7689db-67.kb-button{width:initial;}.wp-block-kadence-advancedbtn .kb-btn238928_7689db-67.kb-button{color:var(--global-palette5, #4A5568);background:var(--global-palette9, #ffffff);border-top-left-radius:20px;border-top-right-radius:20px;border-bottom-right-radius:20px;border-bottom-left-radius:20px;}<\/style><a class=\"kb-button kt-button button kb-btn238928_7689db-67 kt-btn-size-standard kt-btn-width-type-auto kb-btn-global-fill kt-btn-has-text-true kt-btn-has-svg-false wp-block-kadence-singlebtn\" href=\"https:\/\/admin.allianceforpatientaccess.org\/wp-content\/uploads\/2020\/01\/AfPA-Ugly-CoPay-Surprise.pdf\" target=\"_blank\" rel=\"noreferrer noopener nofollow\"><span class=\"kt-btn-inner-text\">Download the PDF<\/span><\/a><\/div>\n<\/div>\n<\/div>\n<\/div><\/div>\n<\/div><\/div>\n","protected":false},"excerpt":{"rendered":"<p>Allergy &amp; Asthma Network supports patient access to safe, affordable and effective medications and treatments. We know that medications and treatments are essential to manage chronic conditions such as allergies and asthma. Lack of access to affordable medicines has led to patients not filling a doctor\u2019s prescription, reducing the dosage to make a supply last&#8230;<\/p>\n","protected":false},"author":4,"featured_media":19379439,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_kad_blocks_custom_css":"","_kad_blocks_head_custom_js":"","_kad_blocks_body_custom_js":"","_kad_blocks_footer_custom_js":"","_kad_post_transparent":"","_kad_post_title":"","_kad_post_layout":"","_kad_post_sidebar_id":"","_kad_post_content_style":"","_kad_post_vertical_padding":"","_kad_post_feature":"","_kad_post_feature_position":"","_kad_post_header":false,"_kad_post_footer":false,"footnotes":""},"class_list":["post-238928","page","type-page","status-publish","has-post-thumbnail","hentry"],"rankMath":{"parentDomain":"allergyasthmanetwork.org","noFollowDomains":[],"noFollowExcludeDomains":[],"noFollowExternalLinks":true,"featuredImageNotice":"The featured image should be at 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