Impact of copay maximizers on total patient liability among patients using specialty medicines

Our results indicated that copay maximizer programs are associated with an increase in patient liability for other health care services, especially for patients who relied heavily on the maximizer drug to meet deductible requirements or OOP maximums. These findings should be factored into decisions and policies on implementing and regulating these programs.

Authors

Publication Details

Journal
Journal of Managed Care & Specialty Pharmacy
Published
2025-09-26
DOI
https://doi.org/10.18553/jmcp.2025.31.10.982
Primary Topic
Medical Malpractice and Liability Issues
Type
article
Field-Weighted Citation Impact
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article

Impact of copay maximizers on total patient liability among patients using specialty medicines

Daniel Sheinson, William B. Wong, Achal Patel
Journal of Managed Care & Specialty Pharmacy
Medical Malpractice and Liability Issues
article

Impact of copay maximizers on total patient liability among patients using specialty medicines

Daniel Sheinson, William B. Wong, Achal Patel
article en

Abstract

Our results indicated that copay maximizer programs are associated with an increase in patient liability for other health care services, especially for patients who relied heavily on the maximizer drug to meet deductible requirements or OOP maximums. These findings should be factored into decisions and policies on implementing and regulating these programs.

Journal of Managed Care & Specialty PharmacyVol. 31(10)
Openalex Percentile: Top 57%
Medical Malpractice and Liability Issues
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