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Surprise Federal Drug Rule Directs Insurers to Reveal What They Pay for Prescription Drugs

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themighty.com

By Harris Meyer Health insurance companies will have to give their customers estimated out-of-pocket costs for prescription drugs and disclose to the public the negotiated prices they pay for drugs, under an unexpected new Trump administration rule.

The administration said those requirements, part of a broader rule issued Oct. 29 forcing health plans to disclose costs and payments for most health care services, will promote competition and empower consumers to make better medical decisions.

The new rule does not, however, apply to Medicare or Medicaid. The drug price provisions, which would not begin until 2022, were a surprise because they were not included in the original proposed rule issued in 2019.

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