© 2024 Ideastream Public Media

1375 Euclid Avenue, Cleveland, Ohio 44115
(216) 916-6100 | (877) 399-3307

WKSU is a public media service licensed to Kent State University and operated by Ideastream Public Media.
Play Live Radio
Next Up:
0:00
0:00
0:00 0:00
Available On Air Stations

State Regulators Forbid 'Gag Orders' on Pharmacy Prices

Photo of pills
SHUTTERSTOCK.COM
Prescription can be more expensive even with insurance coverage than paying out-of-pocket.

Ohioans who go to the pharmacy to pick up prescriptions sometimes pay more out of pocket with their insurance card than they would if they didn’t have coverage. However, state regulators are trying to ensure Ohioans pay the least possible. 

The Ohio Department of Insurance’s Jillian Froment says sometimes pharmacists don’t disclose potential cost savings because of what’s often called a “gag order.”

“Contracts they have with pharmacy benefit managers prevent them from letting a consumer know that there is a cash option available that would be less expensive than using their insurance card to cover their pharmacy benefit.”

Insurance companies often require the customer to cover a deductible or a copay that can amount to more than the consumer would pay without insurance.

Froment says state regulators are now ordering insurers and pharmacy benefit managers, who act as middlemen in the process, to tell Ohioans if they could save money by opting for a lower-priced drug and paying cash. Some Ohio lawmakers are also pushing for a bill to allow the state auditor to review contracts between pharmacies and benefit managers.

Jo Ingles is a professional journalist who covers politics and Ohio government for the Ohio Public Radio and Television for the Ohio Public Radio and Television Statehouse News Bureau. She reports on issues of importance to Ohioans including education, legislation, politics, and life and death issues such as capital punishment. Jo started her career in Louisville, Kentucky in the mid 80’s when she helped produce a televised presidential debate for ABC News, worked for a creative services company and served as a general assignment report for a commercial radio station. In 1989, she returned back to her native Ohio to work at the WOSU Stations in Columbus where she began a long resume in public radio.
Karen is a lifelong Ohioan who has served as news director at WCBE-FM, assignment editor/overnight anchor at WBNS-TV, and afternoon drive anchor/assignment editor in WTAM-AM in Cleveland. In addition to her daily reporting for Ohio’s public radio stations, she’s reported for NPR, the BBC, ABC Radio News and other news outlets. She hosts and produces the Statehouse News Bureau’s weekly TV show “The State of Ohio”, which airs on PBS stations statewide. She’s also a frequent guest on WOSU TV’s “Columbus on the Record”, a regular panelist on “The Sound of Ideas” on ideastream in Cleveland, appeared on the inaugural edition of “Face the State” on WBNS-TV and occasionally reports for “PBS Newshour”. She’s often called to moderate debates, including the Columbus Metropolitan Club’s Issue 3/legal marijuana debate and its pre-primary mayoral debate, and the City Club of Cleveland’s US Senate debate in 2012.