BioCentury
ARTICLE | Politics & Policy

Covered California caps monthly co-pays for specialty drugs

May 23, 2015 1:00 AM UTC

State health insurance exchange Covered California approved monthly caps to co-pays on specialty drugs that will range from $150 to $500 per prescription, beginning in 2016.

Bronze plans will have a $500 cap. Platinum, gold and certain silver plans will have a $250 cap, while other silver plans will have a $150 cap. Plan beneficiaries will cover the cost of specialty drugs up to the monthly cap until reaching their maximum out-of-pocket costs, which range from $2,250 to $6,500. ...