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The City of Cedar Rapids offers a free prescription low cost card to all residents. Private health insurance plans have been shifting to 3- or 4-tier coinsurance or copayment buildings that require a smaller degree of cost sharing for generics and a better degree for increased-price medicine particularly when there are therapeutically equivalent options (KFF, 2014). High-deductible well being plans" are also turning into extra common in the U.S. insurance marketplace as well being care costs rise ( Claxton et al., 2016 ). These plans require the next deductible than most health plans, in exchange for a decrease month-to-month premium. The popularity of affected person assistance programs amongst each sufferers and manufacturers has elevated over time ( Daubresse et al., 2017 ; Ross and Kesselheim, 2013 ). Assistance programs are delivered by way of a wide range of mechanisms, together with coupons, drug financial savings cards, manufacturer help packages (offered by means of the drug maker), access networks that create illness-particular funds, and illness-focused basis applications.


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