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In fact, insurance companies typically set coinsurance and copay amounts based on a drug's original list price, not the negotiated price.

Her job with the Los Angeles Unified School District comes with health insurance that covers the pricey drugs and charges her a copay of $30 a month for her Mounjaro prescription.

Another big unknown, Arnold said, is what happens when pharmacies can’t see whether an insurance plan is going to cover an entire claim, potentially resulting in reimbursement problems for health systems and higher copay charges for patients after they get their medication.

Medication costs may be subject to a copay, depending on your insurance.

Many commercial insurance plans cover the medication, and Pfizer, which makes Paxlovid, offers a program that can bring down or even eliminate the copay cost.