
The differences between the two programs can be confusing, but knowing the impacts of accumulator programs and protecting your patient assistance is key:Most commonly, drug manufacturers will provide financial assistance programs by offering what are known as copay coupons or manufacturer copay cards. These cards have a predetermined dollar amount and can sometimes contribute thousands of dollars toward a patient’s medication. Patients pay for medications using their manufacturer benefit card until funds run out. Typically, payments using copay cards count towards the patient’s deductible or out-of-pocket maximum, helping patients afford treatment until insurance benefits begin. Copay accumulator adjustment programs put an end to this by not counting copayments from assistance programs toward a patient’s deductible. Leaving patients with exorbitant out-of-pocket costs after maximizing the assistance they so heavily rely on.
Copay assistance programs are financial relief programs that help patients afford out-of-pocket expenses to cover typically expensive medications or treatments. Copay accumulator programs or accumulator adjustment programs prevent any copayment assistance that may be available for high-cost specialty drugs from counting toward a patient’s deductible or maximum out-of-pocket expenses.

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