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Research Letter
October 9, 2019

Assessment of Overpayment for Topical Dermatological Drugs—Clawbacks

Author Affiliations
  • 1Department of Dermatology, Penn State Milton S. Hershey Medical Center, Hershey, Pennsylvania
JAMA Dermatol. Published online October 9, 2019. doi:10.1001/jamadermatol.2019.3078

Since 2011, pharmaceutical costs have increased exponentially, outpacing inflation.1 Recent research has shown an increasing frequency of prescription drug overpayments, or “clawbacks,” where an insured patient’s copayment exceeds the insurer’s cost for the drug. To date, clawbacks have been quantified for the most commonly used oral drugs across all medical disciplines, but clawbacks have not been assessed for topical drugs. The objective of this study was to investigate the prevalence and cost of clawbacks for topical prescription drugs.

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