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CMS to allow copay accumulators, cut exchange user fees
Modern Healthcare

The CMS finalized a rule on Thursday that would allow health insurers to implement copay accumulator programs to prevent drug manufacturer coupons from applying to a patient’s annual limit on out-of-pocket costs in situations where a generic drug is available.

Last month, Virginia and West Virginia became the first states to ban such programs on the individual market. Another eight states are considering passing their own laws to ban copay accumulators, which patient advocates say limits access to medication.