Are Specialty Drugs ‘Non-Essential?’ The Argument Underlying Alternative Funding Programs

Gaps and disputes around what the Affordable Care Act designates as ‘essential’ prescription drugs have allowed plans to provide more limited coverage of specialty medicines, some patient advocacy groups say. 

image of tree focused on intricate roots
Health plans contention that specialty drugs aren't an essential health benefit is a root issue underlying new insurance designs. • Source: Shutterstock

More from Market Access

More from Pink Sheet