Is Your Copay Program Ready For 2018?

Is Your Copay Program Ready For 2018?

Is Your Copay Program Ready for 2017.jpg

Whether your copay program is 6% or 60% of your Trx, it is an important component of your marketing strategy. Just like your media and digital strategy, your copay program deserves a thorough evaluation and possibly an update for 2018 to make sure it is driving the right behaviors. Ask yourself—is your copay program designed to keep up?


Key Considerations

  1. Insurance landscape changes: More employers and health plans are moving patients to higher deductibles, or combining pharmacy deductibles with medical. Plans are adding more tiers, and shifting more drugs to higher tiered coverage. Is your copay program prepared for these changes, or are you at risk of blowing through 2018’s budget in Q1?
  2. Market driven changes: Are you expecting a new entrant? Nearing the end of your life cycle? One of the biggest mistakes we see brands make is assuming that next year will be just like the previous years. But in the dynamic healthcare landscape, nothing is static for long. Last year’s insights are not sufficient to design next year’s program. You need to evaluate all of the potential changes to make sure your copay program will continue to support your brand’s strategy.
  3. Pricing changes: Are you paying higher rebates than the year before? Has your pricing strategy changed, and when are you expecting to take a price increase? These dynamics change what the optimal target and max benefit are for your brand. If you don’t account for them every time they occur, your program could be losing money.

Think your copay program is ready for 2018? Take our questionnaire below to find out!


The Truveris Patient Access Services team is committed to providing insights and analysis to help pharmaceutical brand teams make the most informed decisions. This post was originally published last year, but we’ve updated it to reflect the most current statistics and information from across the prescription drug landscape.

Topics: Trends, Insights & Analysis, Pharmaceutical Manufacturers, Copay Programs

Posted by

Elizabeth Pattyn

Elizabeth Pattyn is a member of Truveris’ Life Sciences team. In her role as Vice President, Elizabeth leads the company’s efforts in delivering patient access programs for pharmaceutical companies. Elizabeth has a BA from Cornell University and an MBA in Healthcare Management from the Wharton School at the University of Pennsylvania.