J&J Adds Express Scripts, Accredo to SaveOnSP Lawsuit Over Copay Maximizer
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Jan 09, 2025
More than two-and-a-half years after it first brought a lawsuit against SaveOnSP, Johnson & Johnson has added two additional divisions of The Cigna Group to the case challenging its copay maximizer program. In a recently unsealed motion, J&J added Express Scripts and Accredo as defendants “to stop a scheme to pilfer tens of millions of dollars from the financial support that JJHCS [Johnson & Johnson Health Care Systems Inc.] provides for patients.”
Traditionally, when a manufacturer provides copay assistance for one of its drugs, that dollar amount would count toward the patient’s deductible and out-of-pocket maximum. But copay maximizer programs will distribute 100% of available manufacturer copay offset funds over 12 months, as opposed to copay accumulators, which apply the maximum manufacturer assistance up front and deplete that contribution before the end of the year. Payments in both approaches do not count toward members’ deductibles and out-of-pocket maximums.
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