
08/14/2025
While pharmacy benefits offer numerous advantages, they also present challenges such as high out-of-pocket costs for patients and restrictive formularies that may limit treatment options. Administrative hurdles like prior authorization can delay access to necessary medications. Additionally, the complexity of pharmacy benefits can make it difficult for patients to understand and navigate their coverage. Effective communication and support from healthcare providers and insurers are crucial in helping patients manage these challenges and optimize their pharmacy benefits.