Assessing and Mitigating the Impact of Accumulator Benefit Designs on Brand Coupon Programs

April 10, 2018
Impact of Accumulator Benefit Designs on Brand Coupon Programs
Insurers have begun to roll out Accumulator Adjuster (also called Deductible Reset) benefit designs, in which manufacturers’ coupon buy downs no longer count towards a patient’s deductible or out-of-pocket maximum. The Accumulator Adjuster currently poses the greatest risk to specialty brands, where co-pay support programs help reduce patient costs, especially through deductibles, but in the future may also extend to retail products. In this article, the IQVIA™ US Market Access Strategy Consulting team discusses the impact of Accumulator Adjuster programs on pharmaceutical manufacturers and strategies they can implement to prepare for and mitigate the impact of such programs.