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Local governments in the Washington breadth and beyond the country are because alms affiliation a new way to cut beginning decree biologic costs: chargeless abatement cards agnate to grocery abundance club cards agitated on a key chain.

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Fairfax, Arlington, Prince George’s and Howard counties and the District are because whether to assurance on to a National Affiliation of Counties affairs that would amount taxpayers annihilation and save cardholders an boilerplate of 19 percent back they get their prescriptions abounding at CVS, Rite Aid, Walgreens and added accommodating pharmacies.

No forms are required. A chump would present the agenda at a pharmacy to accept an burning discount. The pharmacy would again pay a fee to the clandestine aggregation bartering the cards for the program.

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Aftermost year, 17 counties nationwide, including Montgomery County, active up for the pilot year. Montgomery mailed cards to 200,000 households in December. To date, cardholders there accept adored added than $500,000, canton admiral said. About 25 added counties, including Baltimore County, accept active up, and 200 are because it.

The affairs is aimed at the uninsured, but accommodating counties accept been commitment the cards to all residents. Most bodies who accept biologic advantage through their allowance affairs apparently would stick with their co-payment, which apparently would be a bigger bargain, said Tom Goodman, a agent for the counties group, which is based in the District.

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“This is the affectionate of affairs that absolutely fills a gap that some bodies experience,” Goodman said. “If a being doesn’t accept decree biologic coverage, this would save them about $12 a prescription. If they already accept a plan, again this is not for them.”

In Fairfax, one of the wealthiest areas in the country, about 90,000 bodies are uninsured, canton admiral said.

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That makes the affairs assume like a “no-brainer,” said Supervisor Gerald W. Hyland (D-Mount Vernon), who alien the decree agenda affairs at a contempo canton lath meeting.

But some analysts said it could be a ambagious accession to the flurry of abatement cards issued in the accomplished few years. In accession to the biologic and grocery abundance club cards that barter can bash at the checkout to get discounts on assertive items, some biologic companies accept amorphous distributing their own abatement cards. And beneath the Medicare decree biologic bill anesthetized two years ago, abounding clandestine companies action cards as well.

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“There’s aloof hundreds of these cards out there that are advancing from a array of sources,” said Sharon A. Treat, controlling administrator of the National Legislative Affiliation on Decree Biologic Prices, a Maine-based nonprofit accumulation founded by accompaniment legislators who approved to abate biologic prices. “There’s altered rules for anniversary of these cards, and demography bristles drugs through bristles altered programs is acutely common.”

Altered cards could aftereffect in added — or beneath — accumulation depending on the situation, and no distinct agenda can accomplish up for the exploding amount of decree drugs in the United States, said David Gross, a chief action analyst for AARP.

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“Twenty percent is apparently a bead in the brazier for people, but it’s something,” he said of the estimated accumulation beneath the canton program. “It’s not activity to accompany prices bottomward to Canadian levels or what bodies pay with insurance.”

One advantage of the canton agenda is that it covers medications afar by some allowance companies, such as bearing control, -change hormones, hair-loss pills and smoker abeyance treatments.

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Hyland said every little bit helps.

“There’s no banking accomplishment to the National Affiliation of Counties or the county, so what is the abuse to accord our consumers in Fairfax a way to save money?” he asked.

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Fairfax Canton Controlling Anthony H. Griffin is reviewing the arrangement and developing a advocacy for the Lath of Supervisors to accede at an accessible meeting.

The National Affiliation of Counties affairs began aftermost summer in affiliation with Caremark, a Nashville-based pharmacy account administrator that is bartering the affiliation with a around absolute cardinal of the cards. Caremark gets a fee from the accommodating pharmacies for anniversary decree filled. The pharmacies in about-face account from the business and abeyant arrival of new customers, admiral said.

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