Why Using Your Insurance Could Cost You More

8/21/2025

What’s a Gag Clause?

A gag clause prevents pharmacists from telling you when a cheaper cash price is available unless you ask.

  • These clauses have been largely banned—but not everyone knows they can ask.
  • If you don’t ask, you might end up paying the higher insurance copay instead of the lower cash price.

The Takeaway

  • Always ask for the cash price before paying.
  • Don’t assume your insurance is always the cheaper route.
  • Compare both options—cash vs. insurance—before you decide.

Final Thought: Your insurance should save you money, but it’s not guaranteed in every situation. Sometimes paying cash puts more back in your pocket.

Need help navigating when to use insurance and when to pay cash? Call or text (716) 503-1113.