We all know about generic drugs and their brand-name counterparts.  The identical chemical with two different prices.  Health insurance companies try to keep costs down by incentivizing patients to choose generics.  You have a larger co-pay when you buy the name brand.  Except when you don’t:

Serra, a paralegal, went to his doctor a few months ago for help with acne. She prescribed Solodyn. Serra told her he’d previously taken a generic drug called minocycline that worked well. The doctor told him that the two compounds are basically the same, but that you have to take the generic version in the morning and the evening. With Solodyn, you take one dose a day.

Serra told her that if the name-brand medicine was going to cost a lot more, he’d prefer the generic. “And then she presented this card,” he says. She explained that it was a coupon, and that he should give it to the pharmacist for a break on his insurance copay.

Without the card, Serra’s copay would have been $154.28. But when he got to the pharmacy, he presented his card. “They went to ring it up at the register,” he remembers. “And when it came up, the price was $10.”

NPR has the story. Chupulla chuck:  Mike Whinston.