October 3, 2025
Tiffany Westrich-Robertson, EACH/PIC Coalition founder and person living with an autoimmune condition, issued the following statement on today’s upper payment limit decision:
“We are disappointed that the Colorado PDAB disregarded the concerns of patients and adopted an unproven policy that is unlikely to lower patient out-of-pocket costs and may create new barriers to care. This decision fails to address real, patient-identified barriers to prescription affordability and adds complexity to a system already stacked against patients.
“Colorado legislators must enact immediate safeguards that protect patients from increased utilization management by insurers and pharmacy benefit managers (PBMs), which threaten timely access to needed medications. Legislators nationwide must reject risky experiments and instead pursue patient-centered reforms that address the real drivers of unaffordability.”
For more information, please visit our website to read our Open Letter to State Legislatures: A Better Way Than UPLs and the results of our Patient Experience Survey, which captures how patients and caregivers define and experience prescription drug affordability.
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The Ensuring Access through Collaborative Health (EACH) and Patient Inclusion Council (PIC) is a two-part coalition that unites patient organizations and allied groups (EACH), as well as patients and caregivers (PIC), to advocate for drug affordability policies that benefit patients.